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Adolescent-parent communication on sexual and reproductive health issues among high school students in Dire Dawa, Eastern Ethiopia: a cross sectional study.

Ayalew M, Mengistie B, Semahegn A - Reprod Health (2014)

Bottom Line: Sexual and reproductive health communications are most likely promoting healthy sexual development and reduce sexual risks.Condom use during first intercourse was associated with having communication about sexual and reproductive health [AOR=1.9, 95% CI: 1.0, 3.8].School based education is important to improve adolescent parent communication about sexual and reproductive health issues.

View Article: PubMed Central - PubMed

Affiliation: College of Health and Medical Sciences, Haramaya University, Po, Box- 235, Harar, Ethiopia. amulatua@yahoo.com.

ABSTRACT

Background: Sexual and reproductive health communications are most likely promoting healthy sexual development and reduce sexual risks. Communication is the principal means for parents to transmit sexual values, beliefs, expectations and knowledge to their adolescents. However, there is a paucity of evidence about adolescent parent communication in Ethiopia. This study aimed to determine adolescent-parent communication on sexual and reproductive health issues and associated factors among high school students in Dire Dawa, Eastern Ethiopia.

Methods: Institution based cross sectional study was conducted among high school students in Dire Dawa administrative council from February to March 2011. Simple random sampling technique was used to select 695 students from 9-12 grades. Qualitative data were collected through focus group discussion separately for female and male parents. Data were entered in Epi info version 3.5.1 and analyzed by SPSS version 16.1. Logistic regression with OR and 95% confidence interval was used to identify the independent predictors of adolescent parent communication.

Results: Thirty seven percent of students had ever discussed on at least two sexual and reproductive health topics with their parents. Of which, majority of student preferred to discuss with their peers than parent. Condom use during first intercourse was associated with having communication about sexual and reproductive health [AOR=1.9, 95% CI: 1.0, 3.8]. Cultural taboo, shame and lack of communication skill were reasons that hinder communication between parent and adolescent about sexual matters.

Conclusion: Communication on sexual and reproductive health issue between adolescent and their parent was low. School based education is important to improve adolescent parent communication about sexual and reproductive health issues.

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High School student knowledge on contraceptives in Dire Dawa Administrative Council, February - March, 2011.
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Fig1: High School student knowledge on contraceptives in Dire Dawa Administrative Council, February - March, 2011.

Mentions: Five hundred thirty one (82.8%) of students knew about at least one contraceptive method that are used to prevent unwanted pregnancy. Condom (47.7%) followed by abstinence (37.1%) were mainly reported contraceptive methods to prevent unwanted pregnancy [Figure 1]. Half of students discussed on contraceptive method mainly with their peers. Two hundred nineteen (34.1%) of study participants discussed about unwanted pregnancy, of these, 124(56.6%) of them discussed with their mothers and with their peers. Almost all focus group discussants were not comfortable to have discussed on sexual and reproductive issues with their adolescents. None of discussants accepted premarital sex. One female participant said, “I tell her not to happen first but if once she became pregnant, I will give care for her and her child…but… becoming pregnant before marriage brings negative attitude about her in the community and also her family that lead to psychological impact.”Figure 1


Adolescent-parent communication on sexual and reproductive health issues among high school students in Dire Dawa, Eastern Ethiopia: a cross sectional study.

Ayalew M, Mengistie B, Semahegn A - Reprod Health (2014)

High School student knowledge on contraceptives in Dire Dawa Administrative Council, February - March, 2011.
© Copyright Policy - open-access
Related In: Results  -  Collection

License 1 - License 2
Show All Figures
getmorefigures.php?uid=PMC4233096&req=5

Fig1: High School student knowledge on contraceptives in Dire Dawa Administrative Council, February - March, 2011.
Mentions: Five hundred thirty one (82.8%) of students knew about at least one contraceptive method that are used to prevent unwanted pregnancy. Condom (47.7%) followed by abstinence (37.1%) were mainly reported contraceptive methods to prevent unwanted pregnancy [Figure 1]. Half of students discussed on contraceptive method mainly with their peers. Two hundred nineteen (34.1%) of study participants discussed about unwanted pregnancy, of these, 124(56.6%) of them discussed with their mothers and with their peers. Almost all focus group discussants were not comfortable to have discussed on sexual and reproductive issues with their adolescents. None of discussants accepted premarital sex. One female participant said, “I tell her not to happen first but if once she became pregnant, I will give care for her and her child…but… becoming pregnant before marriage brings negative attitude about her in the community and also her family that lead to psychological impact.”Figure 1

Bottom Line: Sexual and reproductive health communications are most likely promoting healthy sexual development and reduce sexual risks.Condom use during first intercourse was associated with having communication about sexual and reproductive health [AOR=1.9, 95% CI: 1.0, 3.8].School based education is important to improve adolescent parent communication about sexual and reproductive health issues.

View Article: PubMed Central - PubMed

Affiliation: College of Health and Medical Sciences, Haramaya University, Po, Box- 235, Harar, Ethiopia. amulatua@yahoo.com.

ABSTRACT

Background: Sexual and reproductive health communications are most likely promoting healthy sexual development and reduce sexual risks. Communication is the principal means for parents to transmit sexual values, beliefs, expectations and knowledge to their adolescents. However, there is a paucity of evidence about adolescent parent communication in Ethiopia. This study aimed to determine adolescent-parent communication on sexual and reproductive health issues and associated factors among high school students in Dire Dawa, Eastern Ethiopia.

Methods: Institution based cross sectional study was conducted among high school students in Dire Dawa administrative council from February to March 2011. Simple random sampling technique was used to select 695 students from 9-12 grades. Qualitative data were collected through focus group discussion separately for female and male parents. Data were entered in Epi info version 3.5.1 and analyzed by SPSS version 16.1. Logistic regression with OR and 95% confidence interval was used to identify the independent predictors of adolescent parent communication.

Results: Thirty seven percent of students had ever discussed on at least two sexual and reproductive health topics with their parents. Of which, majority of student preferred to discuss with their peers than parent. Condom use during first intercourse was associated with having communication about sexual and reproductive health [AOR=1.9, 95% CI: 1.0, 3.8]. Cultural taboo, shame and lack of communication skill were reasons that hinder communication between parent and adolescent about sexual matters.

Conclusion: Communication on sexual and reproductive health issue between adolescent and their parent was low. School based education is important to improve adolescent parent communication about sexual and reproductive health issues.

Show MeSH
Related in: MedlinePlus