Frontiers in reproductive health最新文献

{"title":"Exploring relationships between dating app use and sexual activity among young adult college students.","authors":"Jaquetta M Reeves, Stacey B Griner, Kaeli C Johnson, Erick C Jones, Sylvia Shangani","doi":"10.3389/frph.2024.1453423","DOIUrl":"https://doi.org/10.3389/frph.2024.1453423","url":null,"abstract":"<p><strong>Background: </strong>University campus clinics provide crucial sexual health services to students, including STI/HIV screening, testing, contraception, and counseling. These clinics are essential for engaging young adults who may lack access to primary care or have difficulty reaching off-campus services. Dating apps are widely used by young adults, yet there is a lack of studies on how they affect sexual practices. This study aimed to evaluate the use of dating apps, engagement in condomless sexual activity, and the prevalence of STIs among young adult college students in Northern Texas.</p><p><strong>Methods: </strong>A cross-sectional survey was conducted from August to December 2022 among undergraduate and graduate students aged 18-35 at a large university in Northern Texas. A total of 122 eligible participants completed the survey, which assessed demographics, sexual behaviors, dating app use, and STI/HIV testing practices. Descriptive statistics, bivariate analyses, and multivariate Poisson regression analyses with robust variance were performed to identify factors associated with dating app use and condomless sexual activity.</p><p><strong>Results: </strong>Two-thirds of participants reported using dating apps. Significant differences were found between app users and non-users regarding demographic factors and unprotected sexual behaviors. Dating app users were more likely to report multiple sexual partners, inconsistent condom use, and a higher likelihood of engaging in unprotected sex. Poisson regression analysis indicated that app use was associated with residing in large urban areas, frequent use of campus STI/HIV screening services, and having multiple sexual partners (<i>p</i> < 0.05).</p><p><strong>Conclusion: </strong>The study highlights a significant association between dating app use and engagement in condomless sexual activity among college students. University health clinics play a critical role in providing sexual health services and can enhance their impact by expanding access to testing, contraception, and inclusive, sex-positive education. Future research should explore the long-term effects of dating app use on sexual health and evaluate the effectiveness of app-based interventions in promoting safer sexual practices.</p>","PeriodicalId":73103,"journal":{"name":"Frontiers in reproductive health","volume":"6 ","pages":"1453423"},"PeriodicalIF":2.3,"publicationDate":"2024-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11604616/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142775228","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Investigating bacteria-induced inflammatory responses using novel endometrial epithelial gland organoid models.","authors":"Xin Zhang, Li Zhang, Ting Li, Zhan Zhang, Xiang Shang, Huihui Bai, Yong Liu, Xiaonan Zong, Chenguang Shang, Dan Song, Xu Zhang, Linyuan Fan, Zhaohui Liu","doi":"10.3389/frph.2024.1490520","DOIUrl":"10.3389/frph.2024.1490520","url":null,"abstract":"<p><strong>Introduction: </strong>The endometrium plays a crucial role in early human pregnancy, particularly in embryo implantation, survival, and growth. However, invasion and infection by pathogens can lead to endometritis, infertility, and poor reproductive outcomes. Understanding the mechanisms of endometritis and its impact on fertility remains limited. An infection model using patient-derived endometrial epithelial gland organoids (EEGOs) was established to advance <i>in vitro</i> studies on endometritis and related infertility.</p><p><strong>Methods: </strong>An EEGOs infection model was constructed and characterized from human endometrium, treating the organoids with estrogen and progesterone to observe changes in the proliferative and secretory phases. The organoids were infected with <i>E. coli</i>, and the release of inflammatory cytokines in the supernatant was detected using ELISA. RNA-seq was employed to analyze the differences before and after <i>E. coli</i> treatment, and differential gene mRNA expression was validated using real-time quantitative PCR. Additionally, the effect of E2 in alleviating inflammation was assessed through markers of receptivity (PAEP, LIF, ITGβ), proliferation (Ki67), and barrier repair (ZO-1).