Risk Of Reproductive Health Problems Research Articles

Factors Associated With Personal Hygiene During Menstruation In Student Of SMP PGRI Depok II Tengah West Java 2020

Having a good personal hygiene behavior especially during menstruation can reduce the risk of reproductive health problems. The aim of this study is to find out factors associated with personal hygiene during menstruation in student of SMP PGRI Depok II Tengah West Java 2020. This study uses quantitative method with a cross sectional design study. This study is conducted in December 2019 to May 2020. The population of this study is the entire student in class VII and VIII. The number of sample in this study is 94 which conducted with quota sampling. This study uses a primer data which uses google form questionnaire as an instrument to collect a data. The data is analyzed using univariate and bivariate analysis with chi square. Univariate analysis results show that 76,6 percent respondents do not have good personal hygiene behavior during menstruation, 72,3 percent have the ideal age of menarche, 58,5 percent have low knowledge, 70,2 percent have negative attitudes, 84 percent have incomplete hygiene facilities and infrastructure in school, 91,5 percent are exposed to information, and 63,8 percent have sufficient peer support. Bivariate analysis show that there is a significant association between the completeness of hygiene facilities and infrastructure in school with personal hygiene behavior during menstruation with Pvalue equal 0,008.

Youth’s Sexual and Reproductive Health Service Utilization and Associated Factors in Addis Ababa: Community Based Cross-sectional Study

Background: youth is a period of change and adjustment. It is a period of life in which an individual display significant physiological, psychological and social changes that expose them at high risk of reproductive health problems. Consequently, many youth are less informed, less experienced and less comfortable in utilizing reproductive health services. Objective: this study assessed reproductive health service utilization and associated factors among youths in Addis Ababa, Yeka Sub city (Woreda one), Ethiopia. Methods: a community based cross-sectional study was conducted from September 13, 2020 to October 25, 2020. Three hundred seventy eight youths were selected by systematic random sampling technique and interviewed using structured self-administered questionnaire. Data were analyzed using SPSS windows version 24.0. Multiple logistic regression was run to identify variables that predict RHS utilization. P-values <0.05 were taken as a decision line to consider a variable is statistically significant or not. Results: Three hundred thirty nine (89.4%) respondents were properly filled and returned the questionnaire. One hundred sixty two (47.8%) of them were female and 177 (52.2%) of them were male participants. Two hundred fifty two (74.3%) of the respondents had heard about reproductive health services and 87.3% had knowledge about sexually transmitted infection and 42.8% of the respondents utilized RHS. Age (AOR=0.342, 95% CI: 0.124-1.942), marital status (AOR=3.420, 95% CI: 1.088-11.065), living arrangement (AOR=0.142, 95% CI: 0.032-0630), father education (AOR=6.613, 95% CI: 2.363-18.505), mothers education (AOR=0.334 95% CI: 0.133-1.936) and self-determination (AOR=0.294 95% CI: 0.149-0.581) were predictors of youth reproductive health service utilization. Conclusion: irrespective of the youth knowledge/information about reproductive health service (sexually transmitted diseases and family planning), youths reproductive health service utilization is low. Therefore, life skill training for youth, parental scaffolding and communication with youth, and training and updating care providers in the youth center, capacitating the youth center in terms of resources helps to enhance youth reproductive health service utilization.

Determinants of Modern Contraceptive Use among Young Married Women (Age 15-24) in Indonesia

Younger maternal age increases maternal and neonatal risks, while the use of contraceptives among young married women is noticeably lower compared to older women. Contraceptive use can reduce the risk of reproductive health problems among young women. This study aimed to assess the determinants of modern contraceptive use among young married women aged 15-24 in Indonesia. The study utilized data of the 2019 Indonesian Population, Family Planning and Family Development Program Performance and Accountability Survey. The analysis was restricted to 3,927 young married women who were not pregnant during the survey, as they were likely to report either doing something or not postponing or delaying pregnancy. Logistic regression analyses were performed to predict factors influencing modern contraceptive use among young married women. Findings indicate that all demographic factors (age, residence, and region) and education were associated with modern contraceptive use. The number of living children and desire to have children revealed significant variability in modern contraceptive use among young married women. Other important factors in explaining contraceptive use were family planning program exposure factors such as knowledge of the contraceptive method and discussed family planning with health worker. The study underlines the importance of intervention programs aimed at increasing modern contraceptive information targeting adolescents who are older, residen in urban area, live in islands other than Java-Bali, have higher education; and encouraging provider-clients&amp;rsquo; family planning interpersonal communication.

