Utilization and Associated factor for Reproductive Health Service among Private College Students in Addis Ababa, Ethiopia, An institutional cross-sectional study. Addis Ababa,Ethiopia,2022.

Utilization and Associated factor for Reproductive Health Service among Private College Students in Addis Ababa, Ethiopia, An institutional cross-sectional study. Addis Ababa,Ethiopia,2022. | Research Square window.SnipcartSettings = { analytics: { enabled: false } }; (function() { var accessVector = localStorage.getItem('access_vector') || ''; window.dataLayer = window.dataLayer || []; if (accessVector) { window.dataLayer.push({ user: { profile: { profileInfo: { snid: accessVector } } } }); } })(); (function(w,d,s,l,i){w[l]=w[l]||[];w[l].push({'gtm.start':new Date().getTime(),event:'gtm.js'});var f=d.getElementsByTagName(s)[0],j=d.createElement(s),dl=l!='dataLayer'?'&l='+l:'';j.async=true;j.src='https://www.googletagmanager.com/gtm.js?id='+i+dl;f.parentNode.insertBefore(j,f);})(window,document,'script','dataLayer','GTM-K279D39R'); Browse Preprints In Review Journals COVID-19 Preprints AJE Video Bytes Research Tools Research Promotion AJE Professional Editing AJE Rubriq About Preprint Platform In Review Editorial Policies Our Team Advisory Board Help Center Sign In Submit a Preprint Cite Share Download PDF Research Article Utilization and Associated factor for Reproductive Health Service among Private College Students in Addis Ababa, Ethiopia, An institutional cross-sectional study. Addis Ababa,Ethiopia,2022. 1.2. Gedefaw Birhan Abejehu, 1. Amanual Alem, 3. Takele Gezahegn, and 3 more This is a preprint; it has not been peer reviewed by a journal. https://doi.org/ 10.21203/rs.3.rs-6844052/v1 This work is licensed under a CC BY 4.0 License Status: Posted Version 1 posted You are reading this latest preprint version Abstract Introduction : The college students were vulnerable to persistent reproductive health problems which are related to unprecedented social, economic, and cultural change regardless of health education, family support, and health knowledge factors . About one half of all HIV infections worldwide occur among people aged 25 years and under. And up to 100 million youths become infected with a curable sexually transmitted infections. The trends of modern contraceptives utilization in sexual active age group were very low. For instance the use of modern contraception in lower socio-economic status country including, Ethiopia were only 50%.These low coverage of all type of family planning methods leads unwanted pregnancy and unsafe abortion in the youths. Objective : The main objective of the study is to examine the prevalence and determinants of reproductive health services use among private college student in Addis Ababa, 2022. Method: Institutional based cross-sectional study would be employed from May to June,2022 to assess reproductive health service use and its associated factors by administering a pretested structured questionnaire. A multi stage cluster sampling technique would be used to select a total of 575 college student. The data was collected from nine Private collages by using self-administered questionnaire. The collected data would be checked for its completeness and clarity by the principal investigator daily and entered and analyzed by epi info version 7 and analyzed by SPSS version 25 software package respectively. Logistic regression (Bivariate and multivariable) analysis would be used to examine possible factors associated with reproductive health service use . P value less than 0.2 for Bivariate logistic regression and p value less than 0.05for multivariable logistic regression would be considered as level of significance. Confidentiality will be reserved. Participants’ involvement in the study would be on voluntary basis and they didn’t ask to write neither their name nor their address. Result : About half of (51.03%) of the students utilized at least one of reproductive health services. Students who had discussed with their reproductive health issues with their sexual partner were around 85% less likely to use reproductive health service than those student who were not discussed with their sex partners, and Students who had discussed with their reproductive