Lutasingwa Dan, Favina Alain, Ochora Moses, Rukanikigitero Jean Marie Vianney, Gutabarwa Louange Twahirwa, Kagaba Aflodis, Kaggwa Mark Mohan
Department of Research, Health Development Initiative, Kicukiro District, Kigali City, Rwanda.
Department of Psychiatry, Faculty of Medicine, Mbarara University of Science and Technology, Mbarara, Uganda.
Risk Manag Healthc Policy. 2024 Jan 16;17:159-169. doi: 10.2147/RMHP.S437217. eCollection 2024.
BACKGROUND: Parents are the primary caregivers and influential figures in adolescents' lives. They play a crucial role in shaping their children's attitudes, beliefs, and behaviors regarding sexual reproductive health. A vast difference in knowledge between adolescents and their parents indicates failure in knowledge translation and is associated with sexual and reproductive consequences, such as teenage pregnancies. METHODS: In this cross-sectional study between December 2020 and December 2021, 834 teenage mothers and their parents/guardians (n = 861) were enrolled from all five provinces of Rwanda. Knowledge of sexual reproductive health (SRH) rights was assessed, and the differences between the understanding of parents and their children were analyzed using Chi-square tests. RESULTS: There were statistically significant differences for all the assessed aspects of SRH knowledge rights between parents and their teenagers (ie, on the age of consent,safe abortion, right to education for teenage mothers, understanding of financial responsibilities, and perceptions of legal consequences). CONCLUSION: There is a significant knowledge difference between the two generations regarding their understanding of SRH rights. It is recommended that future programming should devise innovative ways that bring together parents and their children to discuss sexual reproductive health rights, which will result in empowered children and teenagers in Rwanda. Also, awareness programs are needed to improve the knowledge gaps regarding SRH in the public by policymakers, NGOs, and educators.
背景:父母是青少年生活中的主要照顾者和有影响力的人物。他们在塑造孩子对性生殖健康的态度、信念和行为方面起着至关重要的作用。青少年与其父母之间在知识上的巨大差异表明知识传播存在不足,并与性和生殖方面的后果相关,例如少女怀孕。 方法:在这项于2020年12月至2021年12月期间开展的横断面研究中,从卢旺达的所有五个省份招募了834名青少年母亲及其父母/监护人(n = 861)。对性生殖健康(SRH)权利的知识进行了评估,并使用卡方检验分析了父母与子女理解上的差异。 结果:在父母及其青少年之间,性生殖健康知识权利的所有评估方面均存在统计学上的显著差异(即关于同意年龄、安全堕胎、青少年母亲的受教育权、对经济责任的理解以及对法律后果的认知)。 结论:两代人在对性生殖健康权利的理解上存在显著的知识差异。建议未来的规划应设计创新方法,让父母和孩子共同讨论性生殖健康权利,这将增强卢旺达儿童和青少年的权能。此外,政策制定者、非政府组织和教育工作者需要开展提高公众对性生殖健康知识差距的宣传项目。
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