Sexual and reproductive health information sources preferred by out-of-school adolescents in rural southwest Uganda

Nobelius, Ann-Maree; Kalina, Bessie; Pool, Robert; Whitworth, James; Chesters, Janice Evelyn; Power, Robert

doi:10.1080/14681810903491438

Cited by 31 publications

(31 citation statements)

References 11 publications

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“…This finding is consistent with previous studies reporting that sources of information [26] are associated with RH behavior. This might be explained by the fact that boys are in need of information on the physical, psychological, and emotional phases of growth and development in order to adapt to changes during puberty.…”

Section: Discussionsupporting

confidence: 93%

Prevalence of factors related to active reproductive health behavior: a cross-sectional study Indonesian adolescent

et al. 2016

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OBJECTIVESComplex and diverse factors are related to reproductive health (RH) behavior among adolescents according to the social and cultural context of each countries. This study examined the prevalence of active RH and factors related to active RH behavior among Indonesian adolescents.METHODSA cross-sectional study was conducted among 1,040 of students who were selected through a multi-stage random sampling technique. A self-administered questionnaire was developed, including the World Health Organization Illustrative Questionnaire for Interview-Surveys with Young People, pubertal development scale, and sexual activity scale, modified in accordance to the Indonesian context. The data were analyzed using descriptive and comparative statistics, as well as logistic regression analyses.RESULTSThe prevalence of active RH behavior were more higher in boys (56.6%; 95% confidence interval [CI], 50.6% to 62.6%) than in girls (43.7%; 95% CI, 37.6% to 49.8%). Negative attitudes towards RH were a factor related to active RH behavior in both boys and girls. Smoking and kind relationship envisioned before marriage (pacaran [courtship] and nikah siri [non-registered marriage]) were factors related to active RH behavior in boys; whereas the absence of access to information on substance abuse was an additional factor in girls. Moreover, an interaction was found between access to information on development and smoking (boys) and attitudes on RH (girls) as independent variables associated with active RH behavior.CONCLUSIONSSex education for adolescents in Indonesia, particularly in the context of a health promotion program, should be developed based on prevalent social, cultural, and religious values to prevent active RH behavior. Such programs should focus on the kind of relationship envisioned before marriage and smoking for boys and access to information on subtance abuse for girls.

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Section: Discussionsupporting

confidence: 93%

Prevalence of factors related to active reproductive health behavior: a cross-sectional study Indonesian adolescent

et al. 2016

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“…This study did not use an existing questionnaire but the questionnaire was developed by the researchers from scratch. The items on the questionnaire were generated from the findings of previous studies related to the current study which were carried out in other geographical settings (37,38,40,42,53). The questionnaire had introductory data on participants' demographics (e.g., religion, mother, and father's educational status, employment status).…”

Section: Instrumentationmentioning

confidence: 99%

“…Access to pregnancy prevention information and services includes but not limited to information regarding anatomy and the physiology of biological sex and reproduction, healthy sexual development, gender identity, interpersonal relationships, affection, sexual development, intimacy, body image for all adolescents (33,36), and contraceptives (37)(38)(39). Such information and services are provided by teachers, health workers and parents have major responsibilities toward the sexual and reproductive health of adolescents (40)(41)(42).…”

Section: Introductionmentioning

confidence: 99%

Access to Adolescent Pregnancy Prevention Information and Services in Ghana: A Community-Based Case-Control Study

