1
|
Zapata JP, Rojas E, Durán P, Martínez AJ, Del Pino HE. The Impact of Sibling Relationships on Behavioral and Sexual Health among Latino Sexual Minority Men. ARCHIVES OF SEXUAL BEHAVIOR 2024; 53:2751-2763. [PMID: 38553660 PMCID: PMC11219362 DOI: 10.1007/s10508-024-02832-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/29/2023] [Revised: 02/08/2024] [Accepted: 02/12/2024] [Indexed: 07/03/2024]
Abstract
Pre-exposure prophylaxis (PrEP) is a highly effective method for preventing HIV acquisition and plays a crucial role in the Ending the HIV Epidemic in the US initiative. However, there are various barriers that hinder the access and uptake of PrEP among Latino sexual minority men (SMM) at individual, interpersonal, and cultural levels. While the significance of cultural factors in designing and implementing HIV prevention programs for Latino populations has been consistently emphasized in the literature and prioritized by the Centers for Disease Control and Prevention, few studies have directly integrated these cultural factors into their programs. Our study aimed to investigate the potential influence of siblings in promoting the utilization of PrEP for HIV prevention, an area that has received limited attention. We conducted interviews with 31 pairs of siblings between December 2020 and January 2021, which were held in either English or Spanish and lasted approximately 45-60 min. The data were analyzed using a deductive thematic content analysis approach. The interviews revealed several key themes and categories, including: (1) Sibling support for coming out; (2) Types of support that siblings provide to each other for behavior change; (3) Sibling support for PrEP; and (4) The impact of the study interview on the quality of the sibling relationships. Our findings indicated that siblings were willing to provide support for PrEP in various ways, ranging from emotional support for brothers who may be concerned about potential rejection to practical support such as transportation or financial assistance. These results have significant implications for the design of HIV prevention interventions for Latinos. Incorporating siblings or other extended family members into these interventions can facilitate communication between siblings and their brothers, ultimately encouraging the use of PrEP or similar prevention methods. By considering the unique dynamics and support systems within Latino communities, researchers can develop more effective strategies to promote HIV prevention and support the well-being of Latino SMM.
Collapse
Affiliation(s)
- Juan Pablo Zapata
- Institute for Sexual and Gender Minority Health and Wellbeing, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA
| | - Edwin Rojas
- St. John's Community Health, Los Angeles, CA, USA
| | - Petra Durán
- Psychiatry and Human Behaviors, Charles R. Drew University of Medicine and Science, Los Angeles, CA, 90059, USA
| | - Angel J Martínez
- Charles R. Drew University of Medicine and Science, Los Angeles, CA, USA
| | - Homero E Del Pino
- Psychiatry and Human Behaviors, Charles R. Drew University of Medicine and Science, Los Angeles, CA, 90059, USA.
- Psychiatry and Behavioral Sciences, General Internal Medicine, David Geffen School of Medicine at UCLA, Los Angeles, CA, USA.
- Geriatric Research, Education, and Clinic Center, VA Greater Los Angeles Healthcare System (Geriatric Research, Education, and Clinical Center), Los Angeles, CA, USA.
| |
Collapse
|
2
|
Suresh S, Demetriades SZ, Walter N, Montoya JA, Plant A, Barker K, Orvañanos C, Carranza J. From Watching to Calling: Linking Variations in an Entertainment-Education Storyline with Calls to a Health Hotline. HEALTH COMMUNICATION 2023:1-12. [PMID: 37904280 DOI: 10.1080/10410236.2023.2275923] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/01/2023]
Abstract
Substantial gaps exist in the theoretical conceptualization and practical development of entertainment-education, as studies often fail to account for the ways in which intrinsic message characteristics influence subsequent behavior. These gaps served as the impetus for an international collaborative project that evaluated Vencer el Miedo ("Overcome the Fear"), a Spanish-language program that aired in Mexico from January to March 2020. The telenovela was produced with the aim of improving sexual and reproductive health knowledge and behaviors by modeling effective ways to discuss and negotiate safer sex practices. The show was accompanied by a telephone hotline called OrientaSEX operated by professional counselors from MEXFAM, Planned Parenthood's Mexican affiliate. Utilizing an interrupted time series analysis of calls made to OrientaSEX (N = 11,878) and focusing on changes in the volume of calls and the identity of callers following key moments in the storyline, the findings support the central role played by transitional characters and their similarity to audience members. Implications of these results for the theory and practice of entertainment-education are discussed.
Collapse
Affiliation(s)
- Sapna Suresh
- Department of Communication Studies, Northwestern University
| | | | - Nathan Walter
- Department of Communication Studies, Northwestern University
| | | | | | | | | | | |
Collapse
|
3
|
Shibuya F, Sari DP, Warnaini C, Rivarti AW, Takeuchi R, Jones-Konneh TEC, de los Reyes C, Kadriyan H, Kobayashi J. The process of overcoming conflicts among teachers in the implementation of comprehensive sexuality education at ordinary public senior high schools in Mataram City, Indonesia: a qualitative study. Trop Med Health 2023; 51:7. [PMID: 36737808 PMCID: PMC9896725 DOI: 10.1186/s41182-023-00495-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/16/2022] [Accepted: 12/29/2022] [Indexed: 02/05/2023] Open
Abstract
BACKGROUND Comprehensive sexuality education (CSE), which aims to help young people make responsible choices and acquire scientific knowledge and skills, has been promoted by UNESCO. Teachers experience conflicts in implementing CSE when teaching sexual topics in the local context, especially as the delivery of sexual knowledge and contraceptive methods is often prohibited by religious and traditional cultural norms. It was reported that there were multiple challenges in the implementation of sex education due to the religious and cultural background of societies and communities in Islamic countries. This study aimed to clarify the process of overcoming the conflicts, explore teachers' recognition and perception related to the implementation of CSE, and to suggest recommendations for promoting CSE in Islamic areas. METHODS This qualitative study combined the methods of focus group discussions (FGDs) and in-depth interviews (IDIs) to explore the conflict among teachers. Ten ordinary public senior high schools in Mataram City, Indonesia, agreed to participate, and in total, 59 participants were involved in this study. FGDs were conducted with teachers (n = 49), and IDIs were focused on school principals (n = 10) in each school. The collected interview data were analyzed using a deductive thematic analysis and the findings triangulated for both the FGDs and IDIs. RESULTS Overall, the teachers experienced conflicts in relation to religion, cultural background, and gender inequality in implementing CSE. The present study revealed the mutual recognition among teachers and acceptance of diverse backgrounds in the implementation of CSE at ordinary public senior high schools in Mataram City. Despite teachers reporting multiple conflicts, they made efforts to overcome these conflicts through mutual recognition and provided comprehensive guidance. The present findings indicated that teachers adapted CSE to follow multiple religions and cultural backgrounds. CONCLUSIONS The teachers accepted diverse backgrounds and provided CSE by collaborating with related educational subjects and external institutions to overcome conflicts. To provide more specialized education, it would be necessary to advocate a formal policy that might be accepted by diverse societies. Further research is necessary to apply the findings and recommendations for CSE implementation globally in the contexts of different countries.
