PDF(Pubmed)
Abstract：
BACKGROUND: Adequate literacy in reproductive and sexual health is essential for adolescents to obtain, comprehend, evaluate and apply information necessary for making well-informed decisions, as low literacy leads to harmful decision-making, risk-taking and poorer health and self-management. These factors increase the magnitude and severity of problems related to sexuality and reproduction, including unintended pregnancy, HIV/sexually transmitted infections, unsafe abortion and death. However, information regarding the status and affecting factors of literacy in the reproductive and sexual health of adolescents is scarce.
OBJECTIVE: To assess reproductive and sexual health literacy status and associated factors among late-adolescent high school students.
METHODS: A cross-sectional, institution-based study.
METHODS: The study included eight secondary schools in Arba Minch town (Gamo Zone) and three in Sawla town (Gofa Zone) in the South Ethiopia Region.
METHODS: The study was done between 20 May and 20 June 2023, among late adolescent high school students. Using multistage sampling, 577 students were recruited. Reproductive health literacy was assessed using the Health Literacy Measure for Adolescents tool. Data were loaded into EpiData-V.3.1 and analysed using SPSS-V.25. Binary logistic regression analyses were used to identify associated factors. Variables with a p value <0.25 in bivariable logistic regression were candidates for multivariable logistic regression. A Hosmer-Lemeshow goodness-of-fit statistic was checked and satisfied. Statistical significance was indicated at a p value<0.05.
RESULTS: The proportion of students with limited reproductive and sexual health literacy was 69.6% (CI 65.3% to 72.8%). The limited literacy status was significantly associated with school type (public school AOR 0.28 (0.17 to 0.46)), mother\'s occupation (merchant AOR 0.42 (0.23 to 0.76)), family monthly income (income 10 000-20 000 birr AOR 0.45 (0.22 to 0.95)), having regular physical exercise >30 min (more than once per week, AOR 0.44 (0.23 to 0.84)), and knowledge about condoms (poor AOR 2.23 (1.38 to 3.64)).
CONCLUSIONS: A notable segment of adolescents exhibited limited reproductive and sexual health literacy. The result emphasises the necessity of all relevant parties to work diligently to guarantee that school adolescents can easily obtain, comprehend, evaluate and use reproductive and sexuality-related information.
OBJECTIVE: To assess reproductive and sexual health literacy status and associated factors among late-adolescent high school students.
METHODS: A cross-sectional, institution-based study.
METHODS: The study included eight secondary schools in Arba Minch town (Gamo Zone) and three in Sawla town (Gofa Zone) in the South Ethiopia Region.
METHODS: The study was done between 20 May and 20 June 2023, among late adolescent high school students. Using multistage sampling, 577 students were recruited. Reproductive health literacy was assessed using the Health Literacy Measure for Adolescents tool. Data were loaded into EpiData-V.3.1 and analysed using SPSS-V.25. Binary logistic regression analyses were used to identify associated factors. Variables with a p value <0.25 in bivariable logistic regression were candidates for multivariable logistic regression. A Hosmer-Lemeshow goodness-of-fit statistic was checked and satisfied. Statistical significance was indicated at a p value<0.05.
RESULTS: The proportion of students with limited reproductive and sexual health literacy was 69.6% (CI 65.3% to 72.8%). The limited literacy status was significantly associated with school type (public school AOR 0.28 (0.17 to 0.46)), mother\'s occupation (merchant AOR 0.42 (0.23 to 0.76)), family monthly income (income 10 000-20 000 birr AOR 0.45 (0.22 to 0.95)), having regular physical exercise >30 min (more than once per week, AOR 0.44 (0.23 to 0.84)), and knowledge about condoms (poor AOR 2.23 (1.38 to 3.64)).
CONCLUSIONS: A notable segment of adolescents exhibited limited reproductive and sexual health literacy. The result emphasises the necessity of all relevant parties to work diligently to guarantee that school adolescents can easily obtain, comprehend, evaluate and use reproductive and sexuality-related information.
摘要：
背景：适当的生殖和性健康素养对于青少年获得，理解,评估和应用做出明智决策所需的信息，由于低识字率导致有害的决策，冒险和较差的健康和自我管理。这些因素增加了与性和生殖有关的问题的规模和严重程度，包括意外怀孕,艾滋病毒/性传播感染，不安全的堕胎和死亡。然而,关于青少年生殖健康和性健康识字状况和影响因素的信息很少。
目的：评估青春期后期高中生的生殖和性健康素养状况及其相关因素。
方法：横截面，基于机构的研究。
方法：该研究包括埃塞俄比亚南部地区ArbaMinch镇（Gamo区）的8所中学和Sawla镇（Gofa区）的3所中学。
方法：这项研究是在2023年5月20日至6月20日之间进行的，对象是青春期晚期的高中生。使用多级采样，招募了577名学生。使用青少年健康素养测量工具评估生殖健康素养。将数据加载到EpiData-V.3.1中并使用SPSS-V.25进行分析。二元logistic回归分析用于确定相关因素。双变量逻辑回归中p值<0.25的变量是多变量逻辑回归的候选变量。检查并满足了Hosmer-Lemeshow拟合优度统计数据。在p值<0.05时显示统计学显著性。
结果：生殖和性健康素养有限的学生比例为69.6％（CI为65.3％至72.8％）。有限的识字状态与学校类型显着相关（公立学校AOR0.28（0.17至0.46）），母亲的职业(商人AOR0.42(0.23至0.76))，家庭月收入（收入10000-20000比尔AOR0.45（0.22至0.95）），有规律的体育锻炼>30分钟(每周超过一次，AOR0.44（0.23至0.84）），和有关避孕套的知识（差AOR2.23（1.38至3.64））。
结论：明显的青少年表现出有限的生殖和性健康素养。结果强调，所有相关各方都必须努力工作，以确保学校青少年能够轻松获得，理解,评估和使用生殖和性相关信息。
目的：评估青春期后期高中生的生殖和性健康素养状况及其相关因素。
方法：横截面，基于机构的研究。
方法：该研究包括埃塞俄比亚南部地区ArbaMinch镇（Gamo区）的8所中学和Sawla镇（Gofa区）的3所中学。
方法：这项研究是在2023年5月20日至6月20日之间进行的，对象是青春期晚期的高中生。使用多级采样，招募了577名学生。使用青少年健康素养测量工具评估生殖健康素养。将数据加载到EpiData-V.3.1中并使用SPSS-V.25进行分析。二元logistic回归分析用于确定相关因素。双变量逻辑回归中p值<0.25的变量是多变量逻辑回归的候选变量。检查并满足了Hosmer-Lemeshow拟合优度统计数据。在p值<0.05时显示统计学显著性。
结果：生殖和性健康素养有限的学生比例为69.6％（CI为65.3％至72.8％）。有限的识字状态与学校类型显着相关（公立学校AOR0.28（0.17至0.46）），母亲的职业(商人AOR0.42(0.23至0.76))，家庭月收入（收入10000-20000比尔AOR0.45（0.22至0.95）），有规律的体育锻炼>30分钟(每周超过一次，AOR0.44（0.23至0.84）），和有关避孕套的知识（差AOR2.23（1.38至3.64））。
结论：明显的青少年表现出有限的生殖和性健康素养。结果强调，所有相关各方都必须努力工作，以确保学校青少年能够轻松获得，理解,评估和使用生殖和性相关信息。