</p><p><strong>Results: </strong>The constructed human EEGOs exhibited long-term expansion capability, genetic stability, and characteristic hormonal responses, strongly expressing epithelial markers (MUC1, E-Cadherin). After <i>E. coli</i> infection, the expression levels of inflammatory cytokines TNF-α, IL-8, and IFN-γ increased significantly (<i>P</i> < 0.05). RNA-seq indicated that the MAPK signaling pathway was activated post-infection, with increased expression levels of heat shock proteins and transcription factor mRNA. E2 treatment post-infection significantly decreased the mRNA expression of inflammatory genes IL-1β, IL8, IL6 and TNF-α compared to the <i>E. coli</i> infected group (<i>P</i> < 0.05). Additionally, the expression of genes related to receptivity, proliferation, and barrier repair was enhanced in the E2-treated organoids.</p><p><strong>Conclusions: </strong>Our findings demonstrate that patient-derived EEGOs are responsive to bacterial infection and are effective models for studying host-pathogen interactions in bacterial infections. These organoids revealed the anti-inflammatory potential of E2 in alleviating <i>E. coli</i>-induced inflammation, providing insights into the mechanisms of endometritis and its impact on infertility. The study supports the use of EEGOs as valuable tools for understanding endometrial health and developing targeted treatments.</p>","PeriodicalId":73103,"journal":{"name":"Frontiers in reproductive health","volume":"6 ","pages":"1490520"},"PeriodicalIF":2.3,"publicationDate":"2024-11-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11588683/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142735190","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Determinants of HIV infection at 18 months of age among HIV-exposed infants in the context of PMTCT interventions in southern Ethiopia.","authors":"Eskinder Israel, Ayalew Astatkie, Kefyalew Taye, Aliki Christou, Ephrem Lejore, Anteneh Asefa","doi":"10.3389/frph.2024.1452889","DOIUrl":"10.3389/frph.2024.1452889","url":null,"abstract":"<p><strong>Introduction: </strong>Mother-to-child transmission (MTCT) of HIV accounts for over 90% of annual HIV infections among children under the age of 15. Despite the introduction of the Option B+ strategy in Ethiopia in 2013, the rate of MTCT of HIV at 18 months was 15% in 2020. This study aimed to identify determinants of HIV infection among HIV-exposed infants (HEIs) in the context of prevention of MTCT (PMTCT) care in southern Ethiopia.</p><p><strong>Methods: </strong>We conducted a retrospective facility-based study of 299 mother-baby pairs (HIV-infected women and their HEIs up to 18 months) enrolled in PMTCT care at three health facilities in Wolaita Sodo town, southern Ethiopia, from September 2015 to October 2021. Data was collected from medical charts and PMTCT registers. Logistic regression was used to identify determinants of HIV infection among HEIs.</p><p><strong>Results: </strong>At enrolment into PMTCT care, most women were already on ART (75.3%) and in clinical stage I (89.6%) according to the World Health Organization's algorithm. Overall, 13 (4.3%, 95% CI: 2.5%-7.4%) HEIs were HIV-infected; the level was higher among HEIs born at home (17.9% (95% CI: 7.6%-36.5%). Being born to HIV-positive women with late WHO clinical stage (III and IV) of HIV (AOR = 9.1, 95%CI: 2.4, 34.5), being born at home (AOR = 4.8, 95%CI: 1.1-20.7), being born to women newly diagnosed with HIV (AOR = 4.8, 95%CI: 1.3-17.4), and low infant adherence to cotrimoxazole prophylaxis (AOR = 5.4, 95%CI: 1.4-20.4) increased the odds of MTCT.</p><p><strong>Conclusion: </strong>HIV infection levels among breastfeeding HEIs in PMTCT care was <5%, meeting the WHO transmission rate targets. Strengthening PMTCT care to expand community-based PMTCT interventions such as improving women's and communities' awareness of HIV, PMTCT and promoting male involvement would reduce reduce HIV infection among children to reach the 95-95-95 targets to end HIV in Ethiopia.</p>","PeriodicalId":73103,"journal":{"name":"Frontiers in reproductive health","volume":"6 ","pages":"1452889"},"PeriodicalIF":2.3,"publicationDate":"2024-11-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11586338/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142717877","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Close female friendships and knowledge of recommended abortion methods in Nigeria and the Democratic Republic of the Congo among a representative sample of reproductive-aged women.","authors":"Selena P Anjur-Dietrich, Alice Rhoades, Pierre Z Akilimali, Funmilola M OlaOlorun, Elizabeth Omoluabi, Suzanne O Bell","doi":"10.3389/frph.2024.1453717","DOIUrl":"10.3389/frph.2024.1453717","url":null,"abstract":"<p><strong>Introduction: </strong>There is a high incidence of unsafe abortion among women in Nigeria and the DRC. Low knowledge of recommended abortion methods [i.e., surgical and medication abortion (MA) pills] is a barrier for women accessing safe abortions. Women often rely on friends for information about abortion methods. Understanding characteristics of women with knowledge of recommended abortion methods, and MA specifically, and how it is influenced by close female friendships may help identify women most at risk of relying on unsafe abortion.