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埃塞俄比亚西部奥罗米亚州霍莱塔镇和巴科镇父母与年轻人之间关于性与生殖健康问题的沟通及其相关因素:一项横断面研究

Communication Between Parents and Young People on Sexual and Reproductive Health Issues and Its Associated Factors in Holeta and Bako Towns, Oromia, West Ethiopia: A Cross-Sectional Study.

作者信息

Muse Tsegaye Benti, Ayeno Hunduma Dinsa, Mengistu Mulugeta Mekuria, Gemechu Yohannes Bacha, Shallo Seifadin Ahmed, Bala Elias Teferi

机构信息

Department of Public Health College of Medicine and Health Sciences, Ambo University Ambo Ethiopia.

Department of Pharmacy College of Medicine and Health Sciences, Ambo University Ambo Ethiopia.

出版信息

Health Sci Rep. 2025 May 5;8(5):e70820. doi: 10.1002/hsr2.70820. eCollection 2025 May.

Abstract

BACKGROUND

Despite the importance of sexual and reproductive health (SRH) communication in increasing accessibility to SRH care, its prevalence is not significant. In Ethiopia, communication between parents and young people is restricted, similar to the situation in other developing nations, as demonstrated by various studies.

AIM

To assess communication between parents and young people on SRH issues and their associated factors in Holeta and Bako Towns, Oromia, West Ethiopia, 2020.

METHODS

A community-based cross-sectional study was conducted among 558 study subjects selected using a simple random sampling technique. Data were collected using interviewer-administered structured questionnaires, entered into Epi Data version 4.6, and exported to SPSS version 25 for analysis. Descriptive statistics were conducted for common variables. Binary and multiple logistic regression analyses were performed to identify factors associated with SRH communication using a 95% confidence interval and a -value less than 0.05.

RESULTS

This study revealed that 38.5% of young people had ever discussed SRH topics with their parents. Factors associated with this communication included being male (AOR = 2.21, 95% CI: [1.42, 3.44]), having a family size of less than six (AOR = 1.73, 95% CI: [1.14, 2.61]), being aged 20-24 years (AOR = 1.86, 95% CI: [1.06, 3.25]), having ever heard about SRH (AOR = 2.31, 95% CI: [1.45, 3.67]), having a positive attitude (AOR = 2.26, 95% CI: [1.48, 3.45]), having knowledge about SRH (AOR = 3.48, 95% CI: [2.20, 5.49]), and having a higher family monthly income (AOR = 3.09, 95% CI: [1.58, 6.04).

CONCLUSION

Parental engagement in SRH discussions with young people is low and inconsistent, varying across different age groups. This lack of communication may be influenced by cultural barriers, such as feelings of embarrassment. Therefore, there is a crucial need to address the limited involvement of parents in programs aimed at providing SRH services to young people.

摘要

背景

尽管性与生殖健康(SRH)交流对于增加获得SRH护理的机会至关重要,但其普及程度并不显著。在埃塞俄比亚,父母与年轻人之间的交流受到限制,与其他发展中国家的情况类似,各种研究都证明了这一点。

目的

评估2020年埃塞俄比亚西部奥罗米亚州霍莱塔镇和巴科镇父母与年轻人之间关于SRH问题的交流及其相关因素。

方法

采用简单随机抽样技术选取558名研究对象,开展了一项基于社区的横断面研究。使用访谈员管理的结构化问卷收集数据,录入Epi Data 4.6版本,并导出到SPSS 25版本进行分析。对常见变量进行描述性统计。采用二元和多元逻辑回归分析,以95%置信区间和小于0.05的P值确定与SRH交流相关的因素。

结果

本研究显示,38.5%的年轻人曾与父母讨论过SRH话题。与这种交流相关的因素包括男性(优势比[AOR]=2.21,95%置信区间:[1.42, 3.44])、家庭规模小于六人(AOR=1.73,95%置信区间:[1.14, 2.61])、年龄在20 - 24岁之间(AOR=1.86,95%置信区间:[1.06, 3.25])、曾听说过SRH(AOR=2.31,95%置信区间:[1.45, 3.67])、态度积极(AOR=2.26,95%置信区间:[1.48, 3.45])、了解SRH知识(AOR=3.48,95%置信区间:[2.20, 5.49])以及家庭月收入较高(AOR=3.09,95%置信区间:[1.58, 6.04])。

结论

父母参与与年轻人进行SRH讨论的程度较低且不一致,在不同年龄组中存在差异。这种交流的缺乏可能受到文化障碍的影响,比如尴尬情绪。因此,迫切需要解决父母在旨在为年轻人提供SRH服务的项目中参与度有限的问题。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1db5/12052506/42106eb75104/HSR2-8-e70820-g002.jpg

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