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Table 6 Determinants of SRH Service Utilization among rural adolescents in Guraghe Zone, Southern Ethiopia, 2020

From: Disparities in sexual and reproductive health services utilization among urban and rural adolescents in southern Ethiopia, 2020: a comparative cross-sectional study

Variable categories

SRH services utilization

COR(95%CI)

AOR(95%CI)

p-value

Yes (%)

No (%)

Age( in years)

 15–16

85(35.5)

214(43.1)

1

  

 17–19

136(61.5)

282(56.9)

1.21(0.88,1.68)a

  

Sex

 Female

123(55.7)

305(61.5)

1

1

 

 Male

98(44.3)

191(38.5)

1.27(0.92,1.75)a

1.29(0.85,1.93)

0.228

School enrolment status

 No

13(5.9)

49(9.9)

1

1

 

 Yes

208(94.1)

447(90.1)

1.75(0.93,3.30)a

1.56(0.69,3.49)

0.283

Educational status

 No formal education

6(2.7)

24(4.8)

1

1

 

 Primary

88(39.8)

235(47.4)

1.49(0.59,3.79)

1.65(0.42,6.46)

0.468

 Secondary

127(57.5)

237(47.8)

2.14(0.85,5.38)a

2.47(0.63,7.60)

0.193

Current living arrangement

 With husband/ wife

5(2.3)

29(5.8)

1

  

 With father only

7(3.1)

17(3.4)

2.39(0.65,6.71)a

2.12(0.71,4.01)

0.135

 With mother only

17(7.7)

44(8.9)

2.24(0.74,5.74)a

2.01(0.65,4.12)

0.210

 With bother parent

192(86.9)

406(81.9)

2.74(1.05,6.19)a

2.17(0.75,5.30)

0.123

Mother’s education level

 No Formal education

137(64.0)

261(54.5)

1

1

 

 Primary

36(16.8)

162(33.8)

0.72(0.48,1.64)

0.61(0.52,1.37)

0.532

 Secondary

28(13.1)

43(8.9)

1.24(0.74,2.08)

1.27(0.67,2.40)

0.467

 Diploma and above

13(6.1)

13(3.0)

1.91(0.86,4.22)a

1.74(0.66,3.59)

0.263

Father’s educational level

 No formal education

78(38.2)

174(38.5)

1

1

 

 Primary

72(35.3)

171(37.8)

0.94(0.64,1.38)

1.12(0.69,1.79)

0.641

 Secondary

33(16.2)

87(19.3)

0.85(0.52,1.37)

0.82(0.46,1.44)

0.490

Diploma and above

21(10.3)

20(4.4)

2.34(1.20,4.57)a

1.77(0.78,4.02)

0.170

 Family size

  > 5

125(56.6)

243(49.0)

1

  

  ≤ 5

96(43.4)

253(51.0)

0.74(0.54,1.71)

  

Geographical accessibility

 Far(≥ 30 min)

136(61.5)

398(80.2)

1

1

 

 Close (< 30 min)

85(38.5)

98(19.8)

2.54(1.79,3.60)a

2.10(1.36,3.23)b

0.001

Availability of youth clubs

 No

85(38.5)

364(73.4)

1

1

 

 Yes

136(61.5)

132(26.6)

4.41(3.15,6.18)a

4.23(2.83,6.32)b

 < 0.001

Had sexual partner/s

 No

170(76.9)

411(82.9)

1

1

 

 Yes

51(23.1)

85(17.1)

1.45(0.98,2.14)a

1.45(0.88,2.37)

0.142

Had a parental discussion on SRH issues

 No

127(57.5)

382(77.0)

1

  

 Yes

94(42.5)

114(23.0)

2.48(1.77,3.48)a

2.09(1.37, 3.20)b

0.025

Participated in peer to peer education

 No

71(32.1)

219(44.2)

1

  

 Yes

150(67.9)

277(55.8)

1.67(1.19,2.33)a

1.50(0.98,2.29)

0.059

Knowledge of SRH issues

 Not knowledgeable

77(34.8)

318(64.1)

1

1

 

 Knowledgeable

144(65.2)

178(35.9)

3.34(2.39,4.66)a

2.93(1.94,4.43)

 < 0.001

  1. Key: 1: Reference category; AOR Adjusted odds ratio, COR Crude odds ratio
  2. astatistically significant at p-value < 0.25, bstatistically significant at p-value < 0.05