Parent-young communication on sexual and reproductive health issues and its association with sex and perceptions of young people in Ethiopia, 2020: a systematic review and meta-analysis

Yalew, Melaku; Kefale, Bereket; Damtie, Yitayish; Arefaynie, Mastewal; Wedajo, Shambel; Bitew, Abebayehu; Wasihun, Yitbarek

doi:10.1186/s13690-020-00515-x

Cited by 5 publications

(5 citation statements)

References 39 publications

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“…Two-thirds of Adolescents had never talked to their parents about ASRH issues. Similar study findings were reported from a systematic review, where the pooled prevalence of adolescent-parent communications in Ethiopia is found to be only 43% [56]. However, adolescents who had discussions on ASRH issues with their parents were 4.5 times more likely to use the services [AOR = 4.53 (2.52-8.16)] compared to those who had not.…”

Section: Discussionsupporting

confidence: 84%

“…This finding is in agreement with other studies conducted in Harrar, Jimma, and Machakel. [32,51,[56][57][58]. The underlying reason might be that having discussions on ASRH issues may build adolescents' confidence and help them to expose their ASRH health concerns, understand consequences of SRH issues, and motivate them to use adequate services.…”

Section: Discussionmentioning

confidence: 99%

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Sexual and reproductive health services use among adolescents in pastoralist settings, northeastern Ethiopia

Zepro

Ali

Tarr

et al. 2023

BMC Health Serv Res

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Background Adolescents have special sexual and reproductive health (ASRH) needs and are susceptible to poor health outcomes. The global burden of ill sexual health includes a significant proportion of Adolescents. The existing ASRH services in Ethiopia and particularly in the Afar region are currently not well suited to meet the needs of pastoralist adolescents. This study assesses the level of ASRH service utilization among pastoralists in Afar regional state, Ethiopia. Method A community based cross-sectional study was conducted from January to March 2021 in four randomly chosen pastoralist villages or kebeles of Afar, Ethiopia. A multistage cluster sampling procedure was used to select 766 volunteer adolescents aged 10–19. SRH services uptake was measured asking whether they had used any SRH service components during the last year. Data was collected through face-to-face interviews with a structured questionnaire; data entry was done with Epi info 3.5.1. Logistic regression analyses was used to assess associations with SRH service uptake. SPSS version 23 statistical software package was used for advanced logistic regression analyses to assess the associations between dependent and predictor variables. Results The study revealed that two-thirds or 513 (67%) of the respondents are aware of ASRH services. However, only one-fourth (24.5%) of the enrolled adolescents used at least one ASRH service in the past twelve months. ASRH services utilization was significantly associated with gender (being female [AOR = 1.87 (CI 1.29–2.70)], being in school [AOR = 2.38(CI: 1.05–5.41), better family income [AOR = 10.92 (CI; 7.10–16.80)], prior discussions of ASRH issues [AOR = 4.53(CI: 2.52, 8.16)], prior sexual exposure [AOR = 4.75(CI: 1.35–16.70)], and being aware of ASRH services [AOR = 1.96 (CI: 1.02–3.822)]. Being pastoralist, religious and cultural restrictions, fear of it becoming known by parents, services not being available, income, and lack of knowledge were found to deter ASRH service uptake. Conclusion Addressing ASRH needs of pastoralist adolescents is more urgent than ever, sexual health problems are increasing where these groups face broad hurdles to SRH service uptake. Although Ethiopian national policy has created an enabling environment for ASRH, multiple implementation issues require special attention to such neglected groups. “Gender-culture-context-appropriate” interventions are favorable to identify and meet the diverse needs of Afar pastoralist adolescents. Afar regional education bureau and concerned stakeholders need to improve adolescent education to overcome social barriers (e.g. humiliation, disgrace, and deterring gender norms) against ASRH services through community outreach programs. In addition, economic empowerment, peer education, adolescent counseling, and parent-youth communication will help address sensitive ASRH issues.

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Section: Discussionsupporting

confidence: 84%

Section: Discussionmentioning

confidence: 99%

Sexual and reproductive health services use among adolescents in pastoralist settings, northeastern Ethiopia

Zepro

Ali

Tarr

et al. 2023

BMC Health Serv Res

View full text Add to dashboard Cite

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“…This statement is confirmed by Joorbonyan et al [54], who explain that parental knowledge, accurate information, and self-efficacy in providing sexual information are crucial components that enable adolescents to engage in HIV/AIDS prevention behaviors. Sexual communication between parents and adolescents reduces their vulnerability to negative peer influences to engage in sexual activity [11], [55]. The quality of communication about sex between parents and their adolescent children is uniquely correlated with adolescents' sexual behavior [56].…”

