增强青年能力并确保健康：埃塞俄比亚西南部甘贝拉预科学校学生对青年友好服务的利用情况
Empowering youth and ensuring health: utilization of youth friendly service among preparatory school students in Gambella, Southwest Ethiopia.
作者信息
Hailu Nardos, Negero Benti, Melkamu Keno, Tsega Yawkal
机构信息
Department of Maternal and Child Health, Gambella Primary Hospital, Gambella Regional Health Bureau, Gambella, Ethiopia.
Department of Public Health, College of Health Sciences, Mettu University, Mettu, Ethiopia.
出版信息
Front Reprod Health. 2024 Dec 11;6:1452315. doi: 10.3389/frph.2024.1452315. eCollection 2024.
BACKGROUND
Youth is a period with exposure to high risk of reproductive health (RH) problems. Despite, several strategies designed to solve these problems, youths are experiencing unsafe abortion, unintended pregnancy, and sexually transmitted infections (STIs) so far. The utilization of Youth Friendly Services (YFS) and its determinants has not been well studied in Gambella so far. This study aimed to assess YFS utilization and associated factors among preparatory school students in Gambella town, Southwest Ethiopia.
METHODS
Institution based cross-sectional study was conducted on 394 randomly selected preparatory school students in Gambella town from June 1-30/2023. Data were collected through self-administered questionnaire, entered to EpiData version 4.6, and exported to Stata version 17.0 statistical software for analysis. Bivariable and multivariable logistic regression analyses were employed. The -value of <0.05 with 95% CI was used to declare statistical significance of association between YFS utilization and explanatory variables.
RESULT
Less than one third (31.2%) of preparatory school students utilized YFS in Gambella town. Being married (AOR: 4.94, CI: 2.14, 11.38), having pocket money (AOR: 2.02, CI: 1.15, 3.56), no payment for YFS (AOR: 2.13, CI: 1.01, 4.50), having knowledge about YFS (AOR: 2.27, CI: 1.29, 4.00), convenient working time (AOR: 2.50, CI: 1.08, 5.83), and sexual experience (AOR: 3.38, CI: 1.90, 6.01) were the factors significantly associated with utilization of YFS in Gambella town.
CONCLUSION
The study found that utilization of YFS in Gambella town was low. Being married, having pocket money, not asked payment for YFS, knowledge about YFS, convenient working time, and sexual experience were the factors positively affecting utilization of YFS in Gambella town. Therefore, the health decision makers better to design policies aimed to increase youths knowledge about YFS.
背景
青少年时期面临生殖健康（RH）问题的高风险。尽管制定了多种策略来解决这些问题，但青少年至今仍面临不安全堕胎、意外怀孕和性传播感染（STIs）等情况。到目前为止，甘贝拉地区对青少年友好服务（YFS）的利用情况及其决定因素尚未得到充分研究。本研究旨在评估埃塞俄比亚西南部甘贝拉镇预科学校学生对青少年友好服务的利用情况及相关因素。
方法
2023年6月1日至30日，在甘贝拉镇对394名随机抽取的预科学校学生进行了基于机构的横断面研究。通过自填式问卷收集数据，录入EpiData 4.6版本，并导出到Stata 17.0统计软件进行分析。采用双变量和多变量逻辑回归分析。P值<0.05且95%置信区间用于表明青少年友好服务利用情况与解释变量之间关联的统计学显著性。
结果
甘贝拉镇预科学校学生中不到三分之一（31.2%）利用了青少年友好服务。结婚（调整后比值比[AOR]：4.94，置信区间[CI]：2.14，11.38）、有零花钱（AOR：2.02，CI：1.15，3.56）、青少年友好服务无需付费（AOR：2.13，CI：1.01，4.50）、了解青少年友好服务（AOR：2.27，CI：1.29，4.00）、工作时间便利（AOR：2.50，CI：1.08，5.83）以及有性经历（AOR：3.38，CI：1.90，6.01）是与甘贝拉镇青少年友好服务利用情况显著相关的因素。
结论
研究发现甘贝拉镇青少年友好服务的利用率较低。结婚、有零花钱、青少年友好服务无需付费、了解青少年友好服务、工作时间便利以及有性经历是对甘贝拉镇青少年友好服务利用情况产生积极影响的因素。因此，卫生决策者最好制定旨在提高青少年对青少年友好服务了解程度的政策。
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