Collapse
Affiliation(s)
- Fumiko Shibuya
- grid.267625.20000 0001 0685 5104Department of Global Health, Graduate School of Health Sciences, University of the Ryukyus, 207 Uehara, Nishihara-cho, Nakagami-gun, Okinawa, 903-0215 Japan ,Japanese Consortium for Global School Health Research, 207 Uehara, Nishihara-cho, Nakagami-gun, Okinawa, 903-0215 Japan
| | - Dian Puspita Sari
- grid.443796.bFaculty of Medicine, University of Mataram, Jalan Pendidikan 37, Mataram, West Nusa Tenggara 83125 Indonesia
| | - Cut Warnaini
- grid.443796.bFaculty of Medicine, University of Mataram, Jalan Pendidikan 37, Mataram, West Nusa Tenggara 83125 Indonesia
| | - Arina Windri Rivarti
- grid.443796.bFaculty of Medicine, University of Mataram, Jalan Pendidikan 37, Mataram, West Nusa Tenggara 83125 Indonesia
| | - Rie Takeuchi
- grid.267625.20000 0001 0685 5104Department of Global Health, Graduate School of Health Sciences, University of the Ryukyus, 207 Uehara, Nishihara-cho, Nakagami-gun, Okinawa, 903-0215 Japan ,Japanese Consortium for Global School Health Research, 207 Uehara, Nishihara-cho, Nakagami-gun, Okinawa, 903-0215 Japan
| | - Tracey Elizabeth Claire Jones-Konneh
- grid.267625.20000 0001 0685 5104Department of Global Health, Graduate School of Health Sciences, University of the Ryukyus, 207 Uehara, Nishihara-cho, Nakagami-gun, Okinawa, 903-0215 Japan
| | - Calvin de los Reyes
- grid.267625.20000 0001 0685 5104Department of Global Health, Graduate School of Health Sciences, University of the Ryukyus, 207 Uehara, Nishihara-cho, Nakagami-gun, Okinawa, 903-0215 Japan ,grid.11159.3d0000 0000 9650 2179College of Arts and Sciences, University of the Philippines Manila, 625 Pedro Gil Street, Ermita, Manila, Philippines
| | - Hamsu Kadriyan
- grid.443796.bFaculty of Medicine, University of Mataram, Jalan Pendidikan 37, Mataram, West Nusa Tenggara 83125 Indonesia
| | - Jun Kobayashi
- grid.267625.20000 0001 0685 5104Department of Global Health, Graduate School of Health Sciences, University of the Ryukyus, 207 Uehara, Nishihara-cho, Nakagami-gun, Okinawa, 903-0215 Japan ,Japanese Consortium for Global School Health Research, 207 Uehara, Nishihara-cho, Nakagami-gun, Okinawa, 903-0215 Japan
| |
Collapse
|
4
|
Magno L, Medeiros DSD, Soares F, Grangeiro A, Caires P, Fonseca T, Westin MR, Dourado I. Factors associated to HIV prevalence among adolescent men who have sex with men in Salvador, Bahia State, Brazil: baseline data from the PrEP1519 cohort. CAD SAUDE PUBLICA 2023; 39Suppl 1:e00154021. [PMID: 36995866 DOI: 10.1590/0102-311xen154021] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/21/2021] [Accepted: 11/11/2021] [Indexed: 03/29/2023] Open
Abstract
Adolescent men who have sex with men (AMSM) are at a heightened vulnerability for human immunodeficiency virus (HIV). This study aimed to estimate the prevalence of HIV and associated individual, social, and programmatic factors among AMSM in Salvador, Bahia State, Brazil. This is a cross-sectional study which analyzed baseline data from the PrEP1519 cohort in Salvador. Descriptive, bivariate, and multivariate analyses were conducted using the dimensions of vulnerability to HIV as hierarchical levels of analysis. Logistic regression models were used to estimate the odds ratios (OR) of the association between predictor variables and HIV infection. The prevalence of HIV infection among the 288 AMSM recruited to the project was 5.9% (95%CI: 3.7-9.3). Adjusted analysis showed a statistically significant association between self-identifying as a sex worker (OR = 3.74, 95%CI: 1.03-13.60) and HIV infection. Other associations with borderline statistical significance were the use of application programs to find sexual partners (OR = 3.30, 95%CI: 0.98-11.04), low schooling level (OR = 3.59, 95%CI: 0.96-13.41), failing to be hired or being dismissed from a job because of sexual orientation (OR = 2.88, 95%CI: 0.89-9.28), and not using health services as a usual source of care (OR = 3.14, 95%CI: 0.97-10.17). We found a high HIV prevalence among AMSM in Salvador. Furthermore, our study found that individual, social, and programmatic factors were associated with HIV infection among these AMSM. We recommend intensifying HIV combined-prevention activities for AMSM.
