Evidence map›Paper›PMID 40180377›Full record

ArticleBMJ open2025

Sexual and reproductive health knowledge, attitudes and practices among adolescents in rural Thatta, Pakistan: a cross-sectional study.

Alijaan Inayat Ali, Iqbal Azam, Shiyam S Tikmani, Sarah Saleem

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Article in BMJ open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

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4citing papers in PubMed
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1 · What the graph read from it

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3 · Its place in the literature

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4 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

4 authors.

Alijaan Inayat AliPopulation and Reproductive Health Section, Department of Community Health Sciences, The Aga Khan University, Karachi, Pakistan alijaaninayat@gmail.com.ORCID http://orcid.org/0009-0006-3567-3768
Iqbal AzamEpidemiology and Biostatistics Section, Department of Community Health Sciences, Aga Khan University Hospital, Karachi, Pakistan.
Shiyam S TikmaniPopulation and Reproductive Health Section, Department of Community Health Sciences, The Aga Khan University, Karachi, Pakistan.
Sarah SaleemPopulation and Reproductive Health Section, Department of Community Health Sciences, The Aga Khan University, Karachi, Pakistan.ORCID http://orcid.org/0000-0002-6797-8631

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesAdolescent Sexual and Reproductive Health encompasses their physical and emotional well-being, including their ability to avoid unwanted pregnancies, unsafe abortions, sexually transmitted infections (STIs) and any type of sexual violence and coercion. However, these risks may be mitigated through improved knowledge, encouraging positive attitudes, and adopting better practices. This study aimed to identify the factors associated with knowledge, attitudes and practices (KAP) related to HIV, STI, family planning and pregnancy among adolescents residing in rural Thatta.

designA cross-sectional study.

setting62 villages from Thatta, Gharo and Jungshahi registered under the Global Network Maternal and Newborn Health Registry in Thatta, Pakistan.

participants632 adolescents aged 14-19 years. OUTCOME MEASURES: The association between sociodemographic factors and KAP was assessed using a modified version of the 'Asking Young People about Sexual and Reproductive Behaviors' tool. Statistical analysis was performed on Stata V.15.0 using multiple linear regression.

resultsAmong 632 adolescents, 82.7% were females. No significant differences were found in mean scores of knowledge and attitudes between males and females. However, a difference of 0.13 (95% CI 0.005, 0.24) in practice scores was observed. In design-based multivariable analysis, adolescents' marital status (β 5.13; 95% CI 1.34, 8.91) and father's occupation (β 3.41; 95% CI 0.90, 5.93) were associated with knowledge. Marital status (β 1.34; 95% CI 0.82, 1.86), household income (β -2.36; 95% CI -4.64, -0.07), father's occupation (β -1.42; 95% CI -2.52, -0.33) and mother's education (β -1.41; 95% CI -2.71, -0.11) were associated with attitudes. Moreover, marital status (β 0.24; 95% CI 0.06, 0.41) and mother's occupation (β 0.64; 95% CI 0.38, 0.90) were associated with practices.

conclusionNo differences in knowledge and attitudes between male and female adolescents were found. These findings suggest that community awareness programmes should be implemented to improve sexual and reproductive health KAP for both male and female adolescents in Thatta.

Indexed as

Health Knowledge, Attitudes, PracticeReproductive HealthSexual BehaviorSexual HealthAdolescentCross-Sectional StudiesFamily Planning ServicesFemaleHIV InfectionsHumansMalePakistanPregnancyRural PopulationSexually Transmitted DiseasesYoung AdultAdolescentsEPIDEMIOLOGIC STUDIESHIV & AIDSSexually Transmitted Disease

Identifiers

PMID40180377
PMCPMC11966947

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LicenceCC BY-NC
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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.