Delie Amare Mebrat, Adal Ousman, Tareke Abiyu Abadi, Ketema Bogale Eyob, Anagaw Tadele Fentabel, Tiruneh Misganaw Guadie, Fenta Eneyew Talie, Endeshaw Destaw
Department of Public Health, College of Medicine and Health Sciences, Injibara University, Injibara, Ethiopia.
Department of Emergency, College of Medicine and Health Sciences, Bahir Dar University, Bahir Dar, Ethiopia.
Front Reprod Health. 2024 Sep 18;6:1361662. doi: 10.3389/frph.2024.1361662. eCollection 2024.
Several studies have been done on the utilization of sexual and reproductive health services by high school students in Ethiopia, but they have yielded inconsistent results. This study aimed to evaluate the extent to which high school students in Ethiopia are using sexual and reproductive health services by conducting a systematic review and meta-analysis.
Various electronic databases such as PubMed, Cochrane Library, AJOL, Google Scholar, and Grey Literature were used to search for relevant articles. Preferred Reporting Items for Systematic Reviews and Meta-Analysis Guidelines were followed for this review and meta-analysis. Heterogeneity was assessed using I and Cochrane Q statistical tests, and data analysis was done with STATA 17 software. Random effect meta-analyses were used to determine the overall utilization rate of sexual and reproductive health services.
This review included 20 studies with 12, 215 study participants. The pooled magnitude of sexual and reproductive health service utilization among high school students in Ethiopia was 29.79% (95% CI: 25.14, 34.43). Students with grades 11-12 (AOR = 2.33, 95% CI: 1.39, 3.90), aged between 20 and 24 years (AOR = 2.61; 95% CI: 1.79-3.81), having higher level of knowledge towards sexual and reproductive health issues (AOR = 3.10; 95% CI: 1.67-5.77), previous history of sexual intercourse (AOR = 4.18; 95% CI: 2.59-6.75), previous history of sexually transmitted infection (AOR = 3.74; 95% CI: 2.22-6.31), presence of a reproductive health service facility in the school (AOR = 2.55; 95% CI: 1.72-3.77), and ever-discussed reproductive health issues (AOR = 4.04; 95% CI: 1.62-10.03) were more likely to utilize sexual and reproductive health services.
The overall utilization of sexual and reproductive services among high school students in Ethiopia was found to be low as compared to SDG 3.7. Older individuals with higher education levels and knowledge about sexual and reproductive health services, as well as those who have had previous sexual experiences or discussions about sexual health, are more likely to utilize reproductive health services. To increase utilization, the Ministry of Health and the Ministry of Education should prioritize these factors.
针对埃塞俄比亚高中生性与生殖健康服务的利用情况已开展了多项研究，但结果并不一致。本研究旨在通过进行系统评价和荟萃分析，评估埃塞俄比亚高中生使用性与生殖健康服务的程度。
使用诸如PubMed、Cochrane图书馆、AJOL、谷歌学术和灰色文献等各种电子数据库来搜索相关文章。本系统评价和荟萃分析遵循系统评价和荟萃分析的首选报告项目指南。使用I²和Cochrane Q统计检验评估异质性，并使用STATA 17软件进行数据分析。采用随机效应荟萃分析来确定性与生殖健康服务的总体利用率。
本评价纳入了20项研究，共有12215名研究参与者。埃塞俄比亚高中生中性与生殖健康服务利用的合并效应量为29.79%（95%置信区间：25.14，34.43）。11至12年级的学生（优势比=2.33，95%置信区间：1.39，3.90）、年龄在20至24岁之间的学生（优势比=2.61；95%置信区间：1.79 - 3.81）、对性与生殖健康问题有较高知识水平的学生（优势比=3.10；95%置信区间：1.67 - 5.77）、有过性交史的学生（优势比=4.18；95%置信区间：2.59 - 6.75）、有过性传播感染史的学生（优势比=3.74；95%置信区间：2.22 - 6.31）、学校设有生殖健康服务设施的学生（优势比=2.55；95%置信区间：1.72 - 3.77）以及曾讨论过生殖健康问题的学生（优势比=4.04；95%置信区间：1.62 - 10.03）更有可能使用性与生殖健康服务。
与可持续发展目标3.7相比，埃塞俄比亚高中生性与生殖服务的总体利用率较低。年龄较大、受过高等教育且对性与生殖健康服务有了解的人，以及那些有过性经历或讨论过性健康的人，更有可能使用生殖健康服务。为提高利用率，卫生部和教育部应优先考虑这些因素。