Collapse
|
5
|
Braverman-Bronstein A, Ortigoza AF, Vidaña-Pérez D, Barrientos-Gutiérrez T, Baldovino-Chiquillo L, Bilal U, Friche AADL, Diez-Canseco F, Maslowsky J, Vives V. A, Diez Roux AV. Gender inequality, women's empowerment, and adolescent birth rates in 363 Latin American cities. Soc Sci Med 2023; 317:115566. [PMID: 36446141 PMCID: PMC7613905 DOI: 10.1016/j.socscimed.2022.115566] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/23/2022] [Revised: 10/10/2022] [Accepted: 11/18/2022] [Indexed: 11/25/2022]
Abstract
BACKGROUND Gender inequality is high in Latin America (LA). Empowering girls and young women and reducing gender gaps has been proposed as a pathway to reduce adolescent pregnancy. We investigated the associations of urban measures of women's empowerment and gender inequality with adolescent birth rates (ABR) in 366 Latin American cities in nine countries. METHODS We created a gender inequality index (GII) and three Women Achievement scores reflecting domains of women's empowerment (employment, education, and health care access) using censuses, surveys, and political participation data at city and sub-city levels. We used 3-level negative binomial models (sub-city-city-countries) to assess the association between the GII and scores, with ABR while accounting for other city and sub-city characteristics. RESULTS We found within country heterogeneity in gender inequality and women's empowerment measures. The ABR was 4% higher for each 1 standard deviation (1-SD) higher GII (RR 1.04; 95%CI 1.01,1.06), 8% lower for each SD higher autonomy score (RR 0.92; 95%CI 0.86, 0.99), and 12% lower for each SD health care access score (RR 0.88; 95%CI 0.82,0.95) after adjustment for city level population size, population growth, homicide rates, and sub-city population educational attainment and living conditions scores. CONCLUSION Our findings show the key role cities have in reducing ABR through the implementation of strategies that foster women's socioeconomic progress such as education, employment, and health care access.
Collapse
Affiliation(s)
- Ariela Braverman-Bronstein
- Urban Health Collaborative, Dornsife School of Public Health, Drexel University, Philadelphia, USA; Department of Epidemiology and Biostatistics, Dornsife School of Public Health, Drexel University, Philadelphia, USA.
| | - Ana F. Ortigoza
- Urban Health Collaborative, Dornsife School of Public Health, Drexel University, Philadelphia, USA
| | - Dèsirée Vidaña-Pérez
- Center for Survey Research and Evaluation, National Institute of Public Health Cuernavaca, Mexico
| | | | | | - Usama Bilal
- Urban Health Collaborative, Dornsife School of Public Health, Drexel University, Philadelphia, USA,Department of Epidemiology and Biostatistics, Dornsife School of Public Health, Drexel University, Philadelphia, USA
| | - Amélia Augusta de Lima Friche
- Observatory for Urban Health in Belo Horizonte, School of Medicine, Federal University of Minas Gerais, Belo Horizonte, Brazil
| | - Francisco Diez-Canseco
- CRONICAS Center of Excellence in Chronic Diseases, Universidad Peruana Cayetano Heredia, Lima, Peru
| | - Julie Maslowsky
- Center of Excellence in Maternal and Child Health School of Public Health, University of Illinois at Chicago, Chicago, Illinois, USA
| | - Alejandra Vives V.
- Department of Public Health, School of Medicine / CEDEUS. Pontificia Universidad Católica de Chile. Santiago de Chile, Chile
| | - Ana V. Diez Roux
- Urban Health Collaborative, Dornsife School of Public Health, Drexel University, Philadelphia, USA,Department of Epidemiology and Biostatistics, Dornsife School of Public Health, Drexel University, Philadelphia, USA
| |
Collapse
|
6
|
C. Millanzi W. Adolescents’ World: Know One Tell One against Unsafe Sexual Behaviours, Teenage Pregnancies and Sexually Transmitted Infections Including Chlamydia. Infect Dis (Lond) 2022. [DOI: 10.5772/intechopen.109048] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/15/2022] Open
Abstract
Addressing adolescents’ sexual and reproductive health (SRH) matters using multidisciplinary pedagogical innovations may assure the proper development and well-being of adolescents so that they reach the adulthood stage healthy and strong enough to produce for their future investment. This is in response to sustainable development goal number 3, target 3.7, and SDG4, target 4.7 in particular emphasizes the universal availability and accessibility of sexual information and education among people and knowledge and skills for gender equality, human rights and sustainable lifestyles by 2030, respectively. Yet, the innovative strategies may respond to a call stated by SGD5 (gender equality), target 5.3 which advocates the elimination of child, early, and forced marriages, and target 5.6 which focuses on ensuring universal access to SRH and rights to all by 2030.
Collapse
|
7
|
Mbarushimana V, Conco DN, Goldstein S. "Such conversations are not had in the families": a qualitative study of the determinants of young adolescents' access to sexual and reproductive health and rights information in Rwanda. BMC Public Health 2022; 22:1867. [PMID: 36207718 PMCID: PMC9541074 DOI: 10.1186/s12889-022-14256-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/02/2021] [Accepted: 09/20/2022] [Indexed: 11/10/2022] Open
Abstract
Background Access to sexual and reproductive health and rights (SRHR) information during adolescence has become a global concern. This study explored factors that enable or prevent young adolescents from accessing to SRHR information from the perspective of the key informants in Rwanda. Methods We conducted a qualitative study using semi-structured interviews with 16 purposively selected key informants from public and private institutions in Rwanda. This selection was based on their positions and expertise in delivering SRHR information to adolescents. The interview guide questions were designed based on the social-ecological theoretical framework of adolescent health. The interview transcripts were recorded, transcribed, translated and thematically analysed in Nvivo 11. Results The study reflected that multiple enablers and barriers at the individual, relationship, community and societal levels determined young adolescents’ access to SRHR information. These determinants include information-seeking behaviour and age of starting sexuality education at the individual level; and parents’ limited communication with young adolescents due to taboos, lack of skills, limited parental availability, beliefs, lack of appropriate language and peer norms at the relationships level. Enablers and barriers at the community level were the diversity of SRHR sources, the scope of sexuality education programmes, and cultural and religious beliefs. Finally, the perceived enablers and barriers at the societal level consisted of inadequate resources, inappropriate SRHR policy-making processes and unfriendly SRHR laws. Conclusion Enabling access to SRHR information requires addressing multiple factors within the social-ecological environment of young adolescents. Addressing these factors may facilitate improved access to SRHR information for this age group.
