Adolescent Communication to their Parents on Sexual and Reproductive issues and Associated Factors Among Secondary School Students in Meki Town, East Shoa, Oromia, Ethiopia: Mixed Method Study 2023
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Date
2023
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Addis Ababa Unaiversity
Abstract
BACKGROUND: Adolescents are more vulnerable than any other age group to a range of sexual and reproductive health problems. Adolescents are exposed to various sexual and reproductive risks due to lack of communication with their parents, such as early-unprotected sex, early pregnancy, school dropout, sexually transmitted Infections (STIs) and human immune virus (HIV).
OBJECTIVES: To assess adolescent parent sexual and reproductive health communication and associated factors among secondary school students in Meki town, East Shoa, Oromia, Ethiopia 2023.
METHODS: Institution based convergent mixed method was applied. The study was conducted from February 20- March 20/2023 among 392 students at Meki town. The quantitative data was collected using pretested structured self-administered questionnaire by systematic sampling technique. Data was entered using EPI data version 4.6.0.6 and then transport to SPSS window
version 25 for statistical analysis. The association was determined using 95% CI and p value (<0.05) for multivariable logistic regression. The qualitative data was collected using interview guides(open-ended). The response was tape-recorded. In-depth interview was conducted among purposively selected parents. Thematic analysis was used using Atlas ti 9 software.
Result: The proportion of respondents who had communicated with their parents regarding SRH issues on at least two components was 156 (39.8%). Being grade 10 student (AOR = 0.44: 95% CI; 0.225-0.862), merchant mothers (AOR =2.76: 95% CI; 1.36-5.62), attitude toward SRH (AOR= 0.182 95% CI, 0.1-0.333), adolescent had SRH information (AOR=3.28; 95% CI 1.3-
8.23) and knowledge of SRH issues (AOR=1.75: 95% CI: 1.03-2.98) were significantly associated. Five themes were discussing about SRH components, Source of SRH information,approach to Improve SRH discussion, SRH reason and challenges for not discussing and SRH discussion age and satisfaction.
Conclusion and Recommendation: There was insufficient adolescent-parent communication regarding SRH components. The main reason from both quantitative and qualitative study was cultural barriers, fear of parent response, lack of trust in adolescent, morally unacceptable and shame to talk. The Ministry of Health has to give focus and facilitate health care professional, different government sector, and nongovernmental organization to work on it.
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Keywords
Communication, Sexual and Reproductive Health, Adolescent, Parent, Meki