Amaje Elias, Daniel Eyasu, Tefera Kebede, Sirage Nurye
School of Public Health, Institute of Health, Bule Hora University, Bule Hora, Ethiopia.
Public Health Department, Pharma College, Hawassa, Ethiopia.
SAGE Open Med. 2022 Mar 26;10:20503121221088089. doi: 10.1177/20503121221088089. eCollection 2022.
Youth faces various sexual and reproductive health problems in developing countries like Ethiopia. Major health problems like unintended pregnancy, unsafe abortion, and sexually transmitted infections are common among youth in Ethiopia. This study aimed to determine the level of utilization of youth-friendly reproductive health services and associated factors among youth in Aleta Wondo town, southern Ethiopia, from 20 to 30 June 2020.
A community-based cross-sectional study was conducted among youths of Aleta Wondo town from 20 to 30 June 2020. A total of 421 study participants were selected from households of selected kebeles in the town by using a systematic random sampling method. Data were collected using structured pretested face-to-face interviewer-administered questionnaires. The data were entered using Epi-data version 4.4.2 and exported to SPSS version 25 for analysis. Bivariate and multivariate logistic regression models were used to determine factors significantly associated with the utilization of youth-friendly reproductive health services. Adjusted odds ratio and 95% confidence interval with p value of <0.05 were considered to declare statistical significance.
The level of utilization of youth-friendly reproductive health services was 32.8% (95% confidence interval = 28.0%-37.0%). Youth-friendly service utilization was significantly associated with being female gender (adjusted odds ratio = 2.20, 95% confidence interval = 1.34-3.62), living alone (adjusted odds ratio = 2.99, 95% confidence interval = 1.48-5.77), who had not ever discussed with their parents (adjusted odds ratio = 0.46, 95% confidence interval = 0.27-0.81), have visited service required and missed service (adjusted odds ratio = 1.96, 95% confidence interval = 1.19-3.24), and have sexual partner (adjusted odds ratio = 4.52, 95% confidence interval = 2.75-7.44).
Youth-friendly reproductive health service utilization among youth Aleta Wondo town was low. Factors like gender, current living place, have ever discussed in reproductive health issues with their parents, have visited health facility and missed service, and having sexual partner were predictors of youth-friendly service utilization. It is better to work in collaboration with youth clubs and schoolteachers to scale up youth-friendly service.
在埃塞俄比亚等发展中国家，青少年面临着各种性与生殖健康问题。意外怀孕、不安全堕胎和性传播感染等主要健康问题在埃塞俄比亚的青少年中很常见。本研究旨在确定2020年6月20日至30日埃塞俄比亚南部阿莱塔翁多镇青少年对青少年友好型生殖健康服务的利用水平及相关因素。
2020年6月20日至30日在阿莱塔翁多镇的青少年中开展了一项基于社区的横断面研究。采用系统随机抽样方法从该镇选定社区的家庭中选取了421名研究参与者。通过使用经过预测试的结构化面对面访谈问卷收集数据。数据使用Epi-data 4.4.2版本录入，并导出到SPSS 25版本进行分析。采用双变量和多变量逻辑回归模型来确定与青少年友好型生殖健康服务利用显著相关的因素。调整后的比值比和95%置信区间，p值<0.05被视为具有统计学意义。
青少年友好型生殖健康服务的利用水平为32.8%（95%置信区间=28.0%-37.0%）。青少年友好型服务的利用与女性性别（调整后的比值比=2.20，95%置信区间=1.34-3.62）、独自生活（调整后的比值比=2.99，95%置信区间=1.48-5.77）、从未与父母讨论过（调整后的比值比=0.46，95%置信区间=0.27-0.81）、去过所需服务但错过服务（调整后的比值比=1.96，95%置信区间=1.19-3.24）以及有性伴侣（调整后的比值比=4.52，95%置信区间=2.75-7.44）显著相关。
阿莱塔翁多镇青少年对青少年友好型生殖健康服务的利用率较低。性别、当前居住地点、是否曾与父母讨论生殖健康问题、是否去过医疗机构但错过服务以及是否有性伴侣等因素是青少年友好型服务利用的预测因素。最好与青少年俱乐部和学校教师合作，以扩大青少年友好型服务。
