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Abstract

Background: This study investigates the knowledge, attitudes, and practices (KAP) concerning reproductive health (RH) and sexuality among in- and out-of-school adolescents in the Cordillera Administrative Region (CAR), Philippines.

Methods: Using a quantitative, cross-sectional approach, this study examined 739 in- and out-of-school adolescents who were recruited through snowball and simple random sampling.

Results: Statistically significant differences were noted in the knowledge, attitudes, and practices regarding sexuality based on age. Age was associated with knowledge, attitudes, and practices concerning RH. Educational attainment toward sexuality also caused statistically significant changes in knowledge, attitudes, and practices. The KAP regarding sexuality and sex only showed statistically significant differences in attitudes and RH and sex to attitudes. Schooling produced statistically significant differences in knowledge, attitudes, and practices regarding sexuality; for RH, statistically significant differences were found only in knowledge and attitudes.

Conclusion: The results can inform educational campaign development, which can be used when devising appropriate behavioral change materials suitable for and responsive to the needs and demands of the CAR adolescents.

References

1. Population Division, Department of Economic and Social Affairs, United Nations. The World Population Situation in 2014: A concise report. New York: United Nations, 2014.

2. Finer LB, Philbin JM. Sexual initiation, contraceptive use, and pregnancy among young adolescents. Pediatrics. 2013;131:886–91.

3. World Health Organization. Adolescent pregnancy. Geneva: World Health Organization, 2012.

4. Wong LP. Qualitative inquiry into premarital sexual behaviors and contraceptive use among multiethnic young women: Implications for education and future research. PLoS One. 2012;7:e51745.

5. Okereke CI. Unmet reproductive health needs and health-seeking behavior of adolescents in Owerri, Nigeria. Afr J Reprod Health. 2010;14:43–54.

6. Black R, Allen L, Bhutta Z, Caulfield L, de Onis M, Ezzati M, et al. Maternal and child undernutrition: Global and regional exposures and health consequences. The Lancet. 2008;371:243–4.

7. Gupta N, Mahy M. Sexual initiation among adolescent girls and boys: Trends and differentials in Sub-Saharan Africa. Arch Sex Behav. 2003;32:41–53.

8. Askew I, Chege J, Njue C, Radeny S. A Multi-sectoral approach to providing reproductive health information and services to young people in Western Kenya: Kenya Adolescent reproductive health project. Washington DC: United States Agency for International Development, 2004.

9. Lou CH, Wang B, Shen Y, Gao ES. Effects of a community-based sex education and reproductive health service program on contraceptive use of unmarried youths in Shanghai. J Adolesc Health. 2004;34:433–40.

10. Mevsim V, Guldal D, Gunvar T, Saygin O, Kuruoglu E. Young people benefit from comprehensive education on reproductive health. Eur J Contracept Reprod Health Care. 2009;14:144–52.

11. Andrade HH, Mello MB, Sousa MH, Makuch MY, Bertoni N, Faúndes A. Changes in sexual behavior following a sex education program in Brazilian public schools. Cad Saude Publica. 2009;25:1168–76.

12. Villarruel A, Zhou Y, Gallegos EC, Ronis DL. Examining long-term effects of Cuídate—a sexual risk reduction program in Mexican youth. Rev Panam Salud Publica. 2010;27:345–51.

13. Chandra-Mouli V, Svanemyr J, Amin A, Fogstad H, Say L, Girard F, Temmerman M. Twenty years after International Conference on Population and Development: Where are we with adolescent sexual and reproductive health and rights? J Adolesc Health. 2015;56:S1-6.

14. Kasedde S, Kapogiannis BG, McClure C, Luo C. Executive summary: Opportunities for action and impact to address hiv and AIDS in adolescents. J Acquir Immune Defic Syndr. 2014;66:S139–43.

