Factors Associated with Parent-Adolescent Communication on Sexual and Reproductive Health Issues Among Secondary and Preparatory School Students in Mekelle City, North Ethiopia

Zemenu Yohannes; Yonas Girma; Shimels Hussien; Bazezew Fekad

doi:doi:10.11648/j.sd.20150306.13

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Factors Associated with Parent-Adolescent Communication on Sexual and Reproductive Health Issues Among Secondary and Preparatory School Students in Mekelle City, North Ethiopia

Zemenu Yohannes, Yonas Girma, Shimels Hussien, Bazezew Fekad

Published in Science Discovery (Volume 3, Issue 6)

Received: 11 July 2015 Accepted: 25 July 2015 Published: 16 October 2015

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Abstract

Background: Adolescence is a period of transition from childhood to adulthood where new behaviors are more easily learned than when in adulthood. sexual and reproductive health are among the most essential aspects of life for adolescents, but due to cultural taboo and political sensitivities, they often obtain little attention in public health policy discussion. In Ethiopia, sexual and reproductive health problems of adolescents are increasing from time to time and this is related with most parents do not feel happy to discuss about sexual issues with their adolescents and early sexual commencement. Therefore, the aim of this study was to identify factors affecting parent adolescent communication on sexual and reproductive health issues among Secondary and Preparatory school students in Mekelle city, North Ethiopia. Method: School based Cross sectional study was conducted among high school students in Mekelle city from August 1 to 30, 2014. High school students in Mekelle of age 10-19 years enrolled in grade 9th-12th for the academic year 2013-2014 was selected from the source population using multistage sampling. Simple random sampling technique was used to select 537 Students from 9th–12th grades. Data were entered using Epi Info version 3.5.1 was exported and analyzed by SPSS version 20. Bivariate and multivariate logistic regressions were used to identify independent predictors of adolescent- parent communications. Results: More than half (57.6%) respondents had discussed on sexual and reproductive health issues with their parents. In the multivariate analysis adolescents who had illiterate mother were found to be 0.43 and 0.46 times less likely to have communication on sexual and reproductive health issues than such adolescent with mothers who have attained secondary and higher degree and/or qualification, respectively (AOR=0.43; 95% CI: 0.22-0.84) and (AOR=0.46; 95%CI: 0.24-0.89).Those adolescents communicate HIV/AIDS with relatives (aunts, uncles, grand-mothers and grand-fathers) 4 times more likely to discuss sexual and reproductive health issues than such adolescents who communicate with peers (AOR=3.94, 95%CI: 1.98, 7.82), These Adolescents discussed sexual intercourse 3 times more likely to communicate sexual and reproductive health than such adolescent who don’t communicate (AOR=2.88, 95%CI: 1.89-4.38). Conclusion and recommendations: In this study parent-adolescent communications on sexual and reproductive health issues were low.so that it is vital to develop a comprehensive national adolescent sexual and reproductive health and development strategy to implement in school, family and community level to increase parent-adolescent communication.

Published in	Science Discovery (Volume 3, Issue 6)
DOI	10.11648/j.sd.20150306.13
Page(s)	55-61
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2015. Published by Science Publishing Group

