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Does Youth-Friendly Service Intervention Reduce Risky Sexual Behavior in Unmarried Adolescents? A Comparative Study in West Gojjam Zone, Northwest Ethiopia
BACKGROUND: Risky sexual behavior established during adolescence adversely affect young people’s health and well-being. Youth-friendly services (YFS) programs are believed to improve the sexual and reproductive health of adolescents. Little is known about the effect of YFS programs on adolescents’ s...
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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Dove
2020
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7402857/ https://www.ncbi.nlm.nih.gov/pubmed/32801968 http://dx.doi.org/10.2147/RMHP.S254685 |
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author | Mekonnen Munea, Alemtsehay Alene, Getu Degu Debelew, Gurmesa Tura |
author_facet | Mekonnen Munea, Alemtsehay Alene, Getu Degu Debelew, Gurmesa Tura |
author_sort | Mekonnen Munea, Alemtsehay |
collection | PubMed |
description | BACKGROUND: Risky sexual behavior established during adolescence adversely affect young people’s health and well-being. Youth-friendly services (YFS) programs are believed to improve the sexual and reproductive health of adolescents. Little is known about the effect of YFS programs on adolescents’ sexual behavior in Ethiopia. Therefore, this study assessed the sexual behavior of unmarried adolescents in YFS-program and nonprogram areas and factors contributing to their sexual behavior in West Gojjam Zone, Northwest Ethiopia. METHODS: This community-based comparative cross-sectional study was conducted among 1,125 randomly selected unmarried adolescents (545 from program areas and 580 from nonprogram areas) in June 2018. Data were collected in face-to-face interviews using a pretested questionnaire and analyzed using SPSS version 21. Between groups, comparisons were made using χ(2) and t-tests. A hierarchical logistic regression model was employed to identify important variables explaining risky sexual behavior. RESULTS: Of all respondents, 305 (27.1%) had risky sexual behavior, which was comparable between the YFS-program and nonprogram areas (25.0% vs 29.1%, p=0.12). Including YFS program-related variables in the hierarchical regression model did not improve the explanation of risky sexual behavior over the individual attributes. On the other hand, including interpersonal-related variables (eg, with parents) significantly improved the explanation of risky sexual behavior over and above individual attributes and YFS program–related variables. A point increase in parent–adolescent communication score reduced risky sexual behavior by 20% (AOR 0.80, 95% CI 0.75–0.85). Being female, being older, having knowledge on family planning and HIV, out of school, and watching pornography were associated with higher odds of engaging in risky sexual behavior. CONCLUSION: Risky sexual behavior was comparable between settings. Parent–adolescent communication about sexual and reproductive health issues is more important in predicting adolescents’ risky sexual behavior than other variables. Therefore, interventions should give emphasis to parent–adolescent communication to reduce adolescents’ risky sexual behavior. |
format | Online Article Text |
id | pubmed-7402857 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Dove |
record_format | MEDLINE/PubMed |
spelling | pubmed-74028572020-08-14 Does Youth-Friendly Service Intervention Reduce Risky Sexual Behavior in Unmarried Adolescents? A Comparative Study in West Gojjam Zone, Northwest Ethiopia Mekonnen Munea, Alemtsehay Alene, Getu Degu Debelew, Gurmesa Tura Risk Manag Healthc Policy Original Research BACKGROUND: Risky sexual behavior established during adolescence adversely affect young people’s health and well-being. Youth-friendly services (YFS) programs are believed to improve the sexual and reproductive health of adolescents. Little is known about the effect of YFS programs on adolescents’ sexual behavior in Ethiopia. Therefore, this study assessed the sexual behavior of unmarried adolescents in YFS-program and nonprogram areas and factors contributing to their sexual behavior in West Gojjam Zone, Northwest Ethiopia. METHODS: This community-based comparative cross-sectional study was conducted among 1,125 randomly selected unmarried adolescents (545 from program areas and 580 from nonprogram areas) in June 2018. Data were collected in face-to-face interviews using a pretested questionnaire and analyzed using SPSS version 21. Between groups, comparisons were made using χ(2) and t-tests. A hierarchical logistic regression model was employed to identify important variables explaining risky sexual behavior. RESULTS: Of all respondents, 305 (27.1%) had risky sexual behavior, which was comparable between the YFS-program and nonprogram areas (25.0% vs 29.1%, p=0.12). Including YFS program-related variables in the hierarchical regression model did not improve the explanation of risky sexual behavior over the individual attributes. On the other hand, including interpersonal-related variables (eg, with parents) significantly improved the explanation of risky sexual behavior over and above individual attributes and YFS program–related variables. A point increase in parent–adolescent communication score reduced risky sexual behavior by 20% (AOR 0.80, 95% CI 0.75–0.85). Being female, being older, having knowledge on family planning and HIV, out of school, and watching pornography were associated with higher odds of engaging in risky sexual behavior. CONCLUSION: Risky sexual behavior was comparable between settings. Parent–adolescent communication about sexual and reproductive health issues is more important in predicting adolescents’ risky sexual behavior than other variables. Therefore, interventions should give emphasis to parent–adolescent communication to reduce adolescents’ risky sexual behavior. Dove 2020-07-31 /pmc/articles/PMC7402857/ /pubmed/32801968 http://dx.doi.org/10.2147/RMHP.S254685 Text en © 2020 Mekonnen Munea et al. http://creativecommons.org/licenses/by-nc/3.0/ This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License (http://creativecommons.org/licenses/by-nc/3.0/). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms (https://www.dovepress.com/terms.php). |
spellingShingle | Original Research Mekonnen Munea, Alemtsehay Alene, Getu Degu Debelew, Gurmesa Tura Does Youth-Friendly Service Intervention Reduce Risky Sexual Behavior in Unmarried Adolescents? A Comparative Study in West Gojjam Zone, Northwest Ethiopia |
title | Does Youth-Friendly Service Intervention Reduce Risky Sexual Behavior in Unmarried Adolescents? A Comparative Study in West Gojjam Zone, Northwest Ethiopia |
title_full | Does Youth-Friendly Service Intervention Reduce Risky Sexual Behavior in Unmarried Adolescents? A Comparative Study in West Gojjam Zone, Northwest Ethiopia |
title_fullStr | Does Youth-Friendly Service Intervention Reduce Risky Sexual Behavior in Unmarried Adolescents? A Comparative Study in West Gojjam Zone, Northwest Ethiopia |
title_full_unstemmed | Does Youth-Friendly Service Intervention Reduce Risky Sexual Behavior in Unmarried Adolescents? A Comparative Study in West Gojjam Zone, Northwest Ethiopia |
title_short | Does Youth-Friendly Service Intervention Reduce Risky Sexual Behavior in Unmarried Adolescents? A Comparative Study in West Gojjam Zone, Northwest Ethiopia |
title_sort | does youth-friendly service intervention reduce risky sexual behavior in unmarried adolescents? a comparative study in west gojjam zone, northwest ethiopia |
topic | Original Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7402857/ https://www.ncbi.nlm.nih.gov/pubmed/32801968 http://dx.doi.org/10.2147/RMHP.S254685 |
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