2023年埃塞俄比亚哈勒尔州哈勒尔镇公立高中青少年的性与生殖健康素养及其相关因素：一项多中心横断面研究

Sexual and reproductive health literacy and its associated factors among adolescents in Harar town public high schools, Harari, Ethiopia, 2023: a multicenter cross-sectional study.

作者信息

Debella Adera, Tamire Aklilu, Bogale Kasahun, Berhanu Bekelu, Mohammed Hanan, Deressa Alemayehu, Gamachu Mulugeta, Lami Magarsa, Abdisa Lemesa, Getachew Tamirat, Hailu Saba, Eyeberu Addis, Heluf Helina, Legesse Henok, Mehadi Ame, Husen Dilbo Jemal, Angassa Wkuma Lensa, Birhanu Abdi

机构信息

School of Nursing and Midwifery, College of Health and Medical Sciences, Haramaya University, Harar, Ethiopia.

School of Public Health, College of Health and Medical Sciences, Haramaya University, Harar, Ethiopia.

出版信息

Front Reprod Health. 2024 Oct 15;6:1358884. doi: 10.3389/frph.2024.1358884. eCollection 2024.

DOI:10.3389/frph.2024.1358884

PMID:39473728

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11519733/

Abstract

BACKGROUND

In sub-Saharan African countries, including Ethiopia, the utilization of sexual and reproductive health information during adolescence is considered to be low. The aim of this study was to assess the level of sexual and reproductive health literacy among adolescents in Ethiopia as well as the factors associated with sexual and reproductive health literacy in this population.

METHODS

An institutional-based cross-sectional study design was employed. Systematic sampling methods were used to select 909 study participants. A validated scale was used, consisting of 31 questions with a 5-point Likert scale. A total score was computed, ranging from 31 (minimum score) to 155 (maximum score), which was finally categorized into limited and adequate sexual and reproductive health literacy. A multivariate linear regression model was fitted to determine the factors influencing adolescents' sexual and reproductive health literacy.

RESULTS

The percentage of adolescents with slightly adequate and excellent sexual and reproductive health literacy was 38.9% and 6.3%, respectively. On the other hand, 677 (74.5%) participants overall had limited sexual and reproductive literacy. Healthcare workers and reading books were the preferred sources of sexual and reproductive health information that were associated with higher sexual and reproductive health literacy by 6.42 (95% CI 1.62-11.22) and 6.57 (95% CI 1.62-11.22), respectively. Adolescents' ability to pay for their healthcare was associated with better sexual and reproductive health literacy by 13.76 times (95% CI 8.21-19.32).

CONCLUSION

More than three-quarters of the adolescents had limited sexual and reproductive health literacy. Sources of sexual and reproductive health information, including healthcare workers, books, and the Internet, were significantly associated with adolescents' sexual and reproductive health literacy. Hence, primary stakeholders need to incorporate sexual and reproductive health into the curriculum at high schools.

摘要

背景

在包括埃塞俄比亚在内的撒哈拉以南非洲国家，青少年对性与生殖健康信息的利用率被认为较低。本研究的目的是评估埃塞俄比亚青少年的性与生殖健康素养水平以及该人群中性与生殖健康素养的相关因素。

方法

采用基于机构的横断面研究设计。使用系统抽样方法选取909名研究参与者。使用经过验证的量表，该量表由31个问题组成，采用5点李克特量表。计算总分，范围从31分（最低分）到155分（最高分），最终分为性与生殖健康素养有限和充足两类。采用多元线性回归模型来确定影响青少年性与生殖健康素养的因素。

结果

性与生殖健康素养略充足和优秀的青少年比例分别为38.9%和6.3%。另一方面，总体上有677名（74.5%）参与者的性与生殖素养有限。医护人员和阅读书籍是性与生殖健康信息的首选来源，与较高的性与生殖健康素养分别相关6.42（95%置信区间1.62 - 11.22）和6.57（95%置信区间1.62 - 11.22）。青少年支付医疗费用的能力与更好的性与生殖健康素养相关13.76倍（95%置信区间8.21 - 19.32）。