埃塞俄比亚东戈贾姆地区行政城镇街头青少年的性与生殖健康问题及需求：探索性定性研究

Sexual and Reproductive Health Problems and Needs of Street Youths in East Gojjam Zone Administrative Towns, Ethiopia: Exploratory Qualitative Study.

作者信息

Ewunetie Atsede Alle, Alemayehu Mulunesh, Endalew Bekalu, Abiye Hailemariam, Gedif Getnet, Simieneh Muluye Molla

机构信息

Department of Public Health, Health Science College, Debre Markos University, Debre markos, Ethiopia.

出版信息

Adolesc Health Med Ther. 2022 May 13;13:55-66. doi: 10.2147/AHMT.S358140. eCollection 2022.

DOI:10.2147/AHMT.S358140

PMID:35592492

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9113550/

Abstract

BACKGROUND

About 600,000 children are estimated to depend on street life in Ethiopia. Estimates conclude that about 65% of street children hardly have any access to sexual and reproductive health (SRH) services. However, sexually transmitted infections including HIV/AIDS among street children have been reported as being very high and some studies showed that it can be higher than that of female sex workers, truck drivers and prisoners.

OBJECTIVE

The aim of this study is to explore the sexual and reproductive health problems of street youths and their need in East Gojjam Zone, Ethiopia, 2019.

METHODS

An explanatory qualitative study design was conducted on street youths residing in East Gojjam Zone town administrations from February to March, 2019. Purposively selected street youths and positioned individuals who were residing in East Gojjam Zone town administrates were included in the study. The data were collected through focus group discussion and in-depth interview and analyzed thematically.

RESULT

A total of 85 street youths and 8 individuals who were working with street children participated in this study. Most street youths had no clear information towards sexual and reproductive health. The existing reproductive health problems were sexual violence, sexually transmitted infection, unplanned pregnancy, abortion and substance abuse. Most street youths were interested in getting sexual and reproductive health information and other services by concerned bodies similar to the general population. Accessibility of job opportunities was also one of their needs to prevent the existing sexual and reproductive health problems.

CONCLUSION AND RECOMMENDATION

Most street youths were sexually active and attempted unsafe sexual practice which exposed them to sexually transmitted infections, unplanned pregnancies and abortions. So a special reproductive health service is needed to avert these problems.

摘要

背景

据估计，埃塞俄比亚约有60万儿童依赖街头生活。据估计，约65%的街头儿童几乎无法获得性健康和生殖健康（SRH）服务。然而，据报道，街头儿童中的性传播感染，包括艾滋病毒/艾滋病，非常高，一些研究表明，其感染率可能高于女性性工作者、卡车司机和囚犯。

目的

本研究的目的是探讨2019年埃塞俄比亚东戈贾姆地区街头青年的性健康和生殖健康问题及其需求。

方法

2019年2月至3月，对居住在东戈贾姆地区城镇管理区的街头青年进行了解释性定性研究设计。有目的地选择居住在东戈贾姆地区城镇管理区的街头青年和相关人员纳入研究。通过焦点小组讨论和深入访谈收集数据，并进行主题分析。

结果

共有85名街头青年和8名与街头儿童打交道的人员参与了本研究。大多数街头青年对性健康和生殖健康没有明确的认识。现有的生殖健康问题包括性暴力、性传播感染、意外怀孕、堕胎和药物滥用。与普通人群一样，大多数街头青年希望有关机构提供性健康和生殖健康信息及其他服务。获得工作机会也是他们预防现有性健康和生殖健康问题的需求之一。