Section: Discussionmentioning

confidence: 99%

Related factors to HIV/AIDS prevention behavior of adolescents in Jakarta’s high school

Ratnawati,

Setiawan,

Widyatuti

et al. 2024

IJPHS

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Adolescents are developing self-maturity, so they should have the correct views to become a person with a positive self-concept. Therefore, this period requires the role of parents. The parental roles include educating, teaching, disciplining, and protecting children to reach adulthood according to social norms. However, adolescents prefer to spend time with their peers, so peers are dominant in influential and modeling aspects of adolescents' sexual behavior with their partners. One of the behaviors compulsorily concerned is human immunodeficiency virus/acquired immunodeficiency syndrome (HIV/AIDS) prevention behavior. This study aimed to determine the relationship between characteristics, communication quality, parenting, peer roles, and HIV/AIDS prevention behavior in adolescents at “Y” Senior High School in North Jakarta. This study employed a cross-sectional research design. Samples were taken using the purposive sampling technique, and 208 students were obtained from 432 students. Gender, parental communication quality, and peer roles affected HIV/AIDS prevention behavior. The dominant variable was parental communication quality (OR=0.509). After controlling for gender and peer role characteristics, adolescents with strong parental communication quality were 0.51 times more likely to participate in HIV/AIDS-positive preventive activities than those with poor parental communication quality. Adolescents are expected to communicate with their parents, especially about sexual issues, more openly.

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“…As per author's knowledge there is inadequate evidence about the proportion of parent-young people communication in Ethiopia (24), point prevalence varies among the studies and there is no established evidence at the study area. Moreover, there are inconsistent ndings with regard to proportion and factors associated with parent and young people communication on SRH issues.…”

Section: Introductionmentioning

confidence: 97%

Parent-Young People Communication on Sexual and Reproductive Health Issues and Associated Factors Among Students in Agaro Town, Ethiopia: A Cross-sectional Study

Abdissa¹,

Sileshi²

2021

Preprint

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BackgroundSexual and reproductive health (SRH) is at the base of young people's living and wellbeing. A significant number of young peoples are affected by avoidable SRH problems due to a lack of appropriate knowledge regarding SRH. Parent-young communication on SRH is critical in informing them about risk and protective behaviors which in turn decrease the likelihood of involvement in risky sexual behaviors. Therefore, the purpose of this study was to evaluate the parent-young communication on SRH issues among secondary and preparatory school students at Agaro town, Southwestern Ethiopia. MethodsSchool based cross-sectional study was conducted from April 13 to April 20, 2019 using stratified random sampling technique. Data were collected using pretested interviewer-administered structured questionnaire entered into Epi data version 3.1; and analyzed using SPSS version 20. A variable having a p-value of <0.25 in the bivariable logistic regression model was subjected to multivariable logistic regression analysis to avoid the confounding variable’s effect. Adjusted odds ratios were calculated at the 95% confidence interval and considered significant with a p-value of <0.05.ResultsA total of 315 students were included to the study. The mean age of the respondents was 20.2±2.6 years. The study finding showed that 61.3% of the participants were discussed on SRH issues with their parents. Educational status of mother [primary education (AOR=3.67; 95%CI=1.93,6.97),secondary education(AOR:2.86;95%CI=1.20,6.80)],educational status of father[primary education (AOR=5.8;95%CI=2.8,12.3,secondary education (AOR=3.21; 95%CI=1.55,6.59)],having family size of <5 (AOR= 6.4; 95%CI= 3.36,12.37) and having boy/girlfriend(AOR=1.99; 95%CI=1.0,3.8) were significantly associated with parent-young people communication. ConclusionAbout two third of the participants communicate with their parents about SRH issues. Parents’ educational status, family size of <5 and having boy/girlfriend were significantly associated with the parent-young people communication. The main reasons for not communicated was cultural taboos, shame and parents lack of knowledge. Therefore, it is necessary to educate and equip students and parents to address the identified problems.

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Parent-young communication on sexual and reproductive health issues and its association with sex and perceptions of young people in Ethiopia, 2020: a systematic review and meta-analysis

Cited by 5 publications

References 39 publications

Sexual and reproductive health services use among adolescents in pastoralist settings, northeastern Ethiopia

Sexual and reproductive health services use among adolescents in pastoralist settings, northeastern Ethiopia

Related factors to HIV/AIDS prevention behavior of adolescents in Jakarta’s high school

Parent-Young People Communication on Sexual and Reproductive Health Issues and Associated Factors Among Students in Agaro Town, Ethiopia: A Cross-sectional Study

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