health issues with their peers were around nine times more likely to use reproductive health service than their counter parts (AOR= 0.148, 95% CI:0.025-0.8972 and AOR= 8.320, 95% CI: 1.807-38.315 ) respectively. Student who were exposed to different type of mass media were around fifteen times more likely to utilize reproductive health service than those who were not exposed to mass media (AOR= 14.732, 95% CI=3.777-50.461).Ever had sexual intercourse were around seven times more likely utilized one of the four reproductive health service than against the counter (AOR 6.566 ,95% CI ;1.534-28.103). Conclusion and recommendation: The use of reproductive health services among student in the study area were low related to other study finding . Discussion with sexual partner and peers, exposure to mass media and ever had sexual intercourse was among the predictors of reproductive health services use. College reproductive health clubs are important steps to improve students reproductive health service utilization. Sexual & Reproductive Medicine Addis Ababa Ethiopia College student Reproductive health Service Use Full Text Additional Declarations The authors declare no competing interests. Cite Share Download PDF Status: Posted Version 1 posted You are reading this latest preprint version Research Square lets you share your work early, gain feedback from the community, and start making changes to your manuscript prior to peer review in a journal. As a division of Research Square Company, we’re committed to making research communication faster, fairer, and more useful. We do this by developing innovative software and high quality services for the global research community. Our growing team is made up of researchers and industry professionals working together to solve the most critical problems facing scientific publishing. Also discoverable on Platform About Our Team In Review Editorial Policies Advisory Board Help Center Resources Author Services Accessibility API Access RSS feed Manage Cookie Preferences © Research Square 2026 | ISSN 2693-5015 (online) Privacy Policy Terms of Service Do Not Sell My Personal Information {"props":{"pageProps":{"initialData":{"identity":"rs-6844052","acceptedTermsAndConditions":true,"allowDirectSubmit":true,"archivedVersions":[],"articleType":"Research Article","associatedPublications":[],"authors":[{"id":467980503,"identity":"b61bba17-4f8e-431d-bee6-1da28d4114f4","order_by":0,"name":"1.2.\tGedefaw Birhan Abejehu","email":"data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAZAAAAAyAQMAAABI0h/eAAAABlBMVEX///8AAABVwtN+AAAACXBIWXMAAA7EAAAOxAGVKw4bAAABAElEQVRIiWNgGAWjYHACgwMVDAwJbAw8QDaQxcDM3EBYyxm4ljMgLYyEtYAUJjCAtDC2gQQIaJF3b9544EDN4Tw+6bMHPxfOq43mbwdq+VGxDacWwzPHCg4cOHa4mI0vL1l65rbjuTMOMzYw9py5jVvLjByDwx/Ybie28fAYSPNuO5bbANTCzNiGR8v8NwYHDvwDazH+zTvnWO58QlrkJXgMDhxsA2sxk+ZtqMndQEiLAU9awYGDff+L2YBarHmOHcjdCNRyEJ9f5NsPb/5w4FtannwPj/Ftnpq63HnnDx988KMCjy0HUPmHweQBDHXItjSg8uvwKR4Fo2AUjIIRCgAt32GOvkl0uQAAAABJRU5ErkJggg==","orcid":"","institution":"1Addis Ababa university, school of nursing, Tikur Anbessa specialized hospital, Addis Ababa, Ethiopia","correspondingAuthor":true,"prefix":"","firstName":"1.2.\tGedefaw","middleName":"Birhan","lastName":"Abejehu","suffix":""},{"id":467980504,"identity":"0b71150a-c689-4e67-aab9-e730829e312d","order_by":1,"name":"1.\tAmanual Alem","email":"","orcid":"","institution":"1Department of Public Health, Saint Paul hospital millennium medical college, Addis Ababa, Ethiopia","correspondingAuthor":false,"prefix":"","firstName":"1.\tAmanual","middleName":"","lastName":"Alem","suffix":""},{"id":467980505,"identity":"2b16abb3-3123-42b1-8fa1-ee100ccfc31f","order_by":2,"name":"3.\tTakele Gezahegn","email":"","orcid":"","institution":"1Department of Public Health, Saint Paul hospital millennium medical college, Addis Ababa, Ethiopia","correspondingAuthor":false,"prefix":"","firstName":"3.\tTakele","middleName":"","lastName":"Gezahegn","suffix":""},{"id":467980506,"identity":"2345981e-f732-4037-901d-7fbbf9496950","order_by":3,"name":"5.\tFantu Lombamo","email":"","orcid":"","institution":"1Department of Public Health, Saint Paul hospital millennium medical college, Addis Ababa, Ethiopia","correspondingAuthor":false,"prefix":"","firstName":"5.