Gofa Zone, Sawla Town Health Office, Sawla, Ethiopia.
Department of Public Health, College of Medicine and Health Sciences, Wachemo University, Hossana, Ethiopia.
Reprod Health. 2022 May 2;19(1):108. doi: 10.1186/s12978-022-01414-w.
BACKGROUND: Parent-adolescent discussion on sexual and reproductive health (SRH) issues leads to increased awareness on reproductive health matters and reduces risky behaviors among adolescents and also contributes to negative SRH outcomes. The aim of this study was to assess parent-adolescent discussion on SRH issues and its associated factors in Sawla town, Southern Ethiopia. METHODS: A community-based cross-sectional study was conducted among parents of 10-19-year-olds in Sawla town from March to April 2020. A simple random sampling technique was employed to select 697 study subjects. Data were collected using a pretested structured questionnaire, adapted from the 2016 Ethiopia Demographic Health Survey and other published literature. The questionnaire consisted of questions about socio-demographic factors, knowledge about SRH issues, attitudes towards SRH issues, and discussions between parents and adolescents concerning SRH issues and was administered by face-to-face interviews p-value < 0.05 and 95%CI for adjusted odds ratios (AOR) were used to declare the significance of the associations. RESULTS: Of the total participants, 168 (25.7%) respondents had reported discussion about at least two components of SRH issues in the last 6 months prior to the study. Multiple logistic regression model revealed that attending primary education (AOR 3, 95% CI: 1.10, 7.70), secondary education (AOR 9, 95% CI: 3.87, 20.64) and diploma and above (AOR 22.33, 95% CI: 9.49, 32.56), monthly income of above 2000 Ethiopian Birr (AOR 2.40, 95% CI: 1.30, 4.55), good knowledge (AOR 2, 95% CI: 1.14, 3.50)and positive attitude (AOR 4, 95% CI: 1.57, 10) towards SRH issues were statically significant factors associated with increased parent-adolescent discussion about SRH. CONCLUSION: The occurrence of parent-adolescent SRH discussion is low in Sawla town. Educational status, average monthly income, knowledge and attitude on SRH issues were major factors affecting parent-adolescent discussion on SRH issues. Continuous capacity building on SRH issues for parents to increase the level of parental knowledge and attitude about SRH issues and sustainable advocacy should be provided about the importance of parent to the adolescent discussion. Moreover, it is important to support and scale up the adult learning program to decrease the level of illiteracy.
背景：父母与青少年就性与生殖健康（SRH）问题进行讨论，有助于提高青少年对生殖健康问题的认识，减少青少年的危险行为，同时也有助于减少不良的 SRH 结果。本研究旨在评估埃塞俄比亚南部 Sawla 镇的父母与青少年就 SRH 问题进行讨论的情况及其相关因素。
方法：本项在 2020 年 3 月至 4 月期间在 Sawla 镇进行了一项基于社区的横断面研究，研究对象为 10-19 岁青少年的父母。采用简单随机抽样技术选取了 697 名研究对象。数据收集采用了预先测试的结构化问卷，该问卷改编自 2016 年埃塞俄比亚人口与健康调查和其他已发表的文献，问卷包括关于社会人口因素、SRH 问题知识、对 SRH 问题的态度以及父母与青少年之间关于 SRH 问题的讨论等方面的问题，并通过面对面访谈进行了收集。p 值<0.05 和调整后的优势比（AOR）95%CI 用于表示关联的显著性。
结果：在所有参与者中，有 168 名（25.7%）受访者报告称，在研究前的 6 个月内，曾就至少两个 SRH 问题的组成部分进行过讨论。多因素逻辑回归模型显示，接受小学教育（AOR 3，95%CI：1.10，7.70）、中学教育（AOR 9，95%CI：3.87，20.64）和大专及以上教育（AOR 22.33，95%CI：9.49，32.56）、月收入超过 2000 埃塞俄比亚比尔（AOR 2.40，95%CI：1.30，4.55）、良好的知识（AOR 2，95%CI：1.14，3.50）和积极的态度（AOR 4，95%CI：1.57，10）对 SRH 问题有统计学意义，与父母与青少年就 SRH 问题进行讨论的增加有关。
结论：在 Sawla 镇，父母与青少年就 SRH 问题进行讨论的情况很少。教育程度、平均月收入、对 SRH 问题的知识和态度是影响父母与青少年就 SRH 问题进行讨论的主要因素。应持续为父母提供有关 SRH 问题的能力建设，以提高父母对 SRH 问题的知识和态度，并倡导父母与青少年讨论 SRH 问题的重要性。此外，为减少文盲水平，支持和扩大成人学习计划也很重要。
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