</p><p><strong>Methods: </strong>We used survey data from Performance Monitoring for Action from 11,106 women of reproductive age in Nigeria (April-May 2018) and 3,697 women in Kinshasa and Kongo Central, DRC, (December 2021-April 2022) to produce representative estimates of knowledge of abortion methods at the national and province levels, respectively. We performed bivariate and multivariate logistic regression to determine which characteristics were independently associated with knowing a recommended abortion method, with knowing of MA pills specifically, and to assess our hypothesis that having at least one female confidante would increase one's odds of knowing about these methods.</p><p><strong>Results: </strong>A minority (26.9%) of women in Nigeria and the majority in Kinshasa (76.7%) and Kongo Central (58.1%) reported having knowledge of at least one recommended abortion method, while knowledge of MA pills was low in all sites. Having at least one close female confidante was associated with increased odds of knowing a recommend abortion method in Nigeria (aOR = 1.50, 95% CI 1.25-1.79) and in Kongo Central (aOR = 2.66, 95% CI 1.40-5.40), and with increased odds of knowing about MA specifically in Kinshasa (aOR = 1.44, 95% CI 1.08-1.93) and Kongo Central (aOR = 3.61, 95% CI 1.28-10.22), but not Nigeria.</p><p><strong>Discussion: </strong>In legally restrictive contexts where knowledge of recommended abortion methods (particularly medication abortion) is low, having close female friends is related to increased knowledge of recommended abortion methods.</p>","PeriodicalId":73103,"journal":{"name":"Frontiers in reproductive health","volume":"6 ","pages":"1453717"},"PeriodicalIF":2.3,"publicationDate":"2024-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11560890/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142633997","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Preferences for pre-exposure prophylaxis delivery among HIV-negative pregnant and breastfeeding women in Zambia: evidence from a discrete choice experiment.","authors":"Twaambo Euphemia Hamoonga, Wilbroad Mutale, Jude Igumbor, Samuel Bosomprah, Olujide Arije, Benjamin H Chi","doi":"10.3389/frph.2024.1350661","DOIUrl":"10.3389/frph.2024.1350661","url":null,"abstract":"<p><strong>Introduction: </strong>Pregnant and breastfeeding women at substantial risk for HIV infection in sub-Saharan Africa can benefit from biomedical interventions such as pre-exposure prophylaxis (PrEP). We estimated the benefit that pregnant and breastfeeding women may derive from PrEP service delivery in order to guide PrEP roll-out in the target population in Zambia.</p><p><strong>Methods: </strong>Between September and December 2021, we conducted a discrete choice experiment (DCE) among a convenient sample of 389 pregnant and breastfeeding women not living with HIV in Lusaka, Zambia. Women aged 18 years or older, with a documented negative HIV result in their antenatal card responded to a structured questionnaire containing 12 choice sets on service delivery attributes of PrEP: waiting time at the facility, travel time to the facility dispensing PrEP, location for PrEP pick-up, health care provider attitude and PrEP supply at each refill. Mixed logit regression analysis was used to determine the participant's willingness to trade off one attribute of PrEP for the other at a 5% significance level. Willingness to wait (WTW) was used to determine the relative utility derived from each attribute against waiting time.</p><p><strong>Results: </strong>Waiting time at the facility, travel time to the facility, health care provider attitude and amount of PrEP supply at each refill were important attributes of PrEP service delivery (all <i>p</i> < 0.01). Participants preferred less waiting time at the facility (<i>β</i> = -0.27, <i>p</i> < 0.01). Women demonstrated a strong preference for a 3-months' supply of PrEP (<i>β</i> = 1.69, <i>p</i> < 0.01). They were willing to wait for 5 h at the facility, walk for more than an hour to a facility dispensing PrEP, encounter a health care provider with a negative attitude in order to receive PrEP enough for 3 months.</p><p><strong>Conclusion: </strong>Patient-centered approaches can help to inform the design and implementation of PrEP services among pregnant and breastfeeding women. In this study, we found that a reduction in clinic visits-including through multi-month dispensing of PrEP-could improve uptake of services in antenatal and postnatal settings.