Hagan

Seidu

Budu

et al. 2019

Front. Public Health

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Background: Pregnancy among girls 10-19 years remains a challenge that requires critical resolution all over the world. Despite this worrying sexual phenomenon, research pertaining to prevention information and related services in Sub-Saharan nations like Ghana is sparse. This study sought to determine the influence of access to pregnancy prevention information and services on adolescent pregnancy in the Komenda-Edina-Eguafo-Abrem Municipality in the Central Region of Ghana. Methods and Results: Adopting a matched case-control research design with a 1:1 mapping, female adolescents aged between 15 and 19 years in the KEEA Municipality were selected using a facility based sampling technique. Results from both bivariate and multivariate analyses revealed that non-pregnant adolescents were about two times more likely to have access to pregnancy prevention information from health workers compared to pregnant adolescents [OR = 0.57, 95% CI = (0.33-0.96), p = 0.036]. Likewise, pregnant adolescents were five times more likely to have access to pregnancy prevention information from media compared to non-pregnant adolescents [OR = 5.44, 95% CI = (2.64-11.23), p = 0.000]. Additionally, non-pregnant adolescents were two times more likely to receive information on pregnancy prevention from school compared to pregnant adolescents [OR = 0.48, 95% CI = (0.28-0.81), p = 0.006]. Conclusion: Sexuality and reproductive health (SRH) programme organizers should target specific intervention programmes that focus on training health workers and/or other analogous staff to enhance their awareness, attitudes, and skills to more effectively meet with the specific needs of adolescents. Specific health workers training and redesign of health facilities to foster more adolescent user friendly working environment (e.g., extension in operational times, reduction in fees of SRH services, transforming physical design to promote privacy or confidentiality) ought to be encouraged. Different media outreach programmes should also combine other community level events [e.g., Ahinkorah et al. Adolescent Pregnancy Prevention Information and Services informative methods through schools (e.g., focus group discussions, participatory learning), assisting connections to health services, community information network (e.g., use of sirens)] to provide well-tailored advocacy that would help modify SRH and sociocultural norms that hinder positive sexual behaviors among young people.

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“…As reported in previous studies, [22,45,46] the current study found that adolescents would prefer, in decreasing order of importance, friends, social and mass media, and parents as their sources of SRH information. They feel free to discuss and share any information with their friends, and in the process, learn how to avoid negative results associated with sexual activities [47,48]. The popularity of friends and the internet among adolescents were reinforced by the position of the different stakeholders on the relative values of the various information platforms to adolescents in this study.…”

Section: Appropriateness Of Sources Of Informationmentioning

confidence: 79%

Assessing Current And Preferred Sources Of Information On Adolescents’ Sexual And Reproductive Health In Southeast Nigeria: Improving Adolescent Health Programming

Agu

Mbachu

Agu

et al. 2020

Preprint

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Background: Many adolescents lack appropriate information about their sexual and reproductive health (SRH). Although there are numerous information on SRH, they vary in content and quality, and these have implications for the accuracy and appropriateness of SRH information adolescents can access. This study examined the sources of SRH information for adolescents, the value adolescents place on these sources and their significance for adolescent health programming.Method: This was a mixed methods, community-based, cross-sectional study that was conducted in six local government areas in Ebonyi state, Nigeria. Quantitative data were collected using pre-tested questionnaire that was administered to 1057 unmarried adolescents aged 13-18 years. The qualitative data were: Seventy-seven in-depth interviews (IDIs) with stakeholders; twelve (12) focus group discussions (FGDs) with adolescents; and six FGDs with village head. Descriptive and inferential analyses were performed for quantitative data using Stata software while thematic framework approach was used to analyze qualitative data.Result: It was found that 60.5% and 39.8% of adolescents reported that school teachers and mothers respectively were their major sources of information about pubertal changes, while teachers (36.3%) and friends (29.8%) were the commonest sources of information on relationship with opposite sex. There were statistically significant associations between sources of information about relationships and age category (p≤0.09). Additional common sources of SRH information elicited through IDIs with adolescents include internet, social media and mass media. Although adolescents valued the information provided by teachers and parents, they preferred information on SRH from their friends/peers, social media and mass media because these sources are easy to access with a guarantee of some level of confidentiality. In the opinion of parents and other stakeholders, sources of appropriate SRH information for adolescents were health workers, teachers, parents and adult family members; whereas peers/friends and social media were considered as inappropriate sources of SRH information for adolescents.Conclusion: Efforts at addressing the need of adolescents for SRH information should be targeted at their valued and preferred sources, whilst maintaining a delicate balance with the choices and expectations of their parents and adult family members.

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Sexual and reproductive health information sources preferred by out-of-school adolescents in rural southwest Uganda

Cited by 31 publications

References 11 publications

Prevalence of factors related to active reproductive health behavior: a cross-sectional study Indonesian adolescent

Prevalence of factors related to active reproductive health behavior: a cross-sectional study Indonesian adolescent

Access to Adolescent Pregnancy Prevention Information and Services in Ghana: A Community-Based Case-Control Study

Assessing Current And Preferred Sources Of Information On Adolescents’ Sexual And Reproductive Health In Southeast Nigeria: Improving Adolescent Health Programming

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