Reproductive Service Utilization Research Articles

Utilization of sexual and reproductive health services and its correlates among community- based older adults in Chongqing

Objective: To investigate the utilization of sexual health services among community-based older adults in Chongqing and explore its potential correlates. Methods: A cross-sectional survey using multistage sampling among community-based older adults aged ≥50 years was conducted in Chongqing between June 2020 and December 2022. A questionnaire including information on demographic characteristics, general health, sexual health status, and sexual health services utilization was collected. Sexual health and reproductive services utilization was defined as having ever been tested for human immunodeficiency virus (HIV), or having had a male/gynecological reproductive health examination in the past year. Logistic regression was used to examine the correlates of the utilization of sexual health services. Results: A total of 794 community-based older adults participated in the study (482 were male, and 312 were female). The mean age was (62.8±8.2) years. The proportion of HIV testing was 18.0%, and the proportion of reproductive health examination was 10.1% among community-based older adults. The results of multivariate logistic regression analysis showed that the age group of 60-69 years (aOR=0.37, 95%CI: 0.18-0.76), female (aOR=11.34, 95%CI: 5.71-22.52), monthly income ≥5 000 yuan (aOR=3.05, 95%CI: 1.01-9.27), being sexual activity (aOR=4.99, 95%CI: 2.23-11.15) was significantly associated with had a reproductive health examination in the past year. Conclusions: The proportion of sexual health services utilization among older adults was low. Older sexual health education should be further strengthened, the close relationship between older adults should be correctly guided and dealt with, and the sexual health services suitable for the older population should be formulated.

Utilization of family planning and volunteer counseling and testing service and associated factors among preparatory school students in Arba Minch Town, Southern Ethiopia: a cross-sectional study

INTRODUCTION: the utilization of reproductive health service plays significant role in preventing youths from different reproductive related health problems. Adolescents in Ethiopia have inadequate access to information and services. The objection of this study was to assess utilization of family planning and volunteer counseling and testing service and associated factors among preparatory school students in Arba Minch Town. METHOD: institutional based cross-sectional study was conducted among randomly selected 522 regular preparatory students in Arba Minch Town from December 01-30/2019. Data was entered and clean into Epidata-4.6 templates then transferred to SPSS-25 statistical software for analysis. A bi-variable and multivariable logistic regression model was used to identify statistically significant variables of the independent variable. Variables with P-value < 0.05 in the final model were considered significant determinant variables. RESULT: out of the total of 541selected students, 522 responded to the questionnaires yielding a response rate of 96.48%. The mean age of the study participant was 17.8 with (SD±0.8) years. From those who had sexual intercourse 78.6% and 29.3% of them used family planning and voluntary counseling and testing service, respectively. Sexual intercourse experienced adolescents were 8.24 times more likely utilized Family Planning (FP) service than their counterparts (AOR=8.236, 95% CI: 6.18-15.76). The study participants living with both parents were about 1.6 times (AOR=1.645, CI: 1.077-2.513 more likely to use voluntary counseling and testing service compared to those who living with others. CONCLUSIONS: based on this finding, majority of adolescents used family planning, but voluntary counseling and testing service utilization were low. The reasons for not utilizing voluntary counseling and testing service were felt ashamed from friends and unfriendly approach of health workers during service provision. So, we can recommend that encourage adolescents open discussion about reproductive health service utilization with different peoples, open discussion within couples and encourage to increase female education are important steps to improve adolescent’s reproductive service utilization.

Sexual and reproductive health services utilization and associated factors among secondary school students in Nekemte town, Ethiopia

BackgroundDespite policy actions and strategic efforts made to promote sexual and reproductive health service uptake of youths in Ethiopia, its utilization remains very low and little information was found on the extent to which school youths utilize available reproductive health services in Nekempt town. This study was aimed to assess utilization of Sexual and Reproduactive Health (SRH) services and its associated factors among secondary school students in Nekemte town, Ethiopia.MethodA school based cross-sectional study design was conducted from April 18 to 22, 2016. Multistage cluster sampling technique was used to select a total of 768 students who attended secondary schools. Sexual and reproductive health services utilization was measured using one item asking whether they had used either of sexual and reproductive health services components during the last one year or not. The data was entered using EpiData Manager with Entry Client and further analysis was done using SPSS version 21 software. Descriptive statistics, cross tabulations, biviarate and multivariate logistic regression analyses were used. All variables were set by p-values less than 0.05 and reported by Adjusted Odds Ratio with its 95%CI.ResultOut of the 768 study subjects, 739 participants underwent all the study components giving response rate of 96%. About 157 (21.2%) school youths reported that they utilized SRH services. On multivariable logistic regression analysis after adjusting for other variable, discussion with health workers (AOR 3.0, 95%CI [1.7–5.2]), previous history of perceived Sexually transmitted infections (STIs) symptoms (AOR 2.6, 95%CI [1.2–5.5]), being ever sexually experienced (AOR 5.9, 95%CI [3.4–10.2]) and exposure to information from school teachers (AOR 0.36, 95%CI [0.2–0.6]) were found to be independent determinants of sexual and reproductive services utilization among secondary school youths. Inconvenient times, lack of privacy, religion, culture, and parent prohibition were barriers to SRH service uptake cited by the school youths.ConclusionsThe overall utilization of sexual and reproductive services was low among school youths in the town. Discussion with health workers, history of perceived STIs symptoms, sexual experience and information were the association factors of sexual and reproductive service utilization among secondary school youths.

Sexual and reproductive health status and related knowledge among female migrant workers in Guangzhou, China: a cross-sectional survey

Objective The objective of this study was to investigate the current sexual and reproductive health (SRH) status including SRH-related knowledge and associated factors, self-reported symptoms of reproductive tract infection (RTI), medical assistance seeking behavior, sexual experience and contraceptive use, reproductive information approach and reproductive service utilization among female migrant workers in Huangpu district, Guangzhou city, China. Study design A cross-sectional study was conducted in 2008 in eight factories, which were selected randomly from 32 eligible factories in the Huangpu district in Guangzhou. Descriptive statistics were used to describe the SRH status of migrant workers. Factors associated with the level of SRH knowledge were determined by a logistic regression model. Results Of 1346 female migrant workers, 831(61.7%) were unmarried and 515 (38.3%) were married. 27.2% of the unmarried respondents and 40.2% of the married respondents had suffered self-reported RTI symptoms. Among unmarried respondents, the median knowledge score was 5 points, compared to 8 points for the married. For unmarried migrant workers, factors associated with the knowledge level were age, education level, access to SRH information and service, sexual experiences and RTI symptoms. For married migrant workers, factors associated with the knowledge level were age, education level, access to SRH services and RTI symptoms. Conclusions A high prevalence of self-reported RTI symptoms and a low knowledge level were found among young female migrant workers. Unmarried migrant workers are more vulnerable to SRH problems. Those findings demand more specific interventions targeting female migrants and in particular the unmarried.