Keywords

Adolescent, Communication, Sexual, Reproductive Health, Parent, Ethiopia

References

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[2]	Jejeebhoy SJ: Sexual and reproductive health of young people. Expanding the research and program agenda. 2006. Available from http://hivaidsclearinghouse.unesco.org/search/resources/bie_pop_rev_jejeebhoy. Pdf accessed on May 10, 2014.
[3]	World Health Organization: Adolescent pregnancy: a culturally complex issue. Bull World Health Organ 2009, 87(6):405–484. Geneva Switzerland.
[4]	Nolin MJ, Petersen KK. Gender differences in parent-child communication about sexuality: an exploratory study. J Adolesc Research 1992; 7:59-79.
[5]	W Evans, K Davis, C Umanzor, K Patel and M Khan. “Evaluation of Sexual Communication Message Strategies.” Reproductive Health. vol. 8:15, 2011.
[6]	Hallman K: Socio-economic Disadvantage and Unsafe sexual behaviours among young men and women in South Africa. Population Council: The Population Council, Population Research Division No 190; 2004. www.popcouncil.org/publications/wp/prd/rdwplist.html. accessed date feb20,2014.
[7]	Sneha Barot: The Need for a Revitalized National Research Agenda On Sexual and Reproductive Health Guttmacher Policy Review: 14: 1, 2011.
[8]	Ministry of Health (MOH). 2004a. National Strategy for Child Survival in Ethiopia.
[9]	Federal Democratic Republic of Ethiopia Ministry of Health: National Reproductive Health Strategy 2006 – 2015. Addis Ababa, Ethiopia; 2006. www.phe-ethiopia.org/admin/uploads/attachment-161-National_RH_strat[1]. pdf. (accessed on 2/8/2014).
[10]	Berhane F, Berhane Y, Fantahun M: Adolescents’ Health service utilization pattern and preferences: consultation for reproductive health problems and mental stress are less likely. EthioP J Health Dev 2005, 19(1):29–36
[11]	Lisa D: Lieberman: early predictors of sexual behavior: implications for young adolescents and their parents. Perspect Sex Reprod Health 2006, 38(2):112–114.
[12]	CSA, ORC Macro: Ethiopian Demographic and Health Survey 2011. Addis Ababa: Central Statistical Authority of Ethiopia and Ministry of Health; 2011.
[13]	Mekelle city education bureau record and documentation 2013.
[14]	W. D. Tesso, M. Fantahun, and F. Enquselassie, “Parent-young people communication about sexual and reproductive health in East Wollega Zone, West Ethiopia: implications for interventions,” Reproductive Health, vol. 9, article 13, 2012.
[15]	Sime A, Wirtu D: Premarital sexual practice among school adolescents in Nekemte town East Wollega, Ethiop J Health Dev 2008, 22(2):167-173.
[16]	Gebre Yesus Desalegn, Fantahun Mesganaw Assessing communication on sexual and Reproductive health issues among high school Students with their parent Bullen woreda benishangul gumuz region North West Ethiopia, Ethiop J Health Dev 2010, 24(2):89-95.
[17]	Shiferaw et al.: Assessment of adolescents’ communication on sexual and reproductive health matters with parents and associated factors among secondary and preparatory schools’ students in Debremarkos town, North West Ethiopia. Reproductive Health 2014 11:2.
[18]	Ayalew et al.: Adolescent - parent communication on sexual and reproductive health issues among high school students in Dire Dawa, Eastern Ethiopia: a cross sectional study. Reproductive Health 2014 11:77.
[19]	Tesfaye et al.: Factors Affecting Parent-Adolescent Discussion on Reproductive Health Issues in Harar, Eastern Ethiopia: A Cross-Sectional Study. Hindawi Publishing Corporation Journal of Environmental and Public Health Volume 2014, Article ID 102579, 7 pages http://dx.doi.org/10.1155/2014/102579 accessed date march8 ,2014
[20]	Katrina Berg , Christina J. Sun & Stella Babalola (2012) Predictors of parent–child communication among a nationally representative sample in Nigeria, SAHARA-J: Journal of Social Aspects of HIV/AIDS: An Open Access Journal, 9:2, 95-103 http://dx.doi.org/10.1080/17290376.2012.683583 accessed date march18 ,2014
[21]	Mohammad-Reza Mohammadi, MD Siamak Alikhani, MD Farideh K. Abadi Farahani, PhD, Alireza Bahonar, PhD Parents’ Attitudes towards Adolescent Boy's Reproductive Health Needs and Practice in Tehran 2013.
[22]	W. D. Tesso, M. Fantahun, and F. Enquselassie, “Parent-young people communication about sexual and reproductive health in East Wollega Zone, West Ethiopia: implications for interventions,” Reproductive Health, vol. 9, article 13, 2012.

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APA Style

Zemenu Yohannes, Yonas Girma, Shimels Hussien, Bazezew Fekad. (2015). Factors Associated with Parent-Adolescent Communication on Sexual and Reproductive Health Issues Among Secondary and Preparatory School Students in Mekelle City, North Ethiopia. Science Discovery, 3(6), 55-61. https://doi.org/10.11648/j.sd.20150306.13

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ACS Style

Zemenu Yohannes; Yonas Girma; Shimels Hussien; Bazezew Fekad. Factors Associated with Parent-Adolescent Communication on Sexual and Reproductive Health Issues Among Secondary and Preparatory School Students in Mekelle City, North Ethiopia. Sci. Discov. 2015, 3(6), 55-61. doi: 10.11648/j.sd.20150306.13

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AMA Style

Zemenu Yohannes, Yonas Girma, Shimels Hussien, Bazezew Fekad. Factors Associated with Parent-Adolescent Communication on Sexual and Reproductive Health Issues Among Secondary and Preparatory School Students in Mekelle City, North Ethiopia. Sci Discov. 2015;3(6):55-61. doi: 10.11648/j.sd.20150306.13

