埃塞俄比亚西北部德布雷塔博尔镇预科学校学生的性与生殖健康服务需求
Sexual and reproductive health service needs among youths attending preparatory school in Debre Tabor Town, Northwest Ethiopia.
作者信息
Adane Metages, Cherie Niguss, Damtie Yitayish, Malde Mulusew, Chanie Muluken Genetu
机构信息
Outpatient Department, Debre Tabor General Hospital, Debre Tabor, Ethiopia.
Department of Reproductive and Family Health, School of Public Health, College of Medicine and Health Sciences, Wollo University, Dessie, Ethiopia.
出版信息
SAGE Open Med. 2022 Jul 24;10:20503121221113667. doi: 10.1177/20503121221113667. eCollection 2022.
OBJECTIVE
Despite the reproductive health needs of youth having been supported by different organizations, youths continue to fall victim to sexual and reproductive health problems, and utilization of those services remains low. All efforts have not been felt across the Ethiopian learning institutions as is evidenced by persistent reproductive health problems. This study was aimed to determine sexual and reproductive health service needs among preparatory school youths of Debre Tabor town, Ethiopia.
METHODS
Facility-based cross-sectional study design was conducted in Debre Tabor town from 15 to 30 February 2020. A simple random sampling technique was used to access a total of 850 preparatory school students. The data were collected using pre-tested, structured, and self-administered questionnaires. Data were entered into EpiData v. 4.6 and exported to SPSS version 25 software for analysis. Binary logistics regression was used for analysis. Adjusted odds ratio along with 95% confidence interval was estimated to measure the strength of the association. The level of statistical significance was declared at a p value of 0.05.
RESULTS
The overall magnitude of sexual and reproductive health service needs was found 61.5% at 95% confidence interval (58.2%, 64.8 %). Being married (adjusted odds ratio = 2.24; 95% confidence interval: 1.10, 4.55), having information about sexual and reproductive health (adjusted odds ratio = 2.56; 95% confidence interval: 1.85, 3.55), youth discussion with families on sexual and reproductive health (adjusted odds ratio = 1.52, 95% confidence interval: 1.11, 2.10), and having a history of sexual intercourse (adjusted odds ratio = 2.19; 95% confidence interval: 1.53, 3.13) were found significantly associated with sexual and reproductive health service needs of youths.
CONCLUSION
the overall need for sexual and reproductive health services among youths was found high. Therefore, managers and health workers need to prioritize an intervention that can improve youth-friendly service, information dissemination, and counseling, promoting discussion among family members on the sexual and reproductive health needs of the youths.
目的
尽管青年的生殖健康需求得到了不同组织的支持，但青年仍然是性健康和生殖健康问题的受害者，这些服务的利用率仍然很低。正如持续存在的生殖健康问题所证明的那样，埃塞俄比亚各学习机构并未感受到所有这些努力。本研究旨在确定埃塞俄比亚德布雷塔博尔镇预科学校青年的性健康和生殖健康服务需求。
方法
2020年2月15日至30日在德布雷塔博尔镇进行了基于机构的横断面研究设计。采用简单随机抽样技术，共选取850名预科学校学生。数据通过预先测试、结构化和自填式问卷收集。数据录入EpiData v. 4.6，并导出到SPSS 25版软件进行分析。采用二元逻辑回归进行分析。估计调整后的比值比以及95%置信区间，以衡量关联强度。统计显著性水平设定为p值0.05。
结果
在95%置信区间（58.2%，64.8%）内，性健康和生殖健康服务需求的总体比例为61.5%。已婚（调整后的比值比=2.24；95%置信区间：1.10，4.55）、了解性健康和生殖健康知识（调整后的比值比=2.56；95%置信区间：1.85，3.55）、青年与家人讨论性健康和生殖健康问题（调整后的比值比=1.52，95%置信区间：1.11，2.10）以及有性交史（调整后的比值比=2.19；95%置信区间：1.53，3.13）被发现与青年的性健康和生殖健康服务需求显著相关。
结论
发现青年对性健康和生殖健康服务的总体需求很高。因此，管理人员和卫生工作者需要优先采取干预措施，以改善对青年友好的服务、信息传播和咨询，促进家庭成员之间就青年的性健康和生殖健康需求进行讨论。
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