دورية أكاديمية

Level and comfort of caregiver-young adolescent communication on sexual and reproductive health: a cross-sectional survey in south-western Uganda.

التفاصيل البيبلوغرافية
العنوان: Level and comfort of caregiver-young adolescent communication on sexual and reproductive health: a cross-sectional survey in south-western Uganda.
المؤلفون: Akatukwasa C; International Centre for Reproductive Health, Department of Public Health and Primary Care, Faculty of Medicine and Health Sciences, Ghent University, Ghent, Belgium. cecilia.akatukwasa@ugent.be.; Faculty of Interdisciplinary Studies, Mbarara University of Science and Technology, P.O. Box 1410, Mbarara, Uganda. cecilia.akatukwasa@ugent.be., Nyakato VN; Faculty of Interdisciplinary Studies, Mbarara University of Science and Technology, P.O. Box 1410, Mbarara, Uganda.; Nordic Africa Institute, Uppsala, Sweden., Achen D; Faculty of Interdisciplinary Studies, Mbarara University of Science and Technology, P.O. Box 1410, Mbarara, Uganda.; Centre of Expertise Gender, Diversity and Intersectionality, Vrije Universitet Brussels, Brussels, Belgium., Kemigisha E; Faculty of Interdisciplinary Studies, Mbarara University of Science and Technology, P.O. Box 1410, Mbarara, Uganda., Atwine D; Department of Community Health, Mbarara University of Science and Technology, P.O. Box 1410, Mbarara, Uganda., Mlahagwa W; Faculty of Interdisciplinary Studies, Mbarara University of Science and Technology, P.O. Box 1410, Mbarara, Uganda., Neema S; Department of Sociology and Anthropology, Makerere University, P. O. Box 7062, Kampala, Uganda., Ruzaaza GN; Department of Community Health, Mbarara University of Science and Technology, P.O. Box 1410, Mbarara, Uganda., Coene G; Centre of Expertise Gender, Diversity and Intersectionality, Vrije Universitet Brussels, Brussels, Belgium., Rukundo GZ; Department of Psychiatry, Mbarara University of Science and Technology, P.O. Box 1410, Mbarara, Uganda., Michielsen K; International Centre for Reproductive Health, Department of Public Health and Primary Care, Faculty of Medicine and Health Sciences, Ghent University, Ghent, Belgium.
المصدر: BMC public health [BMC Public Health] 2022 Nov 19; Vol. 22 (1), pp. 2129. Date of Electronic Publication: 2022 Nov 19.
نوع المنشور: Journal Article; Research Support, Non-U.S. Gov't
اللغة: English
بيانات الدورية: Publisher: BioMed Central Country of Publication: England NLM ID: 100968562 Publication Model: Electronic Cited Medium: Internet ISSN: 1471-2458 (Electronic) Linking ISSN: 14712458 NLM ISO Abbreviation: BMC Public Health Subsets: MEDLINE
أسماء مطبوعة: Original Publication: London : BioMed Central, [2001-
مواضيع طبية MeSH: Reproductive Health* , Health Communication*, Humans ; Cross-Sectional Studies ; Caregivers ; Uganda ; Surveys and Questionnaires
مستخلص: Background: Communication on sexual and reproductive health (SRH) between caregivers and their young adolescent children plays a significant role in shaping attitudes and behaviours that are critical to laying the foundations for positive and safe SRH behaviours in later adolescence. Nevertheless, this communication is often limited, particularly in countries where adolescent sexuality is taboo. This study assessed the topics discussed ('level') and the comfort of caregivers with communicating with young adolescents on SRH, and their correlates.  METHODS: A cross-sectional survey was conducted among 218 caregivers of young adolescents (10-14 years) in Mbarara district of south-western Uganda in January and February 2020. Participants were selected through consecutive sampling. A structured, pre-tested questionnaire administered by interviewers was used for data collection. The surveys were computer-assisted using Kobo Collect software. Data was exported to STATA 14 for analysis. Level of SRH communication was measured based on 10 SRH communication topics, while comfort was based on 9 SRH discussion topics. Bivariate and multivariate linear regression analyses were conducted to determine correlates of level of, and comfort with, SRH communication P-value < 0.05 was considered for statistical significance.
Results: The mean number of topics that caregivers discussed was 3.9 (SD = 2.7) out of the 10 SRH topics explored. None of the respondents discussed all the topics; 2% reported ever discussing nine topics with their young adolescent, while 3.5% reported never discussing any of the topics. General health and bodily hygiene (89.9%) and HIV/AIDS and other sexually transmitted infections (STIs) (77.5%) were the most commonly discussed, while night emissions in boys (4.3%) and condoms (8.3%) were least discussed. The majority of caregivers (62%) reported a high level of comfort with discussing SRH. The mean comfort score was 21.9 (SD = 3.8). In general, the level of SRH communication increased with an increase in comfort with SRH communication β = 0.22 (0.04); 95% CI = (0.15, 0.30). The level of comfort with SRH communication decreased with an increase in the number of YAs in a household β = -0.92 (0.38); 95%CI = (-1.66,-0.18).
Conclusion: Overall, the level of SRH communication is low and varies according to the number of SRH topics. Caregivers' comfort with SRH communication with YAs was a significant correlate of SRH communication. This justifies the need for interventions that aim to improve caregivers' comfort with communicating with young adolescents about SRH.
(© 2022. The Author(s).)
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فهرسة مساهمة: Keywords: Caregiver; Caregiver–child communication; Sexual and reproductive health; Sexuality education; Uganda; Young adolescent
تواريخ الأحداث: Date Created: 20221119 Date Completed: 20221122 Latest Revision: 20221127
رمز التحديث: 20240628
مُعرف محوري في PubMed: PMC9675188
DOI: 10.1186/s12889-022-14561-3
PMID: 36403003
قاعدة البيانات: MEDLINE
الوصف
تدمد:1471-2458
DOI:10.1186/s12889-022-14561-3