</p>","PeriodicalId":73103,"journal":{"name":"Frontiers in reproductive health","volume":"6 ","pages":"1350661"},"PeriodicalIF":2.3,"publicationDate":"2024-10-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11555771/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142634000","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Editorial: Environmental impacts on women's health disparities and reproductive health: advancing environmental health equity in clinical and public health practice.","authors":"Melissa M Smarr, Kristen M Rappazzo, Darlene Dixon","doi":"10.3389/frph.2024.1484406","DOIUrl":"10.3389/frph.2024.1484406","url":null,"abstract":"","PeriodicalId":73103,"journal":{"name":"Frontiers in reproductive health","volume":"6 ","pages":"1484406"},"PeriodicalIF":2.3,"publicationDate":"2024-10-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11538014/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142592442","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Achieving HIV epidemic control through accelerating efforts to expand access to pre-exposure prophylaxis for people who inject drugs.","authors":"Lirica Nishimoto, Adaobi Lisa Olisa, Philip Imohi, Judy Chang, Chris Obermeyer, Dama Kabwali, Christopher Akolo","doi":"10.3389/frph.2024.1438005","DOIUrl":"10.3389/frph.2024.1438005","url":null,"abstract":"<p><p>The world is not on track to reach the majority of the UNAIDS 2025 targets, and people who inject drugs (PWID) continue to be left behind, hindered by counterproductive law enforcement practices, punitive laws, economic distress, and social stigma and discrimination. Poor access to HIV pre-exposure prophylaxis (PrEP) among PWID is nested within the limited access to broader harm reduction services, including needle and syringe programs, opioid overdose management, opioid agonist therapy (also known as medication-assisted treatment), and condoms. Among PWID, women who inject drugs are disproportionately affected and face additional gender-based barriers. Intersections between PWID and other key and priority population groups also exist. Although the prioritization of PWID for new PrEP products like the dapivirine vaginal ring and injectable cabotegravir has lagged in research, studies have shown that PWID find injectable and long-acting options acceptable and preferrable, including among women who inject drugs. While new PrEP products introduce new opportunities, equity in access must be assured for optimized impact toward achieving epidemic control. Programming for services must engage and empower PWID community leadership to address the structural barriers to services, implement community-led, differentiated, and integrated service modalities, and offer the choice of all harm reduction options to close the equity gaps in health outcomes. While waiting for necessary evidence and approvals, programs should work together with the PWID community to prioritize, expand, and facilitate efforts and investments toward increased access to and integration of PrEP and all recommended harm reduction services for PWID.</p>","PeriodicalId":73103,"journal":{"name":"Frontiers in reproductive health","volume":"6 ","pages":"1438005"},"PeriodicalIF":2.3,"publicationDate":"2024-10-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11537993/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142592441","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"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.","authors":"Adera Debella, Aklilu Tamire, Kasahun Bogale, Bekelu Berhanu, Hanan Mohammed, Alemayehu Deressa, Mulugeta Gamachu, Magarsa Lami, Lemesa Abdisa, Tamirat Getachew, Saba Hailu, Addis Eyeberu, Helina Heluf, Henok Legesse, Ame Mehadi, Jemal Husen Dilbo, Lensa Angassa Wkuma, Abdi Birhanu","doi":"10.3389/frph.2024.1358884","DOIUrl":"https://doi.org/10.3389/frph.2024.1358884","url":null,"abstract":"<p><strong>Background: </strong>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.</p><p><strong>Methods: </strong>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.</p><p><strong>Results: </strong>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).</p><p><strong>Conclusion: </strong>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.</p>","PeriodicalId":73103,"journal":{"name":"Frontiers in reproductive health","volume":"6 ","pages":"1358884"},"PeriodicalIF":2.3,"publicationDate":"2024-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11519733/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142549275","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Knowledge of reproductive rights and associated factors among Oda Bultum University students, eastern Ethiopia.","authors":"Amedin Mohammed Hussen, Ahmedin Aliyi Usso, Gebi Agero, Tewodros Desalegn, Hassen Abdi Adem, Mohammed Yuya, Addis Eyeberu, Adnan Abrahim Sani","doi":"10.3389/frph.2024.1464352","DOIUrl":"https://doi.org/10.3389/frph.2024.1464352","url":null,"abstract":"<p><strong>Background: </strong>Reproductive rights are an essential element of public health interventions to reduce adolescent and youth mortality and morbidity. A lack of knowledge about sexual and reproductive health is an important barrier that contributes to a variety of health and social issues. This study assessed the knowledge of reproductive rights among Oda Bultum University students, eastern Ethiopia.