性健康和生殖健康权利(SRHR)是每个人享有可达到的最高身心健康标准的权利的组成部分,但是他们是最不发达和最不被理解的权利领域,尤其是在非洲,包括埃塞俄比亚。实施妇女的SRHR对于实现性别平等和促进妇女权利至关重要。丈夫的知识和参与在改善妇女的SRHR实践中起着重要作用。然而,关于埃塞俄比亚西北部丈夫的知识和参与程度的信息/数据有限,包括BahirDar市.因此,这项研究旨在评估丈夫的知识,参与,以及影响她们参与女性SRHR的因素。
■基于社区的横断面研究设计于2023年3月20日至4月5日在巴希尔达尔市进行,埃塞俄比亚西北部,391名丈夫。多阶段抽样和简单随机抽样技术用于选择kebeles和研究参与者,分别。使用结构化和预先测试的问卷对参与者进行了面对面的采访。二元logistic回归用于识别相关因素,p值<0.05是宣布有统计学意义的截止点。
■在这项研究中,50.6%(198/391)的丈夫对妻子的SRHR有很好的了解,44.2%(173/391)(95%CI,39.3-49.1%)的丈夫在妻子练习SRHR时参与其中。获得有关性健康的培训/教育[AOR=5.99;95%CI(2.7-13.2)],丈夫的高级教育水平[AOR=8.81;95%CI(2.04-38)],良好的SRHR知识[AOR=7.94;95%CI(4.3-14.4)],月收入低(<4,600比尔)[AOR=9.25;95%CI(4.2-20.5)],并与家人和朋友就SRHR进行了公开讨论[AOR=1.92;95%CI(1.01-3.6)],发现与丈夫的参与有显著关联.
■丈夫对女性SRHR及其参与的知识水平仍然很低。因此,负责任的有关机构需要制定有助于提高男性参与度和知识的战略,并解决上述影响他们参与的因素。
Sexual and reproductive health rights (SRHRs) are integral elements of the rights of everyone to the highest attainable standard of physical and mental health, but they are the most underdeveloped and least understood sphere of rights, especially in Africa, including the country of Ethiopia. The implementation of women\'s SRHRs is essential for achieving gender equality and promoting women\'s rights. Husbands\' knowledge and involvement play a significant role in improving women\'s practice of their SRHRs. However, there is limited information/data about the level of husbands\' knowledge and involvement in Northwest Ethiopia, including Bahir Dar City. Therefore, this study aimed to assess husbands\' knowledge, involvement, and factors influencing their involvement in women\'s SRHRs.
Community-based cross-sectional study design was conducted from March 20 to April 5, 2023, in Bahir Dar City, Northwest Ethiopia, among 391 husbands. Multi-stage sampling and simple random sampling technique were applied to select kebeles and study participants, respectively. Participants were interviewed face-to-face using structured and pretested questionnaire. Binary logistic regression was applied to identify associated factors, and a p-value of <0.05 was a cutoff point to declare statistical significance.
In this study, 50.6% (198/391) of the husbands had good knowledge about their wives\' SRHRs and 44.2% (173/391) (95% CI, 39.3-49.1%) of the husbands were involved when their wives practiced their SRHRs. Access training/education about sexual health [AOR = 5.99; 95% CI (2.7-13.2)], husbands\' advance educational level [AOR = 8.81; 95% CI (2.04-38)], good knowledge about SRHRs [AOR = 7.94; 95% CI (4.3-14.4)], low monthly income (<4,600 birr) [AOR = 9.25; 95% CI (4.2-20.5)], and had open discussion with family members and friends about SRHRs [AOR = 1.92; 95% CI (1.01-3.6)] were found to have significant association with husbands\' involvement.
Husbands\' level of knowledge on SRHRs of women and their involvement remain low. Therefore, responsible concerned bodies need to work on the strategies that help to improve men involvement and knowledge, and tackle the above-mentioned factors influencing their involvement.