Collapse
Affiliation(s)
- Valens Mbarushimana
- School of Public Health, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa. .,School of Public Health, College of Medicine and Health Sciences, University of Rwanda, Kigali, Rwanda.
| | - Daphney Nozizwe Conco
- School of Public Health, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa
| | - Susan Goldstein
- SAMRC/Centre for Health Economics and Decision Science, PRICELESS SA, School of Public Health, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa
| |
Collapse
|
8
|
Adane M, Cherie N, Damtie Y, Malde M, Chanie MG. Sexual and reproductive health service needs among youths attending preparatory school in Debre Tabor Town, Northwest Ethiopia. SAGE Open Med 2022; 10:20503121221113667. [PMID: 35910818 PMCID: PMC9326834 DOI: 10.1177/20503121221113667] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/29/2021] [Accepted: 06/28/2022] [Indexed: 11/16/2022] Open
Abstract
Objective: Despite the reproductive health needs of youth having been supported by different organizations, youths continue to fall victim to sexual and reproductive health problems, and utilization of those services remains low. All efforts have not been felt across the Ethiopian learning institutions as is evidenced by persistent reproductive health problems. This study was aimed to determine sexual and reproductive health service needs among preparatory school youths of Debre Tabor town, Ethiopia. Methods: Facility-based cross-sectional study design was conducted in Debre Tabor town from 15 to 30 February 2020. A simple random sampling technique was used to access a total of 850 preparatory school students. The data were collected using pre-tested, structured, and self-administered questionnaires. Data were entered into EpiData v. 4.6 and exported to SPSS version 25 software for analysis. Binary logistics regression was used for analysis. Adjusted odds ratio along with 95% confidence interval was estimated to measure the strength of the association. The level of statistical significance was declared at a p value of 0.05. Results: The overall magnitude of sexual and reproductive health service needs was found 61.5% at 95% confidence interval (58.2%, 64.8 %). Being married (adjusted odds ratio = 2.24; 95% confidence interval: 1.10, 4.55), having information about sexual and reproductive health (adjusted odds ratio = 2.56; 95% confidence interval: 1.85, 3.55), youth discussion with families on sexual and reproductive health (adjusted odds ratio = 1.52, 95% confidence interval: 1.11, 2.10), and having a history of sexual intercourse (adjusted odds ratio = 2.19; 95% confidence interval: 1.53, 3.13) were found significantly associated with sexual and reproductive health service needs of youths. Conclusion: the overall need for sexual and reproductive health services among youths was found high. Therefore, managers and health workers need to prioritize an intervention that can improve youth-friendly service, information dissemination, and counseling, promoting discussion among family members on the sexual and reproductive health needs of the youths.
Collapse
Affiliation(s)
- Metages Adane
- Outpatient Department, Debre Tabor General Hospital, Debre Tabor, Ethiopia
| | - Niguss Cherie
- Department of Reproductive and Family Health, School of Public Health, College of Medicine and Health Sciences, Wollo University, Dessie, Ethiopia
| | - Yitayish Damtie
- Department of Reproductive and Family Health, School of Public Health, College of Medicine and Health Sciences, Wollo University, Dessie, Ethiopia
| | | | - Muluken Genetu Chanie
- Department of Health System and Policy, School of Public Health, College of Medicine and Health Sciences, Wollo University, Dessie, Ethiopia
| |
Collapse
|
9
|
Alomair N, Alageel S, Davies N, Bailey JV. Sexual and reproductive health knowledge, perceptions and experiences of women in Saudi Arabia: a qualitative study. ETHNICITY & HEALTH 2022; 27:1310-1328. [PMID: 33554633 DOI: 10.1080/13557858.2021.1873251] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/22/2020] [Accepted: 01/04/2021] [Indexed: 06/12/2023]
Abstract
BACKGROUND There is no formal sexual and reproductive health (SRH) education currently offered in Saudi Arabia. Lack of knowledge and misconceptions are evident among Saudi women, which can lead to negative sexual and reproductive experiences. The aim of this study is to explore Saudi women's SRH knowledge, perceptions and experiences. METHODS Qualitative semi-structured interviews with Saudi women were conducted. Interviews took place in a public hospital in Riyadh, Saudi Arabia. Interviews were conducted in Arabic, recorded and transcribed verbatim, to allow for thematic analysis of the data. The following themes were identified: experience with menarche, deep-rooted negative views towards sex, difficulty discussing SRH topics, knowledge of sex and reproduction, generational gap, sources of SRH information and the role of the mother. RESULTS A total of 28 women, both married and unmarried, aged 20-50 years were interviewed. A profound lack of SRH knowledge was observed among Saudi women which contributed greatly to negative experiences both in childhood and adulthood. Lack of knowledge about menstruation often caused emotional distress for young girls, and menarche was associated with bad memories and negative emotions. Lack of knowledge about sexual intercourse and the deep-rooted negative views towards sex were linked with physical and psychological issues for women. Women rarely received information from their parents or teachers and preferred the internet for their SRH information. CONCLUSION There is a substantial unmet need for SRH education for women in Saudi Arabia. It is our recommendation that SRH education should be tailored to meet Saudi women's unique needs, while understanding specific socio-cultural barriers to SRH education and discussions. Research and policy efforts should be directed towards regulating and producing evidence-based health information on the internet, particularly Arabic language websites.
