ArticleBMC pediatrics2025
Parent-adolescent communication on reproductive and sexual issues and its determinants among parents in Gondar town, Northwest Ethiopia: a mixed-methods study.
Article in BMC pediatrics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
backgroundSexual and reproductive health problems among adolescents in developing countries are increasing significantly. Assessing parent-adolescent communication is crucial for identifying barriers and fostering supportive relationships to help adolescents make informed health decisions. Therefore, this study aimed to evaluate parent-adolescent communication on reproductive and sexual health issues and its determinants.
methodsA mixed-methods approach combining both quantitative and qualitative was conducted in Gondar town from January 1 to February 28, 2022. The quantitative data were collected from 673 parents of adolescents aged 10-19 years using an interviewer-administered questionnaire, while qualitative data were gathered through seventeen in-depth interviews. Data were analyzed using SPSS version 25 and qualitative data manually analyzed using thematic analysis. Finally, the qualitative and quantitative findings were triangulated for comprehensive insights.
resultsOnly 266 (39.5%) respondents reported having discussions on reproductive and sexual health issues with their adolescents. A father's occupation as a merchant (AOR = 0.45; 95% CI: 0.29, 0.69), a family size of more than five (AOR = 0.39; 95% CI: 0.23, 0.66), good knowledge (AOR = 4.45; 95% CI: 2.90, 6.84), and a positive attitude toward sexual and reproductive health (AOR = 1.62; 95% CI: 1.15, 2.28) were predictors. Furthermore, qualitative findings revealed that parent-adolescent communication occurs infrequently and is influenced by sociocultural norms, and parents' awareness of sexual and reproductive health issues.
conclusionsNearly two in five parents engaged in parent-adolescent discussions on reproductive health issues. These discussions were influenced by a lack of parental knowledge, sociocultural norms, and concerns that such conversations might encourage premarital sex. To address these challenges, national reproductive health programs should focus on community-centered campaigns to raise awareness and equip parents with comprehensive knowledge, while school-based programs should promote healthy adolescent behaviors through age-appropriate health education and life skills training.
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