Youth Friendly Reproductive Health Service Utilization and Associated Factors Among School Youths in Ambo Town, Oromia Regional State, Ethiopia, 2018

Background: Youth is a period of life in which an individual passes from significant physiological, psychological and social changes that expose them at high risk of reproductive health problems. The reproductive health problems in this period are preventable provided that youth utilize quality reproductive health services. The aim of the study was to assess the extent of youth friendly reproductive health services utilization and the associated factors among secondary and preparatory school youths in Ambo Town. Methods: Institutional based cross-sectional study was conducted among 376 youths who were attending the secondary and preparatory school in Ambo town from March, 1-30 /2018. Simple random sampling method was used to select the study participants from each grade. Data were collected by trained data collectors using a pre-tested structured questionnaire. The collected data were entered into SPSS version 20 for analysis. Multiple logistic regression analyses were performed to identify the strength of association between dependent and independent variables at 95% confident interval and P value < 0.05. Results were presented using tables and figures based on the nature of the variables. Result: About 20.7% of the youths had utilized youth friendly reproductive health services at least once in the last twelve months prior to the study. On a multivariable logistic regression analysis variable such as age [AOR=0.38, 95% CI=0.176-0.819], student grade [AOR=3.0, 95% CI=1.499-6.230], previous residence status [AOR=0.53, 95% CI=0.300-0.926] and the existence of youth friendly reproductive health service facility around living area [AOR=7.700, 95% CI=2.931-20.423] were significantly associated with youth friendly reproductive health service utilization. Conclusion: Youth friendly reproductive health services utilization among secondary and preparatory school youths in Ambo town was low. Age of the respondents, student grade, and previous residence status of the respondents & existence of youth friendly reproductive health service health facilities were among predictors of youth friendly reproductive health services utilization. Therefore the Ambo town and, Ambo district health offices, Ambo town education offices and other organizations working in area of youths reproductive health services are recommended to give awareness on youth friendly service utilization through provision of training for youths.

Inequity in contraceptive care between refugees and other migrant women?: a retrospective study in Dutch general practice.

Female refugees are at high risk of reproductive health problems including unmet contraceptive needs. In the Netherlands, the general practitioner (GP) is the main entrance to the healthcare system and plays a vital role in the prescription of contraceptives. Little is known about contraceptive care in female refugees in primary care. To get insight into GP care related to contraception in refugees and other migrants compared with native Dutch women. A retrospective descriptive study of patient records of refugees, other migrants and native Dutch women was carried out in five general practices in the Netherlands. The prevalence of discussions about contraception and prescriptions of contraceptives over the past 6 years was compared in women of reproductive age (15-49 years). In total, 104 refugees, 58 other migrants and 162 native Dutch women were included. GPs in our study (2 male, 3 female) discussed contraceptives significantly less often with refugees (51%) and other migrants (66%) than with native Dutch women (84%; P < 0.001 and P = 0.004, respectively). Contraceptives were less often prescribed to refugees (34%) and other migrants (55%) than to native Dutch women (79%; P < 0.001 and P = 0.001). Among refugees from Sub-Saharan Africa, contraception was significantly less often discussed (28.9%) compared with refugees from other regions (67.8%; P < 0.001). More refugees and other migrants had experienced unwanted pregnancies (14% respectively 9%) and induced abortions (12% respectively 7%) than native Dutch women (4% respectively 4%). Contraceptives were significantly less often discussed with and prescribed to refugees and other migrant women compared with native Dutch women. More research is needed to elicit the reproductive health needs and preferences of migrant women regarding GP's care and experiences in discussing these issues. Such insights are vital in order to provide equitable reproductive healthcare to every woman regardless of her background.

Use of Reproductive Health Information among University Undergraduates in Ogun State, Nigeria

Abstract Young adults bear a higher risk of reproductive health problems than adults. Cases of unwanted pregnancies and their attendant complications reportedly rank among the highest in Africa. This study therefore investigates reproductive health and use of health information among university undergraduates in Nigeria. Correlational research design was adopted using descriptive survey method. Questionnaire was designed and used as survey instrument. The study used 25% of 6,978 undergraduate students from government and private universities in Abeokuta, Ogun State between 16-24 years old from each of the 35 departments that made up 8 colleges in the two universities. A total number of 1,745 copies of questionnaire were administered to the respondents out of which 1,500 copies were filled completely and retrieved making the response rate to be 86.95%. The findings of this study show that friends, parents and relatives were the closest sources of health information the respondents have used for reproductive health purposes. Utilisation of health information through information resources was effective. The study also concludes that cultural value, level of education and unfriendly attitude of health officials were parts of the major problems confronting effective utilization of reproductive health information among young adults in Nigeria.

Perceptions of Infertility Risks Among Female Pediatric Cancer Survivors Following Gonadotoxic Therapy.

