Adolescents' Sexual Reproductive Health Service Utilization and Associated Factors Among Bahir Dar City High School Students, Amhara Region, Ethiopia: A Cross-Sectional Study.

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Introduction: All across the world, youths struggle with a variety of health issues. Adolescents everywhere are entering puberty earlier and engaging in more premarital sex. There was limited evidence about the current adolescent sexual reproductive health (RH) service utilization status and its associated factors in the study area, especially after the occurrence of COVID-19 and the war between the Ethiopian federal government and Tigray regional forces. Objective: The study is aimed at assessing the magnitude of sexual RH service utilization and associated factors among Bahir Dar City high school students, Amhara region, Ethiopia, in 2022. Methods: An institution-based cross-sectional study design was conducted among Bahir Dar City high school students from December 18, 2022, to January 12, 2022. A multistage sampling technique was applied to select study participants. A total of 629 respondents participated in the study. The data were collected using a pretested, structured, self-administered questionnaire. The data were entered into EpiData Version 3.1 and then exported to SPSS Version 25 for analysis. Bivariable and multivariable logistic regression was used for analysis. Results: The magnitude of adolescent sexual RH service utilization was found to be 30.4%. School RH club participation (AOR = 5.93, CI: 3.29-10.71), having ever had sexual exposure (AOR = 6.03, CI: 3.31-10.98), history of sexual RH problems (AOR = 3.26, CI: 1.41-7.51), being perceived as at risk of sexual RH problems (AOR = 6, CI: 3.26-11.04), hearing information about adolescent sexual RH (AOR = 5.19, CI: 3-8.97), and knowing the place to use RH service (AOR = 2.37, CI: 1.47-3.82) were associated with utilization of adolescent sexual RH service. Conclusions: The magnitude of adolescent sexual RH service utilization was found to be 30.4%. School RH club participation, having ever had sexual exposure, a history of sexual RH problems, being perceived as at risk of sexual RH problems, hearing information about sexual RH, and knowing the place where to get RH services were associated with the utilization of sexual RH services.