Collapse
Affiliation(s)
- Noura Alomair
- Research Department of Primary Care and Population Health, University College London, London, UK
- Community Health Sciences Department, College of Applied Medical Sciences, King Saud University, Riyadh, Kingdom of Saudi Arabia
| | - Samah Alageel
- Community Health Sciences Department, College of Applied Medical Sciences, King Saud University, Riyadh, Kingdom of Saudi Arabia
| | - Nathan Davies
- Research Department of Primary Care and Population Health, University College London, London, UK
| | - Julia V Bailey
- Research Department of Primary Care and Population Health, University College London, London, UK
| |
Collapse
|
10
|
Suresh S, Walter N, Montoya JA, Plant A, Barker K. Drama, Intrigue, and Discussion: The Role of Telenovelas in Facilitating Conversations about Reproductive Health in Mexican Households. JOURNAL OF HEALTH COMMUNICATION 2022; 27:484-494. [PMID: 36164980 DOI: 10.1080/10810730.2022.2126563] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/16/2023]
Abstract
This study examines the role of an entertainment-education intervention in informing Mexican adolescents and parents about sexual and reproductive health-related discussion and information-seeking. A survey of young adult (N = 491) and parent (N = 223) viewers of the Spanish-language program Vencer el Miedo assessed the influence of exposure to the telenovela's storylines regarding these issues. Heavy viewing of the program predicted adolescent information-seeking about contraceptives via three distinct channels. Additionally, some effects were recorded for parent viewers, and parent-child co-viewing emerged as a significant moderator of communication about one reproductive health topic. Overall, these findings suggest that entertainment-education programs tailored to Mexican culture and the experiences of Mexican families can bring about attitudinal and behavioral changes across the age spectrum, an outcome that is particularly important given the relatively low rates of contraceptive knowledge and use among adolescents across the country.
Collapse
Affiliation(s)
- Sapna Suresh
- Department of Communication Studies, Northwestern University, Evanston, Illinois, United States
| | - Nathan Walter
- Department of Communication Studies, Northwestern University, Evanston, Illinois, United States
| | | | - Aaron Plant
- Sentient Research, West Covina, California, United States
| | - Kriss Barker
- Population Media Center, South Burlington, Vermont, United States
| |
Collapse
|
11
|
Brunelli L, Bravo G, Romanese F, Righini M, Lesa L, De Odorico A, Bastiani E, Pascut S, Miceli S, Brusaferro S. Sexual and reproductive health-related knowledge, attitudes and support network of Italian adolescents. PUBLIC HEALTH IN PRACTICE 2022; 3:100253. [PMID: 36101775 PMCID: PMC9461229 DOI: 10.1016/j.puhip.2022.100253] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/01/2022] [Revised: 03/28/2022] [Accepted: 03/30/2022] [Indexed: 11/24/2022] Open
Abstract
Objectives What is the state of sexual and reproductive health (SRH) knowledge among teens? What about adolescents’ attitudes toward SRH and the available supporting network? Study design A cross-sectional study conducted between April and May 2018. Methods An anonymous 36-item questionnaire on SRH knowledge, behaviors, and networks was developed, revised and validated by a multidisciplinary health professional team, then distributed to high school students in Udine (Italy). Results 747 questionnaires were collected in five high schools; respondents were predominantly male, mean age 14.8 years; 48% of students have sufficient SRH knowledge (considered as above the mean value). Factors associated with higher knowledge levels were female sex, age, SES according to father's profession, first SRH information at age 11–13, Italy as country of origin, and attendance at a technical school. Conclusions Students’ knowledge on SHR resulted relatively poor. Sex, school type and previous experience of sexuality education were the most important factor associated with SRH knowledge.
Collapse
|
12
|
Macharia P, Pérez-Navarro A, Inwani I, Nduati R, Carrion C. An Exploratory Study of Current Sources of Adolescent Sexual and Reproductive Health Information in Kenya and Their Limitations: Are Mobile Phone Technologies the Answer? INTERNATIONAL JOURNAL OF SEXUAL HEALTH : OFFICIAL JOURNAL OF THE WORLD ASSOCIATION FOR SEXUAL HEALTH 2021; 33:357-370. [PMID: 38595745 PMCID: PMC10929578 DOI: 10.1080/19317611.2021.1918311] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/06/2020] [Revised: 04/07/2021] [Accepted: 04/10/2021] [Indexed: 04/11/2024]
Abstract
Purpose The prevalence of pregnancy and sexually transmitted infections among adolescents in low and middle-income countries leads us to believe that sexual and reproductive health (SRH) information needs are still unmet. This paper investigates current sources and their limitations and then explores the role technology could play. Methods: In an exploratory qualitative study themes identified; (1) preferred sources of SRH information; (2) their limitations; (3) the role of technology in meeting their needs. Results: Mobile phone-based apps could improve awareness and provide information in a confidential way. Conclusions: Adolescents have an unmet need that vary by age and gender. Mobile phones could offer accessible, user-friendly platform.
Collapse
Affiliation(s)
- Paul Macharia
- Faculty of Computer Sciences, Multimedia and Telecommunication, Universitat Oberta de Catalunya, Barcelona, Spain
- Consulting in Health Informatics, Nairobi, Kenya
- eHealth Lab Research Group, School of Health Sciences, Universitat Oberta de Catalunya, Catalonia, Spain
| | - Antoni Pérez-Navarro
- Faculty of Computer Sciences, Multimedia and Telecommunication, Universitat Oberta de Catalunya, Barcelona, Spain
- Internet Interdisciplinary Institute, Universitat Oberta de Catalunya, Castelldefels, Spain
| | | | - Ruth Nduati
- University of Nairobi, University Way, Nairobi, Kenya
| | - Carme Carrion
- eHealth Lab Research Group, School of Health Sciences, Universitat Oberta de Catalunya, Catalonia, Spain
- eHealth Center, Universitat Oberta de Catalunya, Catalonia, Spain
| |
Collapse
|
13
|
Ledón-LLanes L, Contreras-Yáñez I, Guaracha-Basáñez G, Valverde-Hernández SS, González-Marín A, Ballinas-Sánchez ÁDJ, Durand M, Pascual-Ramos V. Views of Mexican outpatients with rheumatoid arthritis on sexual and reproductive health: A cross-sectional study. PLoS One 2021; 16:e0245538. [PMID: 33507948 PMCID: PMC7842945 DOI: 10.1371/journal.pone.0245538] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/25/2020] [Accepted: 12/30/2020] [Indexed: 01/09/2023] Open
Abstract
BACKGROUND Rheumatoid arthritis (RA) impacts sexual and reproductive health (SRH), which is a prominent component of a patient´s quality of life and highly influenced by the cultural background. The aim of the study was to explore the interest of Mexican outpatients with RA in SRH and to examine patient view on SRH. METHODS This cross-sectional study surveyed 303 consecutive outpatients with RA on their perceptions of SRH importance, SRH satisfaction, access to SRH information, preferences regarding SRH communication with healthcare professionals, and understanding of SRH (qualitative open-ended descriptions). Descriptive statistics and inferential analysis were used. Patient knowledge of each dimension of SRH was rated based on pre-specified criteria. Two assessors assigned ten major themes to each patient´s description of both dimensions of SRH. RESULTS Patients perceived their SRH as an important component of their general health and wished to address the topic, although few had access to such communication. Female patients assigned lesser importance to SRH, showed lesser degree of satisfaction with SRH, and expressed preference for a truthful physician. Age showed a linear association with individual survey responses, except for satisfaction with reproductive health dimension. There was a linear association between increased age and decreased years of formal education with a lower level of SRH knowledge. Ten major themes emerged for each of the two dimensions of the SRH construct, although most individual descriptions were assigned to one or two major themes. CONCLUSIONS Further education and assessment of SRH in Mexican patients with RA is warranted.