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@article{10.11648/j.sd.20150306.13,
  author = {Zemenu Yohannes and Yonas Girma and Shimels Hussien and Bazezew Fekad},
  title = {Factors Associated with Parent-Adolescent Communication on Sexual and Reproductive Health Issues Among Secondary and Preparatory School Students in Mekelle City, North Ethiopia},
  journal = {Science Discovery},
  volume = {3},
  number = {6},
  pages = {55-61},
  doi = {10.11648/j.sd.20150306.13},
  url = {https://doi.org/10.11648/j.sd.20150306.13},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.sd.20150306.13},
  abstract = {Background: Adolescence is a period of transition from childhood to adulthood where new behaviors are more easily learned than when in adulthood. sexual and reproductive health are among the most essential aspects of life for adolescents, but due to cultural taboo and political sensitivities, they often obtain little attention in public health policy discussion. In Ethiopia, sexual and reproductive health problems of adolescents are increasing from time to time and this is related with most parents do not feel happy to discuss about sexual issues with their adolescents and early sexual commencement. Therefore, the aim of this study was to identify factors affecting parent adolescent communication on sexual and reproductive health issues among Secondary and Preparatory school students in Mekelle city, North Ethiopia. Method: School based Cross sectional study was conducted among high school students in Mekelle city from August 1 to 30, 2014. High school students in Mekelle of age 10-19 years enrolled in grade 9th-12th for the academic year 2013-2014 was selected from the source population using multistage sampling. Simple random sampling technique was used to select 537 Students from 9th–12th grades. Data were entered using Epi Info version 3.5.1 was exported and analyzed by SPSS version 20. Bivariate and multivariate logistic regressions were used to identify independent predictors of adolescent- parent communications. Results: More than half (57.6%) respondents had discussed on sexual and reproductive health issues with their parents. In the multivariate analysis adolescents who had illiterate mother were found to be 0.43 and 0.46 times less likely to have communication on sexual and reproductive health issues than such adolescent with mothers who have attained secondary and higher degree and/or qualification, respectively (AOR=0.43; 95% CI: 0.22-0.84) and (AOR=0.46; 95%CI: 0.24-0.89).Those adolescents communicate HIV/AIDS with relatives (aunts, uncles, grand-mothers and grand-fathers) 4 times more likely to discuss sexual and reproductive health issues than such adolescents who communicate with peers (AOR=3.94, 95%CI: 1.98, 7.82), These Adolescents discussed sexual intercourse 3 times more likely to communicate sexual and reproductive health than such adolescent who don’t communicate (AOR=2.88, 95%CI: 1.89-4.38). Conclusion and recommendations: In this study parent-adolescent communications on sexual and reproductive health issues were low.so that it is vital to develop a comprehensive national adolescent sexual and reproductive health and development strategy to implement in school, family and community level to increase parent-adolescent communication.},
 year = {2015}
}

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TY  - JOUR
T1  - Factors Associated with Parent-Adolescent Communication on Sexual and Reproductive Health Issues Among Secondary and Preparatory School Students in Mekelle City, North Ethiopia
AU  - Zemenu Yohannes
AU  - Yonas Girma
AU  - Shimels Hussien
AU  - Bazezew Fekad
Y1  - 2015/10/16
PY  - 2015
N1  - https://doi.org/10.11648/j.sd.20150306.13
DO  - 10.11648/j.sd.20150306.13
T2  - Science Discovery
JF  - Science Discovery
JO  - Science Discovery
SP  - 55
EP  - 61
PB  - Science Publishing Group
SN  - 2331-0650
UR  - https://doi.org/10.11648/j.sd.20150306.13
AB  - Background: Adolescence is a period of transition from childhood to adulthood where new behaviors are more easily learned than when in adulthood. sexual and reproductive health are among the most essential aspects of life for adolescents, but due to cultural taboo and political sensitivities, they often obtain little attention in public health policy discussion. In Ethiopia, sexual and reproductive health problems of adolescents are increasing from time to time and this is related with most parents do not feel happy to discuss about sexual issues with their adolescents and early sexual commencement. Therefore, the aim of this study was to identify factors affecting parent adolescent communication on sexual and reproductive health issues among Secondary and Preparatory school students in Mekelle city, North Ethiopia. Method: School based Cross sectional study was conducted among high school students in Mekelle city from August 1 to 30, 2014. High school students in Mekelle of age 10-19 years enrolled in grade 9th-12th for the academic year 2013-2014 was selected from the source population using multistage sampling. Simple random sampling technique was used to select 537 Students from 9th–12th grades. Data were entered using Epi Info version 3.5.1 was exported and analyzed by SPSS version 20. Bivariate and multivariate logistic regressions were used to identify independent predictors of adolescent- parent communications. Results: More than half (57.6%) respondents had discussed on sexual and reproductive health issues with their parents. In the multivariate analysis adolescents who had illiterate mother were found to be 0.43 and 0.46 times less likely to have communication on sexual and reproductive health issues than such adolescent with mothers who have attained secondary and higher degree and/or qualification, respectively (AOR=0.43; 95% CI: 0.22-0.84) and (AOR=0.46; 95%CI: 0.24-0.89).Those adolescents communicate HIV/AIDS with relatives (aunts, uncles, grand-mothers and grand-fathers) 4 times more likely to discuss sexual and reproductive health issues than such adolescents who communicate with peers (AOR=3.94, 95%CI: 1.98, 7.82), These Adolescents discussed sexual intercourse 3 times more likely to communicate sexual and reproductive health than such adolescent who don’t communicate (AOR=2.88, 95%CI: 1.89-4.38). Conclusion and recommendations: In this study parent-adolescent communications on sexual and reproductive health issues were low.so that it is vital to develop a comprehensive national adolescent sexual and reproductive health and development strategy to implement in school, family and community level to increase parent-adolescent communication.
VL  - 3
IS  - 6
ER  -