\tFantu","middleName":"","lastName":"Lombamo","suffix":""},{"id":467980507,"identity":"fdba3dc8-7325-4992-9a88-42fac84cbf64","order_by":4,"name":"4.\tMulugeta Taybele,","email":"","orcid":"","institution":"Defense University health science college, Armed forces comprehensive specialized hospital, Addis Ababa, Ethiopia.","correspondingAuthor":false,"prefix":"","firstName":"","middleName":"4.\tMulugeta","lastName":"Taybele","suffix":""},{"id":467980508,"identity":"bf25258f-28e7-4cd9-981a-ac23b976dcd6","order_by":5,"name":"6.\tBelete Mengistu","email":"","orcid":"","institution":"Armed force comprehensive specialized hospital, Addis Ababa, Ethiopia.","correspondingAuthor":false,"prefix":"","firstName":"6.\tBelete","middleName":"","lastName":"Mengistu","suffix":""}],"badges":[],"createdAt":"2025-06-07 17:06:50","currentVersionCode":1,"declarations":{"humanSubjects":true,"vertebrateSubjects":false,"conflictsOfInterestStatement":false,"humanSubjectEthicalGuidelines":true,"humanSubjectConsent":true,"humanSubjectClinicalTrial":false,"humanSubjectCaseReport":false,"vertebrateSubjectEthicalGuidelines":false},"doi":"10.21203/rs.3.rs-6844052/v1","doiUrl":"https://doi.org/10.21203/rs.3.rs-6844052/v1","draftVersion":[],"editorialEvents":[],"editorialNote":"","failedWorkflow":false,"files":[{"id":84391061,"identity":"26aa11ee-dcc6-420d-ad2f-0ee5ee820971","added_by":"auto","created_at":"2025-06-11 11:32:00","extension":"pdf","order_by":1,"title":"","display":"","copyAsset":false,"role":"manuscript-pdf","size":427536,"visible":true,"origin":"","legend":"","description":"","filename":"UtilizationandAssociatedfactorforReproductiveHealthServiceamongPrivateCollegeStudentsinAddisAbabaEthiopia.pdf","url":"https://assets-eu.researchsquare.com/files/rs-6844052/v1_covered_f0c74c07-439e-40e3-870c-df2688667332.pdf"}],"financialInterests":"The authors declare no competing interests.","formattedTitle":"\u003cp\u003eUtilization and Associated factor for Reproductive Health Service among Private College Students in Addis Ababa, Ethiopia, An institutional cross-sectional study. Addis Ababa,Ethiopia,2022.\u003c/p\u003e","fulltext":[],"fulltextSource":"","fullText":"","funders":[],"hasAdminPriorityOnWorkflow":false,"hasManuscriptDocX":false,"hasOptedInToPreprint":true,"hasPassedJournalQc":"","hasAnyPriority":true,"hideJournal":true,"highlight":"","institution":"st paul hospital millinium medical collage","isAcceptedByJournal":false,"isAuthorSuppliedPdf":true,"isDeskRejected":"","isHiddenFromSearch":false,"isInQc":false,"isInWorkflow":false,"isPdf":true,"isPdfUpToDate":true,"isWithdrawnOrRetracted":false,"journal":{"display":true,"email":"[email protected]","identity":"researchsquare","isNatureJournal":false,"hasQc":true,"allowDirectSubmit":true,"externalIdentity":"","sideBox":"","snPcode":"","submissionUrl":"/submission","title":"Research Square","twitterHandle":"researchsquare","acdcEnabled":true,"dfaEnabled":false,"editorialSystem":"","reportingPortfolio":"","inReviewEnabled":false,"inReviewRevisionsEnabled":true},"keywords":"Addis Ababa, Ethiopia, College student, Reproductive health, Service Use","lastPublishedDoi":"10.21203/rs.3.rs-6844052/v1","lastPublishedDoiUrl":"https://doi.org/10.21203/rs.3.rs-6844052/v1","license":{"name":"CC BY 4.0","url":"https://creativecommons.org/licenses/by/4.0/"},"manuscriptAbstract":"\u003cp\u003e\u003cstrong\u003eIntroduction\u003c/strong\u003e:\u0026nbsp;\u003c/p\u003e\n\u003cp\u003eThe college students were vulnerable to persistent reproductive health problems which are related to unprecedented social, economic, and cultural change regardless of health education, family support, and health knowledge factors . About one half of all HIV infections worldwide occur among people aged 25 years and under. And up to 100 million youths become infected with a curable sexually transmitted infections. The trends of modern contraceptives utilization in sexual active age group were very low. For instance the use of modern contraception in lower socio-economic status country including, Ethiopia were only 50%.These low coverage of all type of family planning methods leads unwanted pregnancy and unsafe abortion in the youths.\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eObjective\u