Abstract
BackgroundEvery year, 1.3 million young people reported to die from preventable causes of death. Parent-adolescent communication on sexuality is critical in informing youth about risk and protective behaviors which in turn decrease the likelihood of involvement in risky sexual behaviors. This systematic review and meta-analysis was intended to assess the prevalence of parent-adolescent communication on sexual and reproductive health (SRH) issues and its associated factors in Ethiopia.MethodsPubMed, EMBASE, HINARI, Google Scholar, and University repositories were used to search studies. Article search was conducted from May 20 to June 9, 2020. Critical appraisal of studies was conducted using Newcastle-Ottawa Quality Assessment Scale (NOS). Data analysis was conducted using Stata 11 software following the abstraction of data using a format prepared on Microsoft excel. The heterogeneity of studies was tested using Cochran (Q test) and I2 test statistics. Similarly, funnel plot and Egger’s regression asymmetry were used to assess publication bias. Subgroup analysis was conducted based on study Regions and sample size.ResultFourteen studies with sample of 8018 adolescents were included in this systematic review and meta-analysis. The pooled prevalence of parent-adolescent communication on SRH issues in Ethiopia was found to be 45.18% (95%, CI, 32.23, 58.13%). Adolescents’ knowledge of reproductive health matters (OR = 2.91, 95% CI:1.21, 7.01), believe on importance of discussion on SRH issues (OR = 4.18, 95% CI: 2.63, 6.65), had history of sexual exposure (OR = 1.95, 95% CI: 1.53, 2.50), parents openness to discuss SRH issues (OR = 3.39, 95% CI: (2.48, 4.62), and being female (OR = 1.60, 95% CI:1.07, 2.38) were the positive predictors of parent-adolescent communications on SRH issues.ConclusionThe prevalence of parent-adolescent communication on SRH issues was found to be low. Knowledge of adolescents about reproductive health matters, believe on the importance of discussion on reproductive health issues, history of sexual exposure, parents’ openness to discuss SRH issues, and being female were found to be the positive predictors of parent-adolescent communication on SRH issues in Ethiopia. The finding our study indicated that evidence based education about reproductive health matters could significant to improve adolescent parent communication on SRH issues.
Highlights
Adolescent population accounts for a quarter of the global population and more than 70% resides in low income countries [1]
Knowledge of adolescents about reproductive health matters, believe on the importance of discussion on reproductive health issues, history of sexual exposure, parents’ openness to discuss sexual and reproductive health (SRH) issues, and being female were found to be the positive predictors of parent-adolescent communication on SRH issues in Ethiopia
The finding our study indicated that evidence based education about reproductive health matters could significant to improve adolescent parent communication on SRH issues
Summary
Adolescent population accounts for a quarter of the global population and more than 70% resides in low income countries [1]. Many adolescents are reported to die prematurely due to accidents, suicide, violence, pregnancy related complications, and other reproductive illnesses that are either preventable or treatable through provision of adolescent tailored reproductive health services [2, 4]. According to WHO report, 1.3 million youth population reported to die every year from preventable causes of death [5]. Adolescent population are disproportionately affected by Human Immuno- Deficiency Virus (HIV)/ (Acquired Immuno-Deficiency Syndrome (AIDS), and other reproductive health problems. Eighty-two percent of the estimated 2.1 million adolescents aged 10–19 years living with HIV were in Sub-Saharan Africa (SSA) as of the 2012 report in which 58% of them were females. 1.3 million young people reported to die from preventable causes of death. This systematic review and meta-analysis was intended to assess the prevalence of parent-adolescent communication on sexual and reproductive health (SRH) issues and its associated factors in Ethiopia
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