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Author Information

Zemenu Yohannes

Department of Midwifery, School of Nursing and Midwifery, College of Medicine and Health Sciences, Hawassa University, Hawassa, Ethiopia
Yonas Girma

Center of International Reproductive Health Training (CIRHT), Bahir Dar University, Bahir Dar, Ethiopia
Shimels Hussien

World Health Organization (WHO), MCH/Nutrition Cluster, National Consultant, Addis Ababa, Ethiopia
Bazezew Fekad

Department of Gynecology and Obstetrics, College of Medicine and Health Sciences, Bahir Dar University, Bahir Dar, Ethiopia

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Plain Text BibTeX RIS

APA Style

Zemenu Yohannes, Yonas Girma, Shimels Hussien, Bazezew Fekad. (2015). Factors Associated with Parent-Adolescent Communication on Sexual and Reproductive Health Issues Among Secondary and Preparatory School Students in Mekelle City, North Ethiopia. Science Discovery, 3(6), 55-61. https://doi.org/10.11648/j.sd.20150306.13

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ACS Style

Zemenu Yohannes; Yonas Girma; Shimels Hussien; Bazezew Fekad. Factors Associated with Parent-Adolescent Communication on Sexual and Reproductive Health Issues Among Secondary and Preparatory School Students in Mekelle City, North Ethiopia. Sci. Discov. 2015, 3(6), 55-61. doi: 10.11648/j.sd.20150306.13

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AMA Style

Zemenu Yohannes, Yonas Girma, Shimels Hussien, Bazezew Fekad. Factors Associated with Parent-Adolescent Communication on Sexual and Reproductive Health Issues Among Secondary and Preparatory School Students in Mekelle City, North Ethiopia. Sci Discov. 2015;3(6):55-61. doi: 10.11648/j.sd.20150306.13