Collapse
Affiliation(s)
- Loraine Ledón-LLanes
- Department of Biology of Reproduction, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Mexico City, Mexico
| | - Irazú Contreras-Yáñez
- Department of Immunology and Rheumatology, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Mexico City, Mexico
| | - Guillermo Guaracha-Basáñez
- Department of Immunology and Rheumatology, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Mexico City, Mexico
| | - Salvador Saúl Valverde-Hernández
- Department of Immunology and Rheumatology, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Mexico City, Mexico
| | - Anayanci González-Marín
- Department of Immunology and Rheumatology, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Mexico City, Mexico
| | - Ángel de Jesús Ballinas-Sánchez
- Department of Immunology and Rheumatology, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Mexico City, Mexico
| | - Marta Durand
- Department of Biology of Reproduction, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Mexico City, Mexico
| | - Virginia Pascual-Ramos
- Department of Immunology and Rheumatology, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Mexico City, Mexico
| |
Collapse
|
14
|
Nkhoma DE, Lin CP, Katengeza HL, Soko CJ, Estinfort W, Wang YC, Juan SH, Jian WS, Iqbal U. Girls' Empowerment and Adolescent Pregnancy: A Systematic Review. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2020; 17:E1664. [PMID: 32143390 PMCID: PMC7084341 DOI: 10.3390/ijerph17051664] [Citation(s) in RCA: 22] [Impact Index Per Article: 5.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 01/21/2020] [Revised: 02/20/2020] [Accepted: 02/24/2020] [Indexed: 12/12/2022]
Abstract
Background: 21 million girls get pregnant every year. Many initiatives are empowering girls. Various studies have looked at girl empowerment, however, there is contradicting evidence, and even less literature from developing countries. Methods: We searched articles published between January 2000 to January 2019. We followed Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines and registered our protocol on the International Prospective Register of Systematic Reviews PROSPERO (CRD42019117414). Nine articles were selected for review. Quality appraisal was done using separate tools for qualitative studies, cohort and cross-sectional studies and randomized control trials. Results: Eight studies included educational empowerment, four studies included community empowerment, three studies included economic empowerment, while two studies discussed policy empowerment. Three studies were of fair quality; two qualitative and one cross-sectional study were of high quality, while three studies had low quality. Discussion. Studies showed a favorable impact of girl empowerment on adolescent pregnancies and risky sexual behaviors. Education empowerment came through formal education or health systems such as in family planning clinics. Community empowerment was seen as crucial in girls' development, from interactions with parents to cultural practices. Economic empowerment was direct like cash transfer programs or indirect through benefits of economic growth. Policies such as contraceptive availability or compulsory school helped reduce pregnancies.
Collapse
Affiliation(s)
- Dumisani Enricho Nkhoma
- Master Program in Global Health and Development Department, College of Public Health, Taipei Medical University, Daan District, Taipei 106, Taiwan; (D.E.N.); (C.-P.L.); (H.L.K.); (C.J.S.); (W.E.)
- Nkhata Bay District Hospital, Nkhata Bay District Health Office, P.O. Box 4, Mkondezi, Nkhata Bay, Malawi
| | - Chia-Ping Lin
- Master Program in Global Health and Development Department, College of Public Health, Taipei Medical University, Daan District, Taipei 106, Taiwan; (D.E.N.); (C.-P.L.); (H.L.K.); (C.J.S.); (W.E.)
| | - Hexin Latumer Katengeza
- Master Program in Global Health and Development Department, College of Public Health, Taipei Medical University, Daan District, Taipei 106, Taiwan; (D.E.N.); (C.-P.L.); (H.L.K.); (C.J.S.); (W.E.)
| | - Charles Jenya Soko
- Master Program in Global Health and Development Department, College of Public Health, Taipei Medical University, Daan District, Taipei 106, Taiwan; (D.E.N.); (C.-P.L.); (H.L.K.); (C.J.S.); (W.E.)
| | - Wanda Estinfort
- Master Program in Global Health and Development Department, College of Public Health, Taipei Medical University, Daan District, Taipei 106, Taiwan; (D.E.N.); (C.-P.L.); (H.L.K.); (C.J.S.); (W.E.)
| | - Yao-Chin Wang
- Department of Emergency, Min-Sheng General Hospital, Taoyuan District, Taoyuan 330, Taiwan;
- Graduate Institute of Biomedical Informatics, College of Medicine Science and Technology, Taipei Medical University, Daan District, Taipei 106, Taiwan
- Graduate Institute of Injury Prevention and Control, College of Public Health, Taipei Medical University, Xinyi District, Taipei 106, Taiwan
- International Center for Health Information Technology (ICHIT), Taipei Medical University, Daan District, Taipei 106, Taiwan
| | - Shing-Hwa Juan
- Department of Administration, Yuan’s General Hospital, Lingya District, Kaohsiung 802, Taiwan
| | - Wen-Shan Jian
- School of Health Care Administration, College of Management, Taipei Medical University, Daan District, Taipei 106, Taiwan;
| | - Usman Iqbal
- Master Program in Global Health and Development Department, College of Public Health, Taipei Medical University, Daan District, Taipei 106, Taiwan; (D.E.N.); (C.-P.L.); (H.L.K.); (C.J.S.); (W.E.)
