Pediatric Nursing

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Browsing Pediatric Nursing by Subject "Adolescents"

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    Assessment of Factors Affecting Parents in Discussing Reproductive Health Issue with their Adolescent in Shambo town, Horo Guduru Wollega, Oromiya Region, Ethiopia, May 2009
    (Addis Ababa University, 2009-07) Assebe, Tesfaye; Gebrekidan, Berhane (Assistant Professor)
    Background: - even though sexual activity put adolescents at risk of various reproductive health (RH) challenges, many adolescent lack strong stable relation ships with parents or other adults with whom they talk to get information about their RH concern. Objectives: - The general objective of the study is to identify factors affecting parents in discussing reproductive health issues with their adolescent. Method: - Community based cross-sectional study was designed to determine factors affecting parents in discussing RH issue with their adolescents among families who had children aged 10 years and above living in Shambo town conducted in May 2009. A total of 262 house holds were selected using systematic sampling technique. Data was collected using structured questionnaire by six data collectors from resident of Shamboo town. Data was analyzed by SPSS soft ware version 15.0. Descriptive statistics was employed to describe the study population in relation to relevant variables. Odds ratio with 95% confidence intervals and regression was employed to describe the strength of association between the selected study variables by controlling for the effect of possible confounders Result and discussion: - The study showed that most respondent 84.6% were found to be knowledgeable about reproductive health and also the majority 90% had positive attitude towards discussing the RH issue with their adolescent. However, small proportions 38.2% have communicated to their adolescent on reproductive health issue. Educational level, knowledge, and attitude of parents had significant association with discussion of parents with their adolescents on RH issues. Conclusion and recommendation: - It can be concluded that, even though parents had basic information on RH, they did not practice in discussing RH issue with their adolescent. It is recommended that health workers in helping parents to become effective communicator to their adolescent as well as considering their role of educator should be considered
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    Assessment of Sexual Behavior And Knowledge of Sti And Hiv/Aids Among High School Adolescents in Jardega Jarte Woreda, Oromia Regional State, Ethiopia, 2014
    (Addis Ababa University, 2014-06) Bekele, Kumera; Ayalew, Yohannes(PhD)
    Background: Today, adolescents are recognized as groups with special health-related vulnerabilities .They are exposed to various risks such as unprotected sex, early marriage, early pregnancy, sexually transmitted infections (STIs) and HIV/AIDS. Many adolescents are sexually active. These sexual activities put adolescents at risk of various reproductive health problems including STI and HIV/AIDS.STIs have occurred mostly among young people, with the highest reported rates found among those aged 15-24 years. Objective: The major objective of this study is to assess the sexual behavior and the knowledge of STI and HIV/AIDS among high school adolescents. Method: A cross-sectional study was conducted on 562 adolescents using a pre tested questionnaires from March to April 2014, among two high schools, in Jardega Jarte woreda, Horo Guduru Wollega zone, west Oromia regional state. Result: From the total respondents, 38.6 % ( 53% of male and 47% of female) of adolescents had experienced sexual activity. Among those, only 46.6% of them had used condom the first time they had sexual intercourse. The mean age at first sexual intercourse was 16.24 (16.24 ± 0.682) for male and 15.40 (15.40±0.796) for females. From all sexually active adolescents, 92.2% (97.2% of boys and 86.7% of the girls) had their first sexual intercourse between the ages of 15 and17 years. The reasons cited for the initiation of their first sexual intercourse were fall in love (37.9%), had desire, 74 (36%), peer pressure, 30 (14.5%), were drunk, 12 (5.8%), to get money or gifts, 5 (2.4%), rape, 4(1.9%), and got married, 2 (0.9%). Among all adolescents, 45.7% of students have heard about sexual intercourse other than vaginal while 54.3% of students have not heard. 98.9% of the respondents claimed to have ever heard about sexually transmitted diseases (STIs), of which, HIV/AIDS (96.6%), gonorrhea (75.8%), Syphilis, (74.3%) and Chancroids (40.1%), were the most commonly known types of STI. The most commonly cited sources of information for HIV/AIDS were media, such as radio and TV, (78.3%), school clubs,(74.5%) and followed by school teachers, (62.9%). The majority of the adolescents mentioned the modes of HIV/AIDS transmission to be through unprotected sexual intercourse (96.4%), sharing contaminated instruments (81.8%) followed by from mother to child (68.4). Conclusions and recommendations: from this study, one can conclude that substantial proportion of the adolescents ever had sexual intercourse was higher. Moreover adolescents are practicing risky sexual behaviors such as unprotected sex, multiple sexual partners, and sex at early age. Therefore, an integrated effort needs to be initiated to address such adolescents’ sexual and reproductive health problems through establishing and strengthening school anti AIDS clubs, providing in service training for teachers on adolescent reproductive health and establishing youth centers