</p><p><strong>Methods: </strong>An institution-based cross-sectional study was carried out among 727 students from December 1 to 30, 2020. Participants were selected using a multistage sampling technique. Data were collected using a self-administered, pre-tested, and structured questionnaire. Data were entered into EpiData version 4.1 and analyzed using SPSS version 27. The study employed both bivariable and multivariable logistic regression analysis to determine the variables associated with knowledge regarding reproductive rights. The significance and degree of strength were declared at a <i>p</i>-value < 0.05 using an adjusted odds ratio with a 95% confidence interval.</p><p><strong>Results: </strong>The overall knowledge of reproductive rights among university students was 47.2% (95% CI: 43.3%, 50.9%). Male gender (AOR = 2.11, 95% CI: 1.50, 2.97), urban residence (AOR = 1.62, 95% CI: 1.16, 2.28), formal maternal education (AOR = 2.26, 95% CI: 1.62, 3.17), participation in a sexual and reproductive health club (AOR = 2.67, 95% CI: 1.74, 4.10), utilization of sexual and reproductive health services (AOR = 6.29, 95% CI: 4.22, 9.36), and discussion about sexual and reproductive health issues (AOR = 1.60, 95% CI: 1.11, 2.30) were the factors that improved the knowledge of reproductive rights.</p><p><strong>Conclusions: </strong>Almost half of the university students know about reproductive rights. Various factors identified were associated with the knowledge of reproductive rights among university students, including gender, residence, parental education level, engagement in sexual and reproductive health clubs, utilization of sexual and reproductive health services, and discussions about sexual and reproductive issues. Healthcare professionals at all levels should concentrate on offering excellent services related to reproductive health and establishing programs for specific education and counseling on reproductive rights for all well-behaved students.</p>","PeriodicalId":73103,"journal":{"name":"Frontiers in reproductive health","volume":"6 ","pages":"1464352"},"PeriodicalIF":2.3,"publicationDate":"2024-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11499223/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142514136","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Multilevel survival analysis of the age at first birth among women in Ethiopia.","authors":"Nuru Mohammed Hussen, Gezachew Gebeyehu Arega, Abdu Hailu Shibeshi, Getnet Mamo Habtie, Tigabu Hailu Kassa, Kassaye Getaneh Arge","doi":"10.3389/frph.2024.1419537","DOIUrl":"https://doi.org/10.3389/frph.2024.1419537","url":null,"abstract":"<p><strong>Introduction: </strong>The age at first birth refers to the age at which a woman has her first child. It can significantly influence the demographic behavior of women and the general community. Moreover, teenage childbearing is a serious public health and social problem. The main objective of this study was to identify factors associated with age at first birth among women in Ethiopia.</p><p><strong>Methods: </strong>Secondary data on women were obtained from the 2019 Ethiopia Mini Demographic and Health Survey (EMDHS). These population-based cross-sectional data were downloaded from the Measure Demographic and Health Survey website (http://www.measuredhs.com). The study included a random sample of 8,885 women aged 15-49 years from 305 enumeration areas. A multilevel survival analysis was employed to identify the factors associated with teenage childbearing among women in Ethiopia.</p><p><strong>Results: </strong>The majority (67.7%) of randomly sampled women were subjected to teenage childbearing. Women being rural dwellers [hazard ratio (HR) = 1.27, 95% CI: 1.05, 1.54]; women from middle-income families (HR = 1.43, 95% CI: 1.18, 1.74); and women from higher-income families (HR = 1.40, 95% CI: 1.15, 1.70) were associated with a higher risk of teenage childbearing. Conversely, contraception method users (HR = 0.87, 95% CI: 0.77, 0.99), Muslims (HR = 0.75, 95% CI: 0.64, 0.89), Orthodoxes (HR = 0.68, 95% CI: 0.57, 0.80), women with secondary education (HR = 0.53, 95% CI: 0.43, 0.65), women with higher education (HR = 0.28 (95% CI: 0.22, 0.37), and the higher age of household head (HR = 0.99, 95% CI: 0.98, 0.99) were associated with a lower risk of teenage childbearing among women in Ethiopia.</p><p><strong>Conclusion: </strong>Since the median age of women to have their first child was 18 years old, this study strongly suggests that stakeholders at the federal and regional levels must work closely toward enforcing the legal age of marriage and implementing national adolescents' and youths' targeted sexual and reproductive health programs.</p>","PeriodicalId":73103,"journal":{"name":"Frontiers in reproductive health","volume":"6 ","pages":"1419537"},"PeriodicalIF":2.3,"publicationDate":"2024-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11496270/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142514137","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}