Research has established that childhood cancer treatments can place survivors at risk for reproductive health problems, yet little is known about pediatric survivors' perceptions of their risk for infertility and worry about future family planning. The purpose of this study was to explore factors that affect awareness of risk for and worry about infertility among female pediatric cancer survivors aged 10 to 21 (N=48) and their parents (N=41) following exposure to treatments associated with reproductive late effects. The majority of female childhood cancer survivors (71%) and their parents (95%) reported worry about infertility following gonadotoxic therapy. Cross-sectional data indicated that survivors' awareness of risk for and worry about infertility increase during adolescence, whereas parents' awareness of risk and worry generally remain constant throughout their daughters' development. Survivor worry about infertility was predicted by a variety of factors, yet parent worry about infertility was only associated with increased gonadotoxic radiation exposure. Overall, these findings reinforce the necessity of developmentally appropriate education about reproductive health risks and fertility preservation options across the continuum of pediatric oncology care from diagnosis to survivorship.

Sisters Peer Counseling in Reproductive Issues After Treatment (SPIRIT)

AbstractBACKGROUND:African American breast cancer survivors may be at high risk for reproductive health problems, including menopause symptoms, sexual dysfunction, and distress about cancer‐related infertility. The authors partnered with Sisters Network Inc. to create the Sisters Peer Counseling in Reproductive Issues After Treatment (SPIRIT) program, a culturally sensitive intervention program that combined a written workbook and peer counseling.METHODS:Three hundred women were randomized to receive either the workbook plus 3 in‐person sessions with a trained peer counselor or the workbook plus ≤30 minutes of telephone counseling to be initiated by the participant. Questionnaires at baseline, post‐treatment, and at 6‐month and 12‐month follow‐up assessed emotional distress, sexual function, relationship satisfaction, spirituality, menopause symptoms, and knowledge. Satisfaction with the program and the use of medical care also were assessed.RESULTS:Both groups of women improved significantly in knowledge, decreased in distress, and had decreased hot flashes. Sexually active women had improved sexual function at 6‐month follow‐up but not at 1 year. However, peer counseling had little incremental benefit over the telephone counseling.CONCLUSIONS:The SPIRIT program was rated very useful by 66% of women. Outcomes justify continued use of the workbook and further research to optimize the impact of peer counseling. Cancer 2011;. © 2011 American Cancer Society.

Are radiologists and radiological technologists at greater risk of reproductive health problems? Data from seven provinces in Iran

Many radiation workers believe that occupational exposures have the potential to interfere with their normal reproductive function. In this study, a total of 621 radiation workers (336 females and 285 males) who worked in hospitals/clinics in seven different provinces were randomly selected. All the participants were interviewed and the reports of their previous exposures, as recorded by film badge, thermoluminescent dosimeter or pen dosimeters, were investigated. Only 47 participants (7.57%) had a history of receiving doses above the background level. The overall prevalence of spontaneous abortion, stillbirth and congenital abnormalities were 10.67%, 1.21% and 1.71%, respectively. The rates of occurrence of at least one lifetime disorder for spontaneous abortion, stillbirths and congenital abnormality in 238 female radiation workers who had a history of previous pregnancy were 20.17%, 3.12% and 4.47%, respectively. Among 238 female radiation workers who had a history of previous pregnancies, 79.83% had no history of spontaneous

Reproductive Health Practices in Women Attending an Inner-City STD Clinic

Inner-city sexually transmitted disease (STD) clinics may provide an important access point to educate patients at high risk for reproductive health problems and their peers in order to effect behavior change. In a pilot study to evaluate the knowledge, health practices, and behavior of patients attending an inner-city STD clinic, 116 women were surveyed concerning their reproductive and general health practices, their knowledge of both, and screened for STDs. The women who had a history of first intercourse before age 18 years had a statistically significant higher rate of infection. Thirty-three percent of the patients did not know the purpose of a Pap smear; of the 67% who stated that they did know, only 30% actually stated that a Pap smear is used to detect cancer. STD clinics offer a unique opportunity for the integration of health care services and education to a group of high-risk patients.

THE HEALTH OF ADOLESCENTS

Adolescents are the future adults of the world. While adolescence is typically regarded as a period of life relatively free from health problems, adolescents are actually in need of the attention of health professionals and health services, especially with regard to sexual health. A trend of decreasing age at menarche and increasing age at marriage presents adolescents with a substantial number of years in which they will experiment with their developing reproductive organs and sexuality. Substantial psychological and physical change takes place during this period. Inconsistent and suboptimal users of contraception, youths are at high risk for reproductive health problems and sexually transmitted diseases. Substance abuse, unintentional and intentional injuries and their sequelae, academic underachievement and illiteracy, and obesity may also be problematic for adolescents. Adolescents are, however, most damaged by internalized and externalized homophobia. The authors point out that adolescents may be persuaded to learn and change their behaviors more readily than adults. Appropriate messages could be conveyed through targeted information, education, and communication strategies to complement medical and health care services which are available, accessible, and acceptable.