Yuya Mohammed, Adem Hassen Abdi, Assefa Nega, Alemu Addisu, Umer Abdurezak Adem, Oljira Lemessa
School of Public Health, College of Health and Medical Sciences, Haramaya University, Harar, Ethiopia.
School of Nursing and Midwifery, College of Health and Medical Sciences, Haramaya University, Harar, Ethiopia.
Front Reprod Health. 2021 Nov 24;3:641008. doi: 10.3389/frph.2021.641008. eCollection 2021.
Globally, two-thirds of pre-mature deaths and one-third of the total disease burden in adults are associated with problems that began in adolescent and youth. Global and national acting educational and health policies, strategies, and programs designed to promote, implement, and improve adolescent and youth sexual and reproductive health services utilization should be responsive, consider the knowledge of reproductive rights and risk factors. This study assessed the level and predictors of knowledge of reproductive rights among Haramaya University students in Ethiopia. An institution-based cross-sectional study was conducted among randomly selected Haramaya University students from March 1 to 24, 2018. A self-administered pre-tested structured questionnaire was used to collect data from participants. Data were entered using EpiData version 3.1 and analyzed using SPSS version 24. Bivariable and multivariable logistic regression analyses were conducted to identify factors associated with knowledge of reproductive rights. Adjusted odds ratio (AOR) with 95% CI was used to report association and significance was declared at value < 0.05. Of 822 total students invited to the study, 812 (98.8%) respondents participated in the study. A total of 424 students (52.2%, 95% CI: 48.8, 55.4%) had an above-average level of knowledge on reproductive rights. Participants who were in the fourth and above year of the study [AOR = 2.37 (1.58, 3.54)], whose father's had higher education [AOR = 1.89 (1.27, 2.80)], who came from rich families [AOR = 1.54 (1.07, 2.21)], in the health faculty [AOR = 3.37 (2.17, 5.23)], utilized reproductive health services [AOR = 2.81 (2.21, 4.98)] and participated in reproductive health club [AOR = 1.77 (1.27, 2.47)] were significantly associated with knowledge of reproductive rights. Around half of the participants knew reproductive rights. In this study, lack of awareness (information) on reproductive health issues and absence of reproductive health services utilization were strong independent predictors of knowledge of reproductive rights.
在全球范围内，三分之二的过早死亡以及三分之一的成年人疾病总负担与始于青少年时期的问题相关。旨在促进、实施和改善青少年性与生殖健康服务利用的全球和国家层面的教育与卫生政策、战略及项目应具有针对性，考虑生殖权利知识和风险因素。本研究评估了埃塞俄比亚哈拉马亚大学学生的生殖权利知识水平及其预测因素。2018年3月1日至24日，在随机抽取的哈拉马亚大学学生中开展了一项基于机构的横断面研究。采用一份经过预测试的自填式结构化问卷从参与者中收集数据。数据使用EpiData 3.1版本录入，并使用SPSS 24版本进行分析。进行了双变量和多变量逻辑回归分析以确定与生殖权利知识相关的因素。采用调整后的比值比（AOR）及95%置信区间来报告关联性，P值<0.05时表明具有显著性。在受邀参与研究的822名学生中，812名（98.8%）受访者参与了研究。共有424名学生（52.2%，95%置信区间：48.8，55.4%）对生殖权利的了解程度高于平均水平。处于研究四年级及以上的参与者[AOR = 2.37（1.58，3.54）]、父亲受过高等教育的参与者[AOR = 1.89（1.27，2.80）]、来自富裕家庭的参与者[AOR = 1.54（1.07，2.21）]、在健康学院的参与者[AOR = 3.37（2.17，5.23）]、使用过生殖健康服务的参与者[AOR = 2.81（2.21，4.98）]以及参加过生殖健康俱乐部的参与者[AOR = 1.77（1.27，2.47）]与生殖权利知识显著相关。约一半的参与者了解生殖权利。在本研究中，对生殖健康问题缺乏认识（信息）以及未使用生殖健康服务是生殖权利知识的强有力独立预测因素。
