加纳沃尔特地区阿达库地区青少年与其父母之间性问题沟通的决定因素：多项逻辑回归分析。
Determinants of communication on sexual issues between adolescents and their parents in the Adaklu district of the Volta region, Ghana: a multinomial logistic regression analysis.
机构信息
Institute of Health Research, University of Health and Allied Sciences, Ho, Ghana.
School of Allied Health Sciences, University of Health and Allied Sciences, Ho, Ghana.
出版信息
Reprod Health. 2022 Apr 27;19(1):101. doi: 10.1186/s12978-022-01402-0.
BACKGROUND
Poor communication on sexual issues between adolescents and their parents results in high rates of negative sexual practices such as teenage pregnancy. Contributing factors to this poor communication on sexual issues between adolescents and their parents in a high teenage pregnancy setting have not been adequately explored. We sought to fill this gap by examining the factors that predict communication on sexual issues between adolescents and their parents in the Adaklu district of the Volta region of Ghana.
METHODS
A baseline cross-sectional household survey of 221 adolescents aged 10-19 years in 30 randomly selected communities was used. A well-structured questionnaire was developed. A multinomial logistic regression analysis was used to examine factors that significantly influenced communication between adolescents and their parents regarding sex.
RESULTS
Only 11.3% of adolescents had discussions on sexual issues with both parents while 27.6% of communicated sexual issues with only one parent in Adaklu district. Adolescent males (AOR = 0.21, CI = 0.06-0.75), those aged 10-14 years (AOR = 0.41, CI = 0.04-0.57), non-members of adolescent health clubs (AOR = 0.46, CI = 0.21-1.00), and those living with only a father (AOR = 0.19, CI = 0.06-0.61) had lower odds of communicating with their parents on sexual issues.
CONCLUSIONS
Adolescent-parental communication on sexual issues in Adaklu district is very low. This situation requires more empowerment of adolescents to enable them to discuss sexual issues with their parents through increased engagement with adolescent health club activities and capacity building capacity of parents with the right information on sexual and reproductive health by health staff within the district. Additionally, parents need to be equipped with communication skills to enable them to communicate effectively with their children.
背景
青少年与其父母在性问题上沟通不畅，导致负面性行为（如少女怀孕）发生率居高不下。在少女怀孕率较高的情况下，青少年与其父母在性问题上沟通不畅的原因尚未得到充分探讨。我们试图通过研究加纳沃尔特地区阿达库卢区青少年与其父母就性问题进行沟通的预测因素来填补这一空白。
方法
采用 30 个随机选定社区的 221 名 10-19 岁青少年进行基线横断面家庭调查。制定了一份结构良好的问卷。采用多变量逻辑回归分析来研究对青少年与其父母就性问题进行沟通有显著影响的因素。
结果
在阿达库卢区，只有 11.3%的青少年与父母双方讨论过性问题，而 27.6%的青少年只与父母一方讨论过性问题。青少年男性（AOR=0.21，CI=0.06-0.75）、10-14 岁（AOR=0.41，CI=0.04-0.57）、非青少年健康俱乐部成员（AOR=0.46，CI=0.21-1.00）和仅与父亲一起生活的青少年（AOR=0.19，CI=0.06-0.61）与父母就性问题进行沟通的可能性较低。
结论
阿达库卢区青少年与其父母在性问题上的沟通非常少。这种情况需要赋予青少年更多权力，使他们能够通过更多地参与青少年健康俱乐部活动来与父母讨论性问题，并通过区内在性健康和生殖健康方面具备正确信息的卫生工作人员，增强父母的能力建设。此外，父母需要具备沟通技巧，以便能够与子女进行有效沟通。
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