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Abstract：
UNASSIGNED: To explore factors associated with adolescents\' sexual and reproductive health (SRH) knowledge and their engagement with educational and clinical services.
UNASSIGNED: Regression analysis of secondary data collected during a community survey.
UNASSIGNED: Adaklu district, Volta Region, Ghana.
UNASSIGNED: 221 adolescent caregiver pairs.
UNASSIGNED: The study employed three main outcome measures: (1) adolescents\' level of SRH knowledge (assessed via questionnaire), (2) membership in district-sponsored adolescent health clubs (AHCs), and (3) ever-utilization of clinical SRH services.
UNASSIGNED: Greater SRH knowledge was significantly associated with older age, AHC membership, and relying primarily on teachers or friends for SRH information. Increased odds of AHC membership were observed among females (AOR = 2.38, 95% CI 1.14-4.95); those who had communicated with one parent about sexual issues (OR 2.70, 95% CI 1.17-6.21); and those with a history of transactional sex (OR 5.53, 95% CI 1.04-29.37). Decreased odds were observed among adolescents whose caregivers were educated to the primary level (AOR = 0.24, 95% CI = 0.07-0.79). Overall, utilization of clinical SRH services was low, but higher odds were detected among individuals reporting a history of forced sex (AOR = 117.07, 95% CI 3.82-3588.52) and those who had discussed sexual issues with both of their parents (AOR = 13.11, 95% CI 1.85-92.93).
UNASSIGNED: Awareness of the predictors of knowledge, AHC involvement, and clinical service utilization can empower adolescent SRH initiatives-both present and future-to enhance their teaching, develop targeted outreach to underserved groups, and promote engagement with key clinical resources.
UNASSIGNED: This work has been supported by grants from the International Development Research Centre [108936] (IDRC), Canada.
UNASSIGNED: Regression analysis of secondary data collected during a community survey.
UNASSIGNED: Adaklu district, Volta Region, Ghana.
UNASSIGNED: 221 adolescent caregiver pairs.
UNASSIGNED: The study employed three main outcome measures: (1) adolescents\' level of SRH knowledge (assessed via questionnaire), (2) membership in district-sponsored adolescent health clubs (AHCs), and (3) ever-utilization of clinical SRH services.
UNASSIGNED: Greater SRH knowledge was significantly associated with older age, AHC membership, and relying primarily on teachers or friends for SRH information. Increased odds of AHC membership were observed among females (AOR = 2.38, 95% CI 1.14-4.95); those who had communicated with one parent about sexual issues (OR 2.70, 95% CI 1.17-6.21); and those with a history of transactional sex (OR 5.53, 95% CI 1.04-29.37). Decreased odds were observed among adolescents whose caregivers were educated to the primary level (AOR = 0.24, 95% CI = 0.07-0.79). Overall, utilization of clinical SRH services was low, but higher odds were detected among individuals reporting a history of forced sex (AOR = 117.07, 95% CI 3.82-3588.52) and those who had discussed sexual issues with both of their parents (AOR = 13.11, 95% CI 1.85-92.93).
UNASSIGNED: Awareness of the predictors of knowledge, AHC involvement, and clinical service utilization can empower adolescent SRH initiatives-both present and future-to enhance their teaching, develop targeted outreach to underserved groups, and promote engagement with key clinical resources.
UNASSIGNED: This work has been supported by grants from the International Development Research Centre [108936] (IDRC), Canada.
摘要：
■探讨与青少年性健康和生殖健康（SRH）知识及其对教育和临床服务的参与有关的因素。
■对社区调查期间收集的二级数据进行回归分析。
■Adaklu区，VoltaRegion,加纳。
■221对青少年照顾者。
■该研究采用了三个主要结果指标：（1）青少年的SRH知识水平（通过问卷调查评估），（2）地区赞助的青少年健康俱乐部（AHC）的成员资格，(3)临床SRH服务的不断利用。
■更多的SRH知识与年龄显着相关，AHC成员，主要依靠老师或朋友获取SRH信息。在女性中观察到AHC成员的几率增加（AOR=2.38，95％CI1.14-4.95）；与一位父母就性问题进行交流的人（OR2.70，95％CI1.17-6.21）；以及有性交易史的人（OR5.53，95％CI1.04-29.37）。在照顾者受过初级教育的青少年中观察到几率降低（AOR=0.24，95％CI=0.07-0.79）。总的来说,临床SRH服务利用率低，但在报告有强迫性行为史的个体(AOR=117.07,95%CI3.82-3588.52)和曾与父母双方讨论过性行为问题的个体(AOR=13.11,95%CI1.85-92.93)中检测到较高的几率.
■对知识预测因子的认识，AHC参与，和临床服务的利用可以增强青少年SRH倡议-现在和未来-以加强他们的教学，向服务不足的群体发展有针对性的外联，并促进与关键临床资源的接触。
■这项工作得到了国际发展研究中心[108936]（IDRC）的资助，加拿大。
■对社区调查期间收集的二级数据进行回归分析。
■Adaklu区，VoltaRegion,加纳。
■221对青少年照顾者。
■该研究采用了三个主要结果指标：（1）青少年的SRH知识水平（通过问卷调查评估），（2）地区赞助的青少年健康俱乐部（AHC）的成员资格，(3)临床SRH服务的不断利用。
■更多的SRH知识与年龄显着相关，AHC成员，主要依靠老师或朋友获取SRH信息。在女性中观察到AHC成员的几率增加（AOR=2.38，95％CI1.14-4.95）；与一位父母就性问题进行交流的人（OR2.70，95％CI1.17-6.21）；以及有性交易史的人（OR5.53，95％CI1.04-29.37）。在照顾者受过初级教育的青少年中观察到几率降低（AOR=0.24，95％CI=0.07-0.79）。总的来说,临床SRH服务利用率低，但在报告有强迫性行为史的个体(AOR=117.07,95%CI3.82-3588.52)和曾与父母双方讨论过性行为问题的个体(AOR=13.11,95%CI1.85-92.93)中检测到较高的几率.
■对知识预测因子的认识，AHC参与，和临床服务的利用可以增强青少年SRH倡议-现在和未来-以加强他们的教学，向服务不足的群体发展有针对性的外联，并促进与关键临床资源的接触。
■这项工作得到了国际发展研究中心[108936]（IDRC）的资助，加拿大。