- International Center for Health Information Technology (ICHIT), Taipei Medical University, Daan District, Taipei 106, Taiwan
- PhD Program in Global Health and Health Security, College of Public Health, Taipei Medical University, Daan District, Taipei 106, Taiwan
| |
Collapse
|
15
|
Ara�z-Ledezma AB, Massar K, Kok G. Behavioural and environmental influences on adolescent decision making in personal relationships: a qualitative multi-stakeholder exploration in Panama. HEALTH EDUCATION RESEARCH 2020; 35:1-14. [PMID: 31711147 PMCID: PMC6991616 DOI: 10.1093/her/cyz033] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 06/20/2019] [Accepted: 10/23/2019] [Indexed: 06/10/2023]
Abstract
Adolescents in Panama face multiple challenges to their sexual health, rights and well-being such as high rates of teenage pregnancy (∼30% of all pregnancies), increased HIV infections and sexual violence. In the absence of sufficient evidence-based data and an ongoing debate in Panamanian society about how to approach adolescents' health problems, the aim of this qualitative study was to explore the perceptions and attitudes of different societal actors, namely governmental employees, NGO employees, academics, members from religious groups, teachers and parents. We conducted in-depth interviews (N = 34) which focused on the behavioural and environmental factors considered to influence adolescents' decision making with regard to love, friendships and family relations. Furthermore, we explored how these stakeholders viewed the role of the education system, and the potential of including social-emotional learning (SEL) in the curriculum to provide skills and capacities, which could encourage adolescents to make better decisions and improve their well-being, in general but also in the context of sexual behaviours. Analysis revealed five central themes, i.e. perceptions towards gender roles and equality, adolescents' love (sexual) relationships, capacity needs regarding prevention of risk behaviours and the role of education, comprehensive sexuality education in schools and the potentiality of SEL in the education system. The findings of the study can enhance understanding on the views of stakeholders regarding the factors influencing adolescents' decision making, as well as regarding the possibilities of introducing SEL in the Panamanian educational curriculum.
Collapse
Affiliation(s)
- Ana B Ara�z-Ledezma
- Faculty of Psychology and Neuroscience, Department of Work and Social Psychology, Maastricht University, PO Box 616, Maastricht 6200 MD, The Netherlands
| | - Karlijn Massar
- Faculty of Psychology and Neuroscience, Department of Work and Social Psychology, Maastricht University, PO Box 616, Maastricht 6200 MD, The Netherlands
| | - Gerjo Kok
- Faculty of Psychology and Neuroscience, Department of Work and Social Psychology, Maastricht University, PO Box 616, Maastricht 6200 MD, The Netherlands
| |
Collapse
|
16
|
Cameron A, Smith E, Mercer N, Sundstrom B. 'It is our duty:' Understanding Parents' Perspectives on Reproductive and Sexual Health Education. SEX EDUCATION 2020; 20:535-551. [PMID: 32952444 PMCID: PMC7497785 DOI: 10.1080/14681811.2019.1704720] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/02/2019] [Accepted: 12/11/2019] [Indexed: 06/11/2023]
Abstract
South Carolina ranks 16th in the USA for highest rates of teenage pregnancy. The South Carolina Comprehensive Health Education Act (CHEA) does not require medically accurate, unbiased, culturally appropriate materials, and varies greatly in compliance and implementation. This study aimed to better understand parents' perspectives in one county in South Carolina regarding reproductive and sexual health education. A total of 484 parents responded to a qualitative questionnaire, collectively representing 798 students. Researchers conducted a thematic analysis to organise data. Main themes identified include comprehensive reproductive and sexual health education as a duty; dispelling the myth of abstinence-only education; and the value of comprehensive reproductive and sexual health education. Parents described teaching reproductive sexual health education in public schools as a 'duty.' Furthermore, parents rejected the idea that abstinence-only education is effective and believed reproductive and sexual health education should be taught without the influence of religion. Parents valued inclusive reproductive and sexual health education, covering a robust set of topics. Findings from the study provide evidence for the need to update current reproductive and sexual health education materials and legislation to meet parental demands and reduce youth sexual and reproductive health disparities.
Collapse
Affiliation(s)
- Amanda Cameron
- South Carolina Clinical and Translational Research Institute, Medical University of South Carolina, Charleston, SC, USA
| | - Ellie Smith
- College of Public Health and Human Sciences, Oregon State University, St. Corvallis, OR, USA
| | - Nicholas Mercer
- Department of Political Science, College of Charleston, Charleston, SC, USA
| | - Beth Sundstrom
- Department of Communication, College of Charleston, Charleston, SC, USA
| |
Collapse
|
17
|
Hersh AR, Saavedra-Avendaño B, Schiavon R, Darney BG. Sexuality Education During Adolescence and Use of Modern Contraception at First Sexual Intercourse Among Mexican Women. J Adolesc Health 2019; 65:667-673. [PMID: 31477509 DOI: 10.1016/j.jadohealth.2019.05.028] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/24/2019] [Revised: 05/09/2019] [Accepted: 05/30/2019] [Indexed: 11/18/2022]
Abstract
PURPOSE Mexico has implemented comprehensive sexuality education. We hypothesized that young women who received sexuality education as adolescents would be more likely to report modern contraceptive use at first sexual intercourse. METHODS We used a nationally representative survey of Mexican women aged 20-24 years who were asked about experiences during adolescence. We defined our treatment variable in three mutually exclusive groups: comprehensive sexuality education (receipt of education in nine topics); incomplete sexuality education (receipt of at least one topic in each of three themes); or no sexuality education. Our outcome was use of modern contraception at first sexual intercourse. We included individual- and household-level sociodemographic factors. All presented data used survey weights. We used multivariable logistic regression and predicted probabilities to estimate the association between sexuality education and using modern contraception at first intercourse. RESULTS In our sample (n = 2,725; population N = 4,008,722), 60.6% of participants reported receipt of comprehensive, 15.6% of incomplete, and 23.9% of no sexuality education; 62.5% reported utilizing a modern method of contraception at first intercourse. Women who reported receiving comprehensive (adjusted odds ratio: 2.3, 95% confidence interval [CI]: 1.7, 3.2) or incomplete (adjusted odds ratio: 2.4, 95% CI: 1.3, 4.2) sexuality education had higher odds of using contraception at first intercourse compared with no sexuality education. The absolute multivariable probabilities of using modern contraception at first intercourse were 57.5% (95% CI: 55.2%-59.8%), 60.4% (95% CI: 56.0%-64.9%), and 37.6% (95% CI: 33.9%-41.3%) among comprehensive, incomplete, and no sexuality education, respectively. CONCLUSIONS Sexuality education is associated with contraception use at first intercourse among young women in Mexico.
