Department of Reproductive Health, Sante Medical College, Addis Ababa, Ethiopia.
St. Paul's Hospital Millennium Medical College, Addis Ababa, Ethiopia.
J Health Popul Nutr. 2023 Mar 17;42(1):21. doi: 10.1186/s41043-023-00363-9.
Making clinical services attractive to the younger generation has remained a challenge. Students in higher education continue to underutilize sexual and reproductive health services. This group is exposed to a very hostile environment and has a highly mobile and unprotected lifestyle, often resulting in an early sexual debut, physical and drug abuse, and sexually transmitted infections.
The aim of this study was to assess sexual reproductive health services and associated factors among undergraduate students of Addis Ababa University 2022.
An Institution-based cross-sectional study was been conducted among 419 randomly selected students and data were collected by using semi-structured and pre-tested questionnaire. Data were entered to Epi info data 7.0 and exported to SPSS version 21.0 for further analysis. Both binary and multiple logistic regression analysis was used to identify factors at P < 0.05 with 95% CI and AOR.
When queried, all 419 youths agreed to participate in the study, for a response rate of 100%. The mean age of the respondents was 22 years. The majority of respondents (371, 88.5%) were between the ages of 19 and 24, and 221 (52.7%) were female. More than half of those polled (273, or 65.2%) were third-year students, while 59, or 14.1%, were first-year students. About 206 (49.2%) of participants lived with their father and mother, but 138 (32.9%) had never discussed sexual and reproductive health. Finally, 205 respondents (or 48.9%) had ever used the Sexual and Reproductive Health Services. College of business (AOR (95% CI) 3.546 (1.62-7.79), respondents who live with only their mother (AOR (95% CI) 9.37 (2.78-31.51) and who live alone (AOR (95% CI) 5.75 (2.40-13.79), positive attitude toward SRHS (AOR (95% CI) 3.15 (1.71-5.80), good knowledge (AOR (95% CI) 4.16 (2.27-7.64), frequency of discussing SRHS(AOR (95% CI) 1.93 (1.12-3.346), Convenient location of youth RHs (AOR (95% CI) 8.31 (1.61-42.93), Fee of RH services (AOR (95% CI) 12.34 (6.48-23.49) and Satisfied to received RH services (AOR (95% CI) 4.59 (2.54-8.33) were independent predictors of utilized SRHS among undergraduate students.
The prevalence of utilization of sexual and reproductive health services was determined to be low in this study, with identified factors increasing the likelihood of utilization being attitude, knowledge, satisfaction, discussion, fee for RH services, and location, in that order. On the other hand, poor knowledge and a negative attitude toward SRHS posed risks that contributed to reproductive health issues, so we worked on advocating for services that were available in a nearby location and raising awareness. Therefore, policymakers and health planners would be better off strengthening the urgent need to ensure adequate SRHS, knowledge, and attitude building among undergraduate students in higher education in Ethiopia.
让年轻一代对临床服务感兴趣一直是一个挑战。高等教育的学生继续未能充分利用性与生殖健康服务。这一群体处于非常敌对的环境中，生活方式高度活跃且没有保护措施，往往导致性早熟、身体和药物滥用以及性传播感染。
本研究旨在评估 2022 年亚的斯亚贝巴大学本科生的性生殖健康服务和相关因素。
在亚的斯亚贝巴大学进行了一项基于机构的横断面研究，随机抽取了 419 名学生进行研究，并使用半结构式和预先测试的问卷收集数据。数据录入 Epi info 数据 7.0 并导出到 SPSS 版本 21.0 进行进一步分析。使用二项和多变量逻辑回归分析确定 P<0.05 时的因素，置信区间为 95%，优势比为 AOR。
当被询问时，所有 419 名青年都同意参加这项研究，应答率为 100%。受访者的平均年龄为 22 岁。大多数受访者（371 人，占 88.5%）年龄在 19 至 24 岁之间，221 人（占 52.7%）为女性。超过一半的受访者（273 人，占 65.2%）是三年级学生，而 59 人（占 14.1%）是一年级学生。约 206 名参与者（占 49.2%）与父母同住，但 138 名（占 32.9%）从未讨论过性与生殖健康。最后，205 名受访者（占 48.9%）曾使用过性与生殖健康服务。商业学院（AOR（95%CI）3.546（1.62-7.79），与仅与母亲同住的受访者（AOR（95%CI）9.37（2.78-31.51））和独居的受访者（AOR（95%CI）5.75（2.40-13.79））、对 SRHS 的积极态度（AOR（95%CI）3.15（1.71-5.80））、良好的知识（AOR（95%CI）4.16（2.27-7.64））、讨论 SRHS 的频率（AOR（95%CI）1.93（1.12-3.346））、方便的青年 RH 位置（AOR（95%CI）8.31（1.61-42.93））、RH 服务的费用（AOR（95%CI）12.34（6.48-23.49））和对 RH 服务的满意度（AOR（95%CI）4.59（2.54-8.33））是本科学生利用性生殖健康服务的独立预测因素。
本研究确定，性与生殖健康服务的利用率较低，确定的增加利用率的因素依次为态度、知识、满意度、讨论、RH 服务费用和位置。另一方面，对 SRHS 的知识不足和负面态度构成了生殖健康问题的风险，因此我们致力于倡导提供附近的服务并提高认识。因此，政策制定者和卫生规划者最好加强确保埃塞俄比亚高等教育中的本科学生获得足够的性与生殖健康服务、知识和态度建设的迫切需要。