Copy | Download

@article{10.11648/j.sd.20150306.13,
  author = {Zemenu Yohannes and Yonas Girma and Shimels Hussien and Bazezew Fekad},
  title = {Factors Associated with Parent-Adolescent Communication on Sexual and Reproductive Health Issues Among Secondary and Preparatory School Students in Mekelle City, North Ethiopia},
  journal = {Science Discovery},
  volume = {3},
  number = {6},
  pages = {55-61},
  doi = {10.11648/j.sd.20150306.13},
  url = {https://doi.org/10.11648/j.sd.20150306.13},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.sd.20150306.13},
  abstract = {Background: Adolescence is a period of transition from childhood to adulthood where new behaviors are more easily learned than when in adulthood. sexual and reproductive health are among the most essential aspects of life for adolescents, but due to cultural taboo and political sensitivities, they often obtain little attention in public health policy discussion. In Ethiopia, sexual and reproductive health problems of adolescents are increasing from time to time and this is related with most parents do not feel happy to discuss about sexual issues with their adolescents and early sexual commencement. Therefore, the aim of this study was to identify factors affecting parent adolescent communication on sexual and reproductive health issues among Secondary and Preparatory school students in Mekelle city, North Ethiopia. Method: School based Cross sectional study was conducted among high school students in Mekelle city from August 1 to 30, 2014. High school students in Mekelle of age 10-19 years enrolled in grade 9th-12th for the academic year 2013-2014 was selected from the source population using multistage sampling. Simple random sampling technique was used to select 537 Students from 9th–12th grades. Data were entered using Epi Info version 3.5.1 was exported and analyzed by SPSS version 20. Bivariate and multivariate logistic regressions were used to identify independent predictors of adolescent- parent communications. Results: More than half (57.6%) respondents had discussed on sexual and reproductive health issues with their parents. In the multivariate analysis adolescents who had illiterate mother were found to be 0.43 and 0.46 times less likely to have communication on sexual and reproductive health issues than such adolescent with mothers who have attained secondary and higher degree and/or qualification, respectively (AOR=0.43; 95% CI: 0.22-0.84) and (AOR=0.46; 95%CI: 0.24-0.89).Those adolescents communicate HIV/AIDS with relatives (aunts, uncles, grand-mothers and grand-fathers) 4 times more likely to discuss sexual and reproductive health issues than such adolescents who communicate with peers (AOR=3.94, 95%CI: 1.98, 7.82), These Adolescents discussed sexual intercourse 3 times more likely to communicate sexual and reproductive health than such adolescent who don’t communicate (AOR=2.88, 95%CI: 1.89-4.38). Conclusion and recommendations: In this study parent-adolescent communications on sexual and reproductive health issues were low.so that it is vital to develop a comprehensive national adolescent sexual and reproductive health and development strategy to implement in school, family and community level to increase parent-adolescent communication.},
 year = {2015}
}

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TY  - JOUR
T1  - Factors Associated with Parent-Adolescent Communication on Sexual and Reproductive Health Issues Among Secondary and Preparatory School Students in Mekelle City, North Ethiopia
AU  - Zemenu Yohannes
AU  - Yonas Girma
AU  - Shimels Hussien
AU  - Bazezew Fekad
Y1  - 2015/10/16
PY  - 2015
N1  - https://doi.org/10.11648/j.sd.20150306.13
DO  - 10.11648/j.sd.20150306.13
T2  - Science Discovery
JF  - Science Discovery
JO  - Science Discovery
SP  - 55
EP  - 61
PB  - Science Publishing Group
SN  - 2331-0650
UR  - https://doi.org/10.11648/j.sd.20150306.13
AB  - Background: Adolescence is a period of transition from childhood to adulthood where new behaviors are more easily learned than when in adulthood. sexual and reproductive health are among the most essential aspects of life for adolescents, but due to cultural taboo and political sensitivities, they often obtain little attention in public health policy discussion. In Ethiopia, sexual and reproductive health problems of adolescents are increasing from time to time and this is related with most parents do not feel happy to discuss about sexual issues with their adolescents and early sexual commencement. Therefore, the aim of this study was to identify factors affecting parent adolescent communication on sexual and reproductive health issues among Secondary and Preparatory school students in Mekelle city, North Ethiopia. Method: School based Cross sectional study was conducted among high school students in Mekelle city from August 1 to 30, 2014. High school students in Mekelle of age 10-19 years enrolled in grade 9th-12th for the academic year 2013-2014 was selected from the source population using multistage sampling. Simple random sampling technique was used to select 537 Students from 9th–12th grades. Data were entered using Epi Info version 3.5.1 was exported and analyzed by SPSS version 20. Bivariate and multivariate logistic regressions were used to identify independent predictors of adolescent- parent communications. Results: More than half (57.6%) respondents had discussed on sexual and reproductive health issues with their parents. In the multivariate analysis adolescents who had illiterate mother were found to be 0.43 and 0.46 times less likely to have communication on sexual and reproductive health issues than such adolescent with mothers who have attained secondary and higher degree and/or qualification, respectively (AOR=0.43; 95% CI: 0.22-0.84) and (AOR=0.46; 95%CI: 0.24-0.89).Those adolescents communicate HIV/AIDS with relatives (aunts, uncles, grand-mothers and grand-fathers) 4 times more likely to discuss sexual and reproductive health issues than such adolescents who communicate with peers (AOR=3.94, 95%CI: 1.98, 7.82), These Adolescents discussed sexual intercourse 3 times more likely to communicate sexual and reproductive health than such adolescent who don’t communicate (AOR=2.88, 95%CI: 1.89-4.38). Conclusion and recommendations: In this study parent-adolescent communications on sexual and reproductive health issues were low.so that it is vital to develop a comprehensive national adolescent sexual and reproductive health and development strategy to implement in school, family and community level to increase parent-adolescent communication.
VL  - 3
IS  - 6
ER  -

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