Shehu Eshetu Y, Kumar Prem, Yimam Wondwossen, Anteneh Samuel
Department of Adult Health (N), College of Medicine & Health Sciences Wollo University Dessie Ethiopia.
Department of Comprehensive (N) College of Medicine & Health Sciences, Wollo University Dessie Ethiopia.
Health Sci Rep. 2023 Jul 4;6(7):e1386. doi: 10.1002/hsr2.1386. eCollection 2023 Jul.
Younger generations with disabilities are more likely to be affected and have severe difficulties receiving specific services. Ethiopia is no exception to the global trend of poverty-stricken countries with a higher frequency of illness or disability. This study aimed to assess the utilization of Youths Friendly Reproductive Health Services (YFRHS) and predictors among youths with disabilities in Dessie City, North East, Ethiopia, 2021.
A community-based, cross-sectional study was conducted. Data were collected from the literature using questionnaires. Bivariable analysis was performed for each independent variable with a < 0.25 on the data imported to multivariate logistic regression analysis. Adjusted odds ratio (AOR) with a 95% confidence interval (95% CI) at a 5% level of significance has measured the strength of association between utilization of youth-friendly reproductive services among disabilities and independent variables.
Of 423 participants, 91% responded. About 42% of participants had used YFRHS. Youths in the age group of 20-24 years were 2.8 times more likely to use such services than 15-19-year-olds (AOR = 2.8, 95% CI: [1.04, 7.44]). Disabled youths living alone were 3.6 times more likely to use the services than those with parents (AOR = 3.6, 95% CI: [1.36, 9.35]). Youths with a visual impairment were 80% less likely to use the services than youths with hearing impairments (AOR = 0.2, 95% CI: [0.18, 0.30]), and disabled youths with poor knowledge were 90% less likely to use the services than participants with good knowledge (AOR = 0.1, 95% CI: [0.01, 0.61]) were statistically significant.
The utilization of YFRHS among youths with disabilities in Dessie Town was low. Participants aged 20-24 years, who lived alone, had visual impairment, and had poor knowledge, were found to be significantly associated.
残疾青年更容易受到影响，在获得特定服务方面存在严重困难。埃塞俄比亚作为贫困国家，疾病或残疾发生率较高，也不例外于这一全球趋势。本研究旨在评估2021年埃塞俄比亚东北部德西市残疾青年对青年友好型生殖健康服务（YFRHS）的利用情况及其预测因素。
开展了一项基于社区的横断面研究。通过问卷调查从文献中收集数据。对导入多变量逻辑回归分析的数据中每个自变量进行双变量分析，P值<0.25。在5%的显著性水平下，调整后的优势比（AOR）和95%置信区间（95%CI）衡量了残疾青年对青年友好型生殖服务的利用与自变量之间的关联强度。
423名参与者中，91%做出了回应。约42%的参与者使用过YFRHS。20 - 24岁年龄组的青年使用此类服务的可能性是15 - 19岁青年的2.8倍（AOR = 2.8，95%CI：[1.04, 7.44]）。独居的残疾青年使用这些服务的可能性是与父母同住的青年的3.6倍（AOR = 3.6，95%CI：[1.36, 9.35]）。视力障碍青年使用这些服务的可能性比听力障碍青年低80%（AOR = 0.2，95%CI：[0.18, 0.30]），知识水平低的残疾青年使用这些服务的可能性比知识水平高的参与者低90%（AOR = 0.1，95%CI：[0.01, 0.61]），差异具有统计学意义。
德西镇残疾青年对YFRHS的利用率较低。发现年龄在20 - 24岁、独居、有视力障碍且知识水平低的参与者之间存在显著关联。
