Table 4 Determinants of SRH Service Utilization among urban and rural adolescents in Guraghe Zone, Southern Ethiopia, 2020

Residence

 Rural

221(52.0)

496(76.3)

1

1

1

 Urban

204(48.0)

154(23.7)

2.97(2.29,3.86)^a

2.64(1.63,3.41)^b

 < 0.001

Age( in years)

 15–16

171(40.2)

280(43.1)

1

 17–19

254(59.8)

370(56.9)

1.12(0.88,1.44)

Sex

 Female

234(55.1)

399(61.4)

1

1

 Male

191(44.9)

251(38.6)

1.29(1.01,1.66)^a

1.26(0.91,1.75)

0.158

Current school enrolment

 No

31(7.3)

68(10.5)

1

 Yes

394(92.7)

582(89.5)

1.48(0.95,2.31)^a

1.26(0.69,2.30)

0.460

Educational status

 No formal education

12(2.8)

30(4.6)

1

1

 Primary

155(36.5)

318(48.9)

1.22(0.61,2.44)

0.87(0.34,2.23)

0.769

 Secondary

258(60.7)

302(46.5)

2.14(1.07,4.26)^a

1.29(0.50,3.28)

0.600

Current living arrangement

 With husband/ wife

13(3.1)

35(5.4)

1

 With father only

16(3.8)

28(4.3)

1.54(0.63,3.73)

 With mother only

31(7.3)

53(8.2)

1.57(0.72,3.42)

 With bother parent

365(85.9)

534(82.1)

1.64(0.86,3.53)

Mother’s education level

 No Formal education

215(52.7)

336(53.9)

1

1

 Primary

108(26.4)

213(34.1)

0.79(0.59,1.06)

0.68(0.47,0.98)

0.071

 Secondary

48(11.8)

52(8.3)

1.44(0.94,2.21)^a

1.48(0.87,2.52)

0.152

 Diploma and above

37(9.1)

23(3.7)

2.51(1.45,4.35)^a

1.72(0.86,3.45)

0.127

Father’s educational level

 No formal education

126(32.3)

212(35.5)

1

1

 Primary

112(28.6)

214(35.8)

0.88(0.64,1.21)

1.13(0.75,1.68)

0.558

 Secondary

101(25.8)

128(21.5)

1.33(0.94,1.87)^a

1.11(0.72,1.71)

0.622

 Diploma and above

52(13.3)

43(7.2)

2.03(1.28,3.22)^a

1.33(0.73,2.39)

0.350

Family size

  > 5

195(45.9)

308(47.4)

1

  ≤ 5

230(54.1)

342(52.6)

1.06(0.83,1.36)

Geographical accessibility

 Far(≥ 30 min)

207(48.7)

421(64.8)

1

1

 Close (< 30 min)

218(51.3)

229(35.2)

1.94(1.51,2.48)^a

1.04(0.73,1.49)

0.813

Availability of youth clubs

 No

144(33.9)

471(72.5)

1

 Yes

281(66.1)

179(27.5)

5.13(3.94,6.69)^a

4.73(3.43,6.53)^b

 < 0.001

Ever had sexual partner/s

 No

326(76.7)

522(80.3)

1

1

 Yes

99(23.3)

128(19.7)

1.24(0.92,1.67)^a

1.44(0.98,2.13)

0.065

Had a parental discussion on SRH issues

 No

190(44.7)

512(78.8)

1

1

1

 Yes

235(55.3)

138(21.2)

4.58(3.54,6.06)^a

3.29(2.36,5.59)^b

0.001

Participated in peer to peer education

 No

120(28.2)

320(49.2)

1

 Yes

305(71.8)

330(50.8)

2.46(1.89,3.20)^a

2.06(1.47,3.88)

0.015

Knowledge of SRH issues

 Not knowledgeable

165(38.8)

402(61.9)

1

1

 Knowledgeable

260(61.2)

248(38.1)

2.55(1.99,3.28)^a

2.01(1.45,3.03)

0.001