Collapse
Affiliation(s)
- Alyssa R Hersh
- Department of Obstetrics and Gynecology, Oregon Health and Science University, Portland, Oregon.
| | | | | | - Blair G Darney
- Department of Obstetrics and Gynecology, Oregon Health and Science University, Portland, Oregon; Center for Population Health Research (CISP), National Institute of Public Health (INSP), Cuernavaca, Mexico
| |
Collapse
|
18
|
Boti N, Hussen S, Shegaze M, Shibru S, Shibiru T, Zerihun E, Godana W, Abebe S, Gebretsadik W, Desalegn N, Temtime Z. Effects of comprehensive sexuality education on the comprehensive knowledge and attitude to condom use among first-year students in Arba Minch University: a quasi-experimental study. BMC Res Notes 2019; 12:700. [PMID: 31655627 PMCID: PMC6815450 DOI: 10.1186/s13104-019-4746-6] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/10/2019] [Accepted: 10/17/2019] [Indexed: 11/22/2022] Open
Abstract
Objective To assess the effect of comprehensive sexuality education on the comprehensive knowledge and attitude to condom use among first-year students at Arba Minch University. Results A total of 832 students participated at a baseline, and 820 students participated at the posttest. This study found that there was a significant effect on changing students’ knowledge and attitude towards a condom. In the education group, the students’ average change of comprehensive condom knowledge score was 0.229 higher than the average score of students’ in the control group (ATE = 0.229, 95% CI 0.132 to 0.328; p < 0.001). The average change of attitude toward condom score of students’ in the education group was 1.834 higher than the average change score of students’ in the control group (ATE = 1.834, 95% CI 1.195 to 2.772; p < 0.001).This study provides further evidence on the effectiveness of comprehensive sexuality education in terms of knowledge and attitude towards a condom. Therefore, the implementation of this education should be strengthened in order the prevent youths from STI/HIV and unintended pregnancies.
Collapse
Affiliation(s)
- Negussie Boti
- College of Medicine & Health Sciences, Department of Public Health, Arba Minch University, Arba Minch, Ethiopia.
| | - Sultan Hussen
- College of Medicine & Health Sciences, Department of Public Health, Arba Minch University, Arba Minch, Ethiopia
| | - Mulugeta Shegaze
- College of Medicine & Health Sciences, Department of Public Health, Arba Minch University, Arba Minch, Ethiopia
| | - Simon Shibru
- College of Natural Sciences, Department of Biology, Arba Minch University, Arba Minch, Ethiopia
| | - Tamiru Shibiru
- College of Medicine & Health Sciences, School of Medicine, Arba Minch University, Arba Minch, Ethiopia
| | - Eshetu Zerihun
- College of Medicine & Health Sciences, Department of Public Health, Arba Minch University, Arba Minch, Ethiopia
| | - Wanzahun Godana
- College of Medicine & Health Sciences, Department of Public Health, Arba Minch University, Arba Minch, Ethiopia
| | - Sintayehu Abebe
- College of Medicine & Health Sciences, Department of Public Health, Arba Minch University, Arba Minch, Ethiopia
| | - Woyinshet Gebretsadik
- College of Medicine & Health Sciences, Department of Nursing, Arba Minch University, Arba Minch, Ethiopia
| | - Nathan Desalegn
- College of Medicine & Health Sciences, Department of Nursing, Arba Minch University, Arba Minch, Ethiopia
| | - Zebene Temtime
- Department of Psychology, College of Social Sciences and Humanities, Arba Minch University, Arba Minch, Ethiopia
| |
Collapse
|
19
|
Estrada F, Suárez-López L, Hubert C, Allen-Leigh B, Campero L, Cruz-Jimenez L. Factors associated with pregnancy desire among adolescent women in five Latin American countries: a multilevel analysis. BJOG 2018; 125:1330-1336. [DOI: 10.1111/1471-0528.15313] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 05/21/2018] [Indexed: 11/26/2022]
Affiliation(s)
- F Estrada
- CONACYT - National Institute of Public Health-Reproductive Health Division; Mexico
| | - L Suárez-López
- Reproductive Health Division; Centre for Population Health Research; National Institute of Public Health; Cuernavaca Morelos Mexico
| | - C Hubert
- CONACYT - National Institute of Public Health-Reproductive Health Division; Mexico
| | - B Allen-Leigh
- Reproductive Health Division; Centre for Population Health Research; National Institute of Public Health; Cuernavaca Morelos Mexico
| | - L Campero
- Reproductive Health Division; Centre for Population Health Research; National Institute of Public Health; Cuernavaca Morelos Mexico
| | - L Cruz-Jimenez
- Reproductive Health Division; Centre for Population Health Research; National Institute of Public Health; Cuernavaca Morelos Mexico
| |
Collapse
|