一项横断面研究设计，旨在评估就读于吉马镇高中和大学的青少年和青年的性经历及避孕措施使用情况。

A cross-sectional study design to assess the sexual experiences and contraceptive use of adolescents and youths attending high school and college in Jimma town.

作者信息

Tucho Gudina Terefe, Workneh Netsanet, Abera Mubarek, Abafita Jemal

机构信息

Department of Environmental Health Sciences and Technology, Institute of Health, Jimma University, Jimma, Ethiopia.

Department of Pediatrics, Institute of Health, Jimma University, Jimma, Ethiopia.

出版信息

Contracept Reprod Med. 2022 Jun 1;7(1):7. doi: 10.1186/s40834-022-00174-z.

DOI:10.1186/s40834-022-00174-z

PMID:35642045

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9158206/

Abstract

BACKGROUND

Adolescents and youths in Ethiopia have limited access to reproductive health services designed to address their needs. Therefore, the study aims to assess adolescents' and youth's sexual practice, contraceptive use, and behavioral patterns towards safe sexual exercise.

METHODS

A quantitative cross-sectional study design was used on 374 students selected from high school and vocational colleges to assess their sexual experience and contraceptive use and related perceptions using pre-tested self-administered semi-structured questionnaires. We used descriptive analyses to report their sexual and reproductive health status and logistic regression to examine the association between contraceptive use and other variables.

RESULTS

The results show that 52.7% of the respondents (students) migrated or moved from rural to urban to continue their high school and college education at urban. 41.7% of the respondents were with less than 18 years, of which 75.9% of them already initiated sexual intercourse. Of all the students who started sexual intercourse (51.1%), only 30.9% used contraceptives, but condom use accounts for 49.2%. Overall, 84.8% of those who practiced sexual intercourse were at risk of acquiring sexually transmitted diseases due to not using a condom. About 3% of the respondents reported unwanted pregnancy experiences, of which 64% of these pregnancies were reported to be aborted.

CONCLUSION

Adolescents and youths attending high schools and College are at increased risk of acquiring HIV and unwanted pregnancy due to low levels of contraceptive use. Specifically, a designed youths-friendly reproductive health service is needed to avert related problems and contribute to sustainable development goals.

摘要

背景

埃塞俄比亚的青少年获得满足其需求的生殖健康服务的机会有限。因此，本研究旨在评估青少年的性行为、避孕措施使用情况以及对安全性行为的行为模式。

方法

采用定量横断面研究设计，对从高中和职业院校选取的374名学生进行研究，使用预先测试的自填式半结构化问卷评估他们的性经历、避孕措施使用情况及相关认知。我们使用描述性分析报告他们的性与生殖健康状况，并使用逻辑回归分析来检验避孕措施使用与其他变量之间的关联。

结果

结果显示，52.7%的受访者（学生）从农村迁移或搬到城市，以便在城市继续接受高中和大学教育。41.7%的受访者年龄小于18岁，其中75.9%已经开始性行为。在所有开始性行为的学生中（51.1%），只有30.9%使用了避孕措施，但避孕套的使用率为49.2%。总体而言，84.8%有性行为的人因未使用避孕套而有感染性传播疾病的风险。约3%的受访者报告有意外怀孕经历，其中64%的这些怀孕被报告已流产。