Parent-adolescent communication about Sexual and Reproductive Health Issues and Associated Factors among Mothers in Wogdie District, North Ethiopia

Abstract

Background: Adolescence is a stage of rapid transition of physical, psychological and emotional development. Parent-adolescent communication has great role on the reduction of SRH problem of adolescents. However evidences shows that there is a silence between parent and adolescent because of this adolescent are affected by STIs, HIV, unsafe abortion and unwanted pregnancy. Therefore this study tried to identify factors that hinder communication in Wogdie district North East Ethiopia.Method: A community based cross-sectional study supplemented with qualitative data was conducted. Six hundred fifteen mothers were selected by multi-stage sampling method for quantitative study. Interviewer administered questionnaire was used for quantitative data collection. Multiple binary logistic regression analysis was executed to assess the association between variables. Participants were selected by purposive sampling method for qualitative part. Fourteen participants were participated in in-depth interview. The qualitative data was transcribed manually using verbatim approach.Results: The magnitude of parent-adolescent communication was 198 (32.8%) with 95% CI (29.1, 36.7). Rural residence of mother [AOR=0.056, 95% CI (0.01, 0.331)], family size of >6 [AOR=0.338, 95% CI (0.13, 0.874)], maternal education status of uneducated [AOR=0.421, 95% CI (0.186, 0.951)], maternal occupational status of housewife [AOR=0.085, 95% CI (0.024, 0.298)], low wealth status [AOR=0.316, 95% CI (0.129, 0.777)], poor maternal knowledge about SRH [AOR=0.063, 95% CI (0.024, 0.164)] and negative maternal attitude towards SRH communication [AOR=0.037, 95% CI (0.008, 0.169)] were have significant negative association with parent-adolescent communication. Cultural taboo, fear and lack of knowledge were reasons that hinder communication.Conclusion: Communication on sexual and reproductive health issue between parent and adolescent was low. Home to home and community health education of mothers is important to create good knowledge and positive attitude about sexual and reproductive communication.

Level and comfort of caregiver–young adolescent communication on sexual and reproductive health: a cross-sectional survey in south-western Uganda

“…In this study, the number of YAs in a given household could serve as an indicator for family size. Studies in Bangladesh and Ethiopia indicate that the bigger the family size, the lower the level of SRH communication [ 31 , 32 ]. Another study in Ethiopia reports no association between family size and the level of SRH communication [ 33 ].…”

“…Muhwezi et al reveals that adolescents preferred to talk to their siblings about SRH than their parents because their parents were not comfortable about these SRH discussions [ 34 ]. The other reason given for not discussing SRH issues in larger families could be due to parents feeling overburdened by the number of children to speak to and that parents are less concerned for SRH communication as the family size increases [ 32 ]. However, there is need for further research to explore the association between comfort with SRH communication and family size.…”

Parent-adolescent Communication About Contraceptives and Its Associated Factors in Bahir Dar City, North West, Ethiopia, 2022

“…Adolescent who scored 75% and above from 10 attitude assessing likert scale question was considerd as having favorable attitude and who scored below 75% was considred as unfavorable attitude (27).…”

Barriers and facilitators of parent−adolescent communication on sexual health and relationships among the UK population: A study protocol

“…Poor PAC has been identified to have numerous potential risk factors. 14,15 One is parental awareness, while others are cultural concerns like parents feeling embarrassed. 4 To decide when, how, or on what occasions parents should commence the discussions, ongoing research projects demonstrating cutting-edge PAC methods are required.…”

“…Poor PAC has been identified to have numerous potential risk factors 14,15 . One is parental awareness, while others are cultural concerns like parents feeling embarrassed 4 .…”