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埃塞俄比亚东南部大学生的性与生殖健康权利认知:一项横断面研究

Knowledge of Sexual and Reproductive Health Rights Among University Students: A Cross-Sectional Study in Southeast Ethiopia.

作者信息

Kene Chala, Geta Girma, Ejigu Neway, Desta Fikreab

机构信息

Madda Walabu University, School of Health Science, Department of Midwifery, Bale Goba, Ethiopia.

Madda Walabu University, School of Health Science, Department of Public Health, Bale Goba, Ethiopia.

出版信息

Adolesc Health Med Ther. 2023 Jan 5;14:1-12. doi: 10.2147/AHMT.S394883. eCollection 2023.

Abstract

BACKGROUND

In many situations, it can still be challenging to talk about sexual and reproductive health rights, and the little scientific research available indicates that university students have a poor understanding of these issues. Therefore, the aim of this study was to assess the knowledge of sexual and reproductive health rights among university students in southeast Ethiopia.

METHODOLOGY

From February to March 2022, 483 study participants took part in an institutionally based cross-sectional study. The study participants were chosen using a SRS method. EpiData version 4.6.2.0 was used to enter data, and SPSS version 26.0 was used to analyze it. A bivariate and multivariable binary logistic regression model was used to identify factors associated with SRHR knowledge. The odds ratio and a 95% confidence interval were used to calculate the significance level.

RESULTS

The optimal level of knowledge on SRHR was discovered to be 52.1% [95% CI (47.32-55.08)] among university students in southeast Ethiopia. The multivariate binary logistic analysis indicated that being urban in the origin of residency [AOR=1.52, 95% CI (1.02-1.14)], being a health student [AOR= 12.21, 95% CI (7.27-14.88)], attending secondary school in private [AOR=6.12, 95% CI (1.02-1.14)], accessibility of a RH club on campus [AOR=6.12, 95% CI (1.02-1.14)] and participating in RH club [AOR=3.95, 95% CI (3.47-5.90)] to be variables that are strongly related to the optimal level of knowledge.

CONCLUSION AND RECOMMENDATION

Four out of ten students had poor knowledge of SRHR. The variables associated with a high level of knowledge about SRHR were urban residency, health students, attending a private secondary school, the availability of a RH club on campus, and participation in a RH club. Including sexual education in the non-health department's course, establishing RH clubs on campus, and encouraging participation of students in these clubs are recommended.

摘要

背景

在许多情况下,谈论性与生殖健康权利仍然具有挑战性,现有的少量科学研究表明大学生对这些问题了解不足。因此,本研究的目的是评估埃塞俄比亚东南部大学生对性与生殖健康权利的知晓情况。

方法

2022年2月至3月,483名研究参与者参加了一项基于机构的横断面研究。研究参与者采用简单随机抽样(SRS)方法选取。使用EpiData 4.6.2.0版本录入数据,并用SPSS 26.0版本进行分析。采用双变量和多变量二元逻辑回归模型来确定与性与生殖健康权利(SRHR)知识相关的因素。比值比和95%置信区间用于计算显著性水平。

结果

在埃塞俄比亚东南部的大学生中,发现性与生殖健康权利的最佳知晓水平为52.1% [95%置信区间(47.32 - 55.08)]。多变量二元逻辑分析表明,居住在城市 [比值比(AOR)=1.52,95%置信区间(1.02 - 1.14)]、是卫生专业学生 [AOR = 12.21,95%置信区间(7.27 - 14.88)]、在私立学校接受过中学教育 [AOR = 6.12,95%置信区间(1.02 - 1.14)]、校园内有生殖健康俱乐部 [AOR = 6.12,95%置信区间(1.02 - 1.14)] 以及参加生殖健康俱乐部 [AOR = 3.95,95%置信区间(3.47 - 5.90)] 是与最佳知晓水平密切相关的变量。

结论与建议

十分之四的学生对性与生殖健康权利了解不足。与性与生殖健康权利高知晓水平相关的变量包括城市居住、卫生专业学生、在私立中学就读、校园内有生殖健康俱乐部以及参加生殖健康俱乐部。建议在非卫生专业课程中纳入性教育,在校园内设立生殖健康俱乐部,并鼓励学生参与这些俱乐部。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/40c2/9829977/953afb0fca66/AHMT-14-1-g0001.jpg

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