Elefachew Addis, Alemu Yibeltal, Chanie Belaynesh, Getachew Eyob, Bogale Solomon Ketema, Bogale Eyob Ketema
Department of Reproductive Health, Care Ethiopia, Addis Ababa, Ethiopia.
Department of Reproductive Health, School of Medicine and Health Sciences, Bahir Dar University, Bahir Dar, Ethiopia.
Int J Reprod Med. 2024 Dec 9;2024:5367867. doi: 10.1155/irem/5367867. eCollection 2024.
All across the world, youths struggle with a variety of health issues. Adolescents everywhere are entering puberty earlier and engaging in more premarital sex. There was limited evidence about the current adolescent sexual reproductive health (RH) service utilization status and its associated factors in the study area, especially after the occurrence of COVID-19 and the war between the Ethiopian federal government and Tigray regional forces. The study is aimed at assessing the magnitude of sexual RH service utilization and associated factors among Bahir Dar City high school students, Amhara region, Ethiopia, in 2022. An institution-based cross-sectional study design was conducted among Bahir Dar City high school students from December 18, 2022, to January 12, 2022. A multistage sampling technique was applied to select study participants. A total of 629 respondents participated in the study. The data were collected using a pretested, structured, self-administered questionnaire. The data were entered into EpiData Version 3.1 and then exported to SPSS Version 25 for analysis. Bivariable and multivariable logistic regression was used for analysis. The magnitude of adolescent sexual RH service utilization was found to be 30.4%. School RH club participation (AOR = 5.93, CI: 3.29-10.71), having ever had sexual exposure (AOR = 6.03, CI: 3.31-10.98), history of sexual RH problems (AOR = 3.26, CI: 1.41-7.51), being perceived as at risk of sexual RH problems (AOR = 6, CI: 3.26-11.04), hearing information about adolescent sexual RH (AOR = 5.19, CI: 3-8.97), and knowing the place to use RH service (AOR = 2.37, CI: 1.47-3.82) were associated with utilization of adolescent sexual RH service. The magnitude of adolescent sexual RH service utilization was found to be 30.4%. School RH club participation, having ever had sexual exposure, a history of sexual RH problems, being perceived as at risk of sexual RH problems, hearing information about sexual RH, and knowing the place where to get RH services were associated with the utilization of sexual RH services.
在世界各地，青少年都面临着各种各样的健康问题。各地的青少年青春期提前，婚前性行为增多。关于研究地区当前青少年性与生殖健康（RH）服务利用状况及其相关因素的证据有限，尤其是在新冠疫情爆发以及埃塞俄比亚联邦政府与提格雷地区武装力量之间发生战争之后。该研究旨在评估2022年埃塞俄比亚阿姆哈拉州巴赫达尔市高中生的性与生殖健康服务利用程度及其相关因素。2022年12月18日至2022年1月12日，在巴赫达尔市的高中生中开展了一项基于机构的横断面研究设计。采用多阶段抽样技术选取研究参与者。共有629名受访者参与了该研究。数据通过预先测试的、结构化的、自我管理的问卷收集。数据录入EpiData 3.1版本，然后导出到SPSS 25版本进行分析。采用双变量和多变量逻辑回归进行分析。结果发现青少年性与生殖健康服务的利用率为30.4%。参与学校生殖健康俱乐部（比值比=5.93，置信区间：3.29 - 10.71）、有过性接触（比值比=6.03，置信区间：3.31 - 10.98）、有性与生殖健康问题史（比值比=3.26，置信区间：1.41 - 7.51）、被认为有性与生殖健康问题风险（比值比=6，置信区间：3.26 - 11.04）、听说过青少年性与生殖健康信息（比值比=5.19，置信区间：3 - 8.97）以及知道使用生殖健康服务的地点（比值比=2.37，置信区间：1.47 - 3.82）与青少年性与生殖健康服务的利用相关。结果发现青少年性与生殖健康服务的利用率为30.4%。参与学校生殖健康俱乐部、有过性接触、有性与生殖健康问题史、被认为有性与生殖健康问题风险、听说过性与生殖健康信息以及知道获取生殖健康服务的地点与性与生殖健康服务的利用相关。
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