Muhayimana Alice, Ntalindwa Theoneste, Uwase Aline, Gerard Kaberuka, Niringiyumukiza Jean Damascene, Ingabire Allen Jean de la Croix, Nzabonimana Emmanuel, Kearns Irene Josephine, Bazakare Marie Laetitia Ishimwe, Maniriho Fulgence, de Dieu Habimana Jean, Bagweneza Vedaste, Nduwingoma Mathias
University of Rwanda, Kigali, Rwanda.
Gyneco-Obstetrics, Kibagabaga Hospital, Gasabo, Kigali City, Rwanda.
BMJ Public Health. 2025 Aug 17;3(2):e001607. doi: 10.1136/bmjph-2024-001607. eCollection 2025.
Poor knowledge of sexual and reproductive health and rights (SRHR) among university students has been constantly reported in low-income and middle-income countries. This study aimed to assess University of Rwanda (UR) students' knowledge on SRHR.
This cross-sectional study involved an online survey of 441 students across UR. Data were collected using a validated 50-item SRHR knowledge questionnaire via Moodle. Data were cleaned and analysed using STATA. Descriptive and inferential statistics, such as a bivariate logistic regression model and multivariate logistic regression with backward elimination, were used for the final model. A P-value of 0.05 with 95% CI limits was considered. The association between explanatory variables and the outcome (SRHR knowledge) was evaluated. A mean cut-off was employed, categorising experiences into a binary outcome (poor and good SRHR knowledge scores). Stepwise backward elimination logistic regression analysis was conducted to identify predictors of good SRHR knowledge.
The majority of the participants (56%) had poor SRHR knowledge. In the bivariate analysis, statistically significant variables included prior exposure to the SRHR course by using YouTube (OR 2.36 (1.12 to 4.97) and radio (OR 3.08 (1.20 to 7.88)), prior learning SRHR courses online (OR 1.92 (1.10 to 3.38)) and participant age group 21-24 years (OR 0.50 (0.27 to 0.93). In the multivariate analysis, prior exposure to the SRHR course through YouTube (adjusted OR (aOR) 5.48 (1.29 to 23.22)) and SRHR prior exposure through radio (aOR 5.56 (1.37 to 23.04)) were associated with SRHR knowledge.
UR students do not have sufficient knowledge of SRHR. Every UR student can benefit from SRHR training from reliable sources so that they can make effective choices regarding their reproductive health.
在低收入和中等收入国家，大学生对性与生殖健康及权利（SRHR）的认知不足一直屡有报道。本研究旨在评估卢旺达大学（UR）学生对性与生殖健康及权利的认知。
这项横断面研究涉及对卢旺达大学441名学生的在线调查。通过Moodle使用经过验证的50项性与生殖健康及权利知识问卷收集数据。数据使用STATA进行清理和分析。最终模型采用描述性和推断性统计，如二元逻辑回归模型和采用向后逐步淘汰法的多元逻辑回归。考虑P值为0.05及95%置信区间。评估解释变量与结果（性与生殖健康及权利知识）之间的关联。采用均值分界点，将体验分类为二元结果（性与生殖健康及权利知识得分低和高）。进行逐步向后淘汰逻辑回归分析以确定性与生殖健康及权利知识得分高的预测因素。
大多数参与者（56%）性与生殖健康及权利知识不足。在二元分析中，具有统计学意义的变量包括之前通过YouTube接触过性与生殖健康及权利课程（比值比（OR）2.36（1.12至4.97））和广播（OR 3.08（1.20至7.88））、之前在线学习过性与生殖健康及权利课程（OR 1.92（1.10至3.38））以及21 - 24岁的参与者年龄组（OR 0.50（0.27至0.93））。在多元分析中，之前通过YouTube接触性与生殖健康及权利课程（调整后的OR（aOR）5.48（1.29至23.22））和通过广播接触性与生殖健康及权利课程（aOR 5.56（1.37至23.04））与性与生殖健康及权利知识相关。
卢旺达大学学生对性与生殖健康及权利的知识不足。每位卢旺达大学学生都能从可靠来源的性与生殖健康及权利培训中受益，以便他们能就自身生殖健康做出有效选择。
