Evidence map›Paper›PMID 30650100›Full record

ArticlePloS one2019

Sexual and reproductive health literacy of school adolescents in Lao PDR.

Viengnakhone Vongxay, Femke Albers, Souksamone Thongmixay, Maliphone Thongsombath, Jacqueline E W Broerse, Vanphanom Sychareun, Dirk Rombout Essink

Registry-linked trialAbstract read
In one paragraph

Article in PloS one, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06650956 (Integrated Service Delivery to Improve Adolescent Health and HPV Vaccination in Lao PDR), which is not on this map. Cited by 56 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
56citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT06650956 narecruitingnot on this mapstarted 2024, after this paper: background citation

Integrated Service Delivery to Improve Adolescent Health and HPV Vaccination in Lao PDR: a Quasi-Experimental Mixed-Methods Study

TypeinterventionalSponsorHealth Poverty ActionRan2024 to 2025Enrolled700ConditionsHealthy, Adolescents, Integrated, Community-Health Systems, HPV VaccinesArmsIntegrated HPV and SRH Service Package, Human Papillomavirus Quadrivalent (Types 6, 11, 16, and 18) Vaccine, Recombinant
3 · Its place in the literature

Who cites it

56 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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  19. Evaluation of the Effectiveness of Sexual and Reproductive Health Education Given to University Students: A Randomized Controlled Trial.International journal of sexual health : official journal of the World Association for Sexual Health · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Viengnakhone VongxayUniversity of Health Sciences, Vientiane, Lao PDR.ORCID 0000-0003-0014-5800
Femke AlbersVrije Universiteit Amsterdam, De Boelelaan, the Netherlands.
Souksamone ThongmixayUniversity of Health Sciences, Vientiane, Lao PDR.
Maliphone ThongsombathProvincial Health Department, Huaphan Province, Lao PDR.
Jacqueline E W BroerseVrije Universiteit Amsterdam, De Boelelaan, the Netherlands.
Vanphanom SychareunUniversity of Health Sciences, Vientiane, Lao PDR.
Dirk Rombout EssinkVrije Universiteit Amsterdam, De Boelelaan, the Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

rationaleAdolescent pregnancy in Lao PDR is the highest in Southeast Asia. It leads to negative health and social consequences in young people. It is anticipated that this problem is partly caused by limited sexual and reproductive health literacy (SRHL), leading to poor sexual and reproductive health (SRH) decisions. Based on the concept of health literacy, SRHL goes beyond knowledge and behavior and is the self-perceived ability of an individual to access the needed information, understand the information, appraise and apply the information into informed decision making for a good way to contribute to sexual and reproductive health. It is not only knowing (knowledge) and doing (behavior), but it is the process of individual's thought on an SRH problem before taking an action. The aim of this study was to measure SRHL among school-going adolescents aged 15-19 and to determine factors associated with SRHL.

methodWe conducted a cross-sectional study in rural and urban areas of Lao PDR in 2017. Respondents completed a self-administered questionnaire with five parts: socio-demographic, personal health, SRH knowledge and behavior, SRHL, and functional literacy. We calculated the SRHL score based on the HL-EU index and used descriptive statistics to determine the score and levels. Then we used bivariate statistics and multiple linear regression to identify factors associated with SRHL in these adolescents.

resultAmong 461 respondents, 65.5% had inadequate SRHL. Scores were positively and significantly associated with several factors, including: school location (β: 3.218; p<0.001), knowledge on SRH and attending SR class in school (p:0.010-p<0.001), and functional literacy on condoms, which reflected how respondents understood the use of condoms (β: 0.871; p<0.001).

conclusionBecause most school adolescents had inadequate SRHL, comprehensive sexual education and enabling information as well as service access for adolescents are essential to ensure that adolescents can access, understand, appraise and apply good SRH knowledge in decision-making to benefit their own health.

Indexed as

AdolescentCondomsCross-Sectional StudiesFemaleHealth Knowledge, Attitudes, PracticeHealth LiteracyHumansLaosMalePregnancyPregnancy in AdolescenceReproductive HealthRural PopulationSchoolsSexual BehaviorSexual Health

Identifiers

PMID30650100
PMCPMC6334956

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.