Midwifery, Arbaminch College of Health Sciences, Arba Minch, Ethiopia
Midwifery, Arbaminch College of Health Sciences, Arba Minch, Ethiopia.
BMJ Open. 2024 Aug 13;14(8):e086034. doi: 10.1136/bmjopen-2024-086034.
Adequate literacy in reproductive and sexual health is essential for adolescents to obtain, comprehend, evaluate and apply information necessary for making well-informed decisions, as low literacy leads to harmful decision-making, risk-taking and poorer health and self-management. These factors increase the magnitude and severity of problems related to sexuality and reproduction, including unintended pregnancy, HIV/sexually transmitted infections, unsafe abortion and death. However, information regarding the status and affecting factors of literacy in the reproductive and sexual health of adolescents is scarce.
To assess reproductive and sexual health literacy status and associated factors among late-adolescent high school students.
A cross-sectional, institution-based study.
The study included eight secondary schools in Arba Minch town (Gamo Zone) and three in Sawla town (Gofa Zone) in the South Ethiopia Region.
The study was done between 20 May and 20 June 2023, among late adolescent high school students. Using multistage sampling, 577 students were recruited. Reproductive health literacy was assessed using the Health Literacy Measure for Adolescents tool. Data were loaded into EpiData-V.3.1 and analysed using SPSS-V.25. Binary logistic regression analyses were used to identify associated factors. Variables with a p value <0.25 in bivariable logistic regression were candidates for multivariable logistic regression. A Hosmer-Lemeshow goodness-of-fit statistic was checked and satisfied. Statistical significance was indicated at a p value<0.05.
The proportion of students with limited reproductive and sexual health literacy was 69.6% (CI 65.3% to 72.8%). The limited literacy status was significantly associated with school type (public school AOR 0.28 (0.17 to 0.46)), mother's occupation (merchant AOR 0.42 (0.23 to 0.76)), family monthly income (income 10 000-20 000 birr AOR 0.45 (0.22 to 0.95)), having regular physical exercise >30 min (more than once per week, AOR 0.44 (0.23 to 0.84)), and knowledge about condoms (poor AOR 2.23 (1.38 to 3.64)).
A notable segment of adolescents exhibited limited reproductive and sexual health literacy. The result emphasises the necessity of all relevant parties to work diligently to guarantee that school adolescents can easily obtain, comprehend, evaluate and use reproductive and sexuality-related information.
青少年需要具备足够的生殖健康和性健康素养，以便获取、理解、评估和运用做出明智决策所需的信息，因为低水平的读写能力会导致不良决策、冒险行为以及较差的健康和自我管理。这些因素增加了与性和生殖相关的问题的严重程度，包括意外怀孕、艾滋病毒/性传播感染、不安全堕胎和死亡。然而，关于青少年生殖健康和性健康素养状况及其影响因素的信息却十分匮乏。
评估晚期青少年高中生的生殖健康和性健康素养状况及相关因素。
一项横断面、基于机构的研究。
该研究在埃塞俄比亚南部地区的阿尔巴明奇镇（Gamo 区）的八所中学和 Sawla 镇（Gofa 区）的三所中学进行。
该研究于 2023 年 5 月 20 日至 6 月 20 日期间进行，研究对象为晚期青少年高中生。采用多阶段抽样方法，共招募了 577 名学生。使用青少年健康素养测量工具评估生殖健康素养。数据录入 EpiData-V.3.1，并使用 SPSS-V.25 进行分析。采用二元逻辑回归分析识别相关因素。在单变量逻辑回归中 p 值<0.25 的变量是多变量逻辑回归的候选变量。检查 Hosmer-Lemeshow 拟合优度统计量并满足要求。p 值<0.05 表示具有统计学意义。
有 69.6%（95%CI 65.3%至 72.8%）的学生生殖和性健康素养水平有限。读写能力有限与学校类型（公立学校 AOR 0.28（0.17 至 0.46））、母亲职业（商人 AOR 0.42（0.23 至 0.76））、家庭月收入（收入 10000-20000 比尔 AOR 0.45（0.22 至 0.95））、定期进行 30 分钟以上的体育锻炼（每周超过一次，AOR 0.44（0.23 至 0.84））和对避孕套的认识（较差 AOR 2.23（1.38 至 3.64））有关。
相当一部分青少年表现出有限的生殖健康和性健康素养。这一结果强调了所有相关方都必须努力确保学校青少年能够轻松获取、理解、评估和使用与生殖和性相关的信息。
