Examining how well an intervention improved adolescents’ attitudes towards contraception, unsafe abortion, and intimate partner violence in southeast Nigeria
Notice bibliographique
Résumé
This study assessed the effect of an intervention on adolescents’ attitudes towards condom use, contraceptive use, unsafe abortion, and intimate partner violence in urban and rural communities in Southeast Nigeria. A cross-sectional study was conducted in twelve (12) communities purposively selected from six (6) local government areas (LGAs) in Ebonyi State, southeast Nigeria, after the implementation of a suite of interventions that focused on improving adolescents’ attitudes towards contraception, unsafe abortion, and intimate partner violence. A pre-tested interviewer-administered questionnaire was used to interview 855 unmarried adolescent boys and girls aged 13–19 that were selected using simple random sampling. In addition, eight focus group discussions (FGD) were held. The FGDs were disaggregated by sex and location (in-school and in-community adolescents). Univariate and multivariate analyses were undertaken on the survey data, while a thematic framework approach was used to analyze the qualitative data. The intervention resulted in more adolescents having improved attitude towards the use of condoms (OR = 1.09; CI 1.83–1.47) and other contraceptives (OR = 2.29; CI 1.46–3.62). Also, there was a positive overall attitude toward SRH issues such as condom use, contraception, engaging in unsafe abortion, and intimate partner violence. Adolescents age (OR = 1.27 CI 1.04–1.39), location of residence (OR = 0.61; CI 0.39–0.96), and work for pay (OR = 2.25; CI 1.22–4.17) were significant predictors of improved attitude towards issues on SRH in intervention group. Adolescents who attended SRH campaign (OR = 1.61; CI 0.78–3.30) and discussed sex-related topics with someone afterward (OR = 2.37; CI 1.30–4.32) were twice as likely to show a positive attitude compared to those who did not in the same group. Likewise, the FGDs revealed that adolescents who took part in the intervention gained greater confidence in using condoms during casual sex and became more assertive in refusing sexual harassment and coercion. They noted that this shift in attitude towards condom use led to a reduction in incidents where parents in the communities would have male partners arrested for impregnating adolescent females. The intervention has led to improvements in the attitudes of adolescents toward condom use and other SRH services. Hence, there is a need to sustain, and scale-up the intervention to cover the entire state and all parts of Nigeria with similar contexts for universal promotion of positive attitudes towards contraceptive use, abortion, and sexual violence among diverse adolescents.
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Comment cette classification a été obtenuedéplier
Prédiction distillée sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Apprise à partir de 10 348 étiquettes directes de Codex et de 10 348 étiquettes directes de Gemma. Le mode candidate est l'union des têtes enseignantes seuillées; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont ni des étiquettes humaines ni des étiquettes directes de modèles de pointe.
Scores Codex et Gemma par catégorie
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,004 | 0,000 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,000 |
| Méta-épidémiologie (sens large) | 0,001 | 0,000 |
| Bibliométrie | 0,000 | 0,001 |
| Études des sciences et des technologies | 0,001 | 0,000 |
| Communication savante | 0,000 | 0,001 |
| Science ouverte | 0,000 | 0,000 |
| Intégrité de la recherche | 0,000 | 0,001 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,000 | 0,000 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule tête enseignante, pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».