{"title":"2023 年埃塞俄比亚哈拉里镇公立高中青少年的性与生殖健康知识及其相关因素：一项多中心横断面研究。","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":null,"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":2.3000,"publicationDate":"2024-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11519733/pdf/","citationCount":"0","resultStr":"{\"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\":null,\"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\":2.3000,\"publicationDate\":\"2024-10-15\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11519733/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Frontiers in reproductive health\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.3389/frph.2024.1358884\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2024/1/1 0:00:00\",\"PubModel\":\"eCollection\",\"JCR\":\"Q2\",\"JCRName\":\"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Frontiers in reproductive health","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.3389/frph.2024.1358884","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2024/1/1 0:00:00","PubModel":"eCollection","JCR":"Q2","JCRName":"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH","Score":null,"Total":0}
引用次数: 0
摘要
背景：在包括埃塞俄比亚在内的撒哈拉以南非洲国家，青少年对性健康和生殖健康信息的利用率很低。本研究旨在评估埃塞俄比亚青少年的性与生殖健康知识水平，以及与该人群性与生殖健康知识水平相关的因素：方法：采用基于机构的横断面研究设计。采用系统抽样方法选取了 909 名研究参与者。研究使用了一个经过验证的量表，该量表由 31 个问题组成，采用 5 点李克特量表。计算出的总分从 31 分（最低分）到 155 分（最高分）不等，最后将其分为有限的性与生殖健康知识和充分的性与生殖健康知识。为了确定影响青少年性健康和生殖健康知识掌握程度的因素，我们建立了一个多变量线性回归模型：性与生殖健康知识略有掌握和掌握良好的青少年分别占 38.9%和 6.3%。另一方面，677 名（74.5%）参与者的性与生殖健康知识水平有限。医护人员和阅读书籍是性健康和生殖健康信息的首选来源，它们与较高的性健康和生殖健康知识水平的相关性分别为 6.42（95% CI 1.62-11.22）和 6.57（95% CI 1.62-11.22）。青少年支付医疗费用的能力是其性健康和生殖健康知识水平的 13.76 倍（95% CI 8.21-19.32）：超过四分之三的青少年的性与生殖健康知识有限。包括医护人员、书籍和互联网在内的性与生殖健康信息来源与青少年的性与生殖健康素养有显著相关性。因此，主要利益相关者需要将性健康和生殖健康纳入高中课程。
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.
Background: 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.
Methods: 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.
Results: 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).
Conclusion: 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.
求助内容：
应助结果提醒方式：
京公网安备 11010802042870号