15. Nove A, Matthews Z, Neal S, Camacho AV. Maternal mortality in adolescents compared with women of other ages: Evidence from 144 countries. The Lancet. 2014;2:e155–64.

16. World Health Organization. WHO guidelines on preventing early pregnancy and poor reproductive outcomes among adolescents in developing countries. Geneva: World Health Organization, 2011.

17. United Nations Educational, Scientific and Cultural Organization. Revised edition: International technical guidance on sexuality education – An evidence-informed approach. Paris: United Nations Educational, Scientific and Cultural Organization, 2018.

18. Tenkku LE, Flick LH, Homan S, Loveland Cook CA, Campbell C, McSweeney M. Psychiatric disorders among low-income women and unintended pregnancies. Womens Health Issues. 2009;19:313–24.

19. Awang H, Wong LP, Jani R, Low WY. Knowledge of sexually transmitted diseases and sexual behaviours among Malaysian male youths. J Biosoc Sci. 2014;46:214–24.

20. Ab Rahman A, Ab Rahman R, Ibrahim MI, Salleh H, Ismail SB, Ali SH, et al. Knowledge of sexual and reproductive health among adolescents attending school in Kelantan, Malaysia. Southeast Asian J Trop Med Public Health. 2011;42:717–25.

21. Rajapaksa-Hewageegana N, Piercy H, Salway S, Samarage S. Sexual and reproductive knowledge, attitudes and behaviours in a school going population of Sri Lankan adolescents. Sex Reprod Health. 2015;6:3–8.

22. Wight D, Fullerton D. A review of interventions with parents to promote the sexual health of their children. J Adolesc Health. 2013;52:4–27.

23. Gavin LE, Catalano RF, David-Ferdon C, Gloppen KM, Markham CM. A review of positive youth development programs that promote adolescent sexual and reproductive health. J Adolesc Health. 2010;46:S75–91.

24. Dangat CM, Njau B. Knowledge, attitude and practices on family planning services among adolescents in secondary schools in Hai District, northern Tanzania. Tanzan J Health Res. 2013;15:19–25.

25. Masood M, Alsonini N. Knowledge and attitude about reproductive health and family planning among young adults in Yemen. Int J Popul Res. 2017;17:1895472.

26. Ayehu A, Kassaw T, Hailu G. Level of young people sexual and reproductive health service utilization and its associated factors among young people in Awabel District, Northwest Ethiopia. PLoS One. 2016;11;e0151613.

27. Abajobir AA, Seme A. Reproductive health knowledge and services utilization among rural adolescents in east Gojjam zone, Ethiopia: A community-based cross-sectional study. BMC Health Serv Res. 2014;14:138.

28. Khanal P. Adolescents knowledge and perception of sexual and reproductive health and services - A study from Nepal [Thesis]. Finland: University of Eastern Finland; 2016.

29. Dhital AD, Badhu BP, Paudel RK, Uprety DK. Effectiveness of structured teaching program in improving knowledge and attitude of school going adolescents on reproductive health. Kathmandu Univ Med J. 2005;3:380–3.

30. Li C, Cheng Z, Wu T, Liang X, Gaoshan J, Li L, et al. The relationships of school-based sexuality education, sexual knowledge and sexual behaviors-a study of 18,000 Chinese college students. Reprod Health. 2017;14:103.

31. Adogu P, Udigwe I, Udigwe G, Nwabueze A, Onwasigwe C. Sexual health knowledge, attitude and risk perception among female in-school and out-of-school adolescents in Onitsha, Anambra State, Nigeria. Adv Sex Med. 2014;04:33–41.

32. Hatami M, Kazemi A, Mehrabi T. Effect of peer education in school on sexual health knowledge and attitude in girl adolescents. J Educ Health Promot. 2015;4:78.

33. Ndongmo TN, Ndongmo CB, Michelo C. Sexual and reproductive health knowledge and behavior among adolescents living with HIV in Zambia: A case study. Pan Afr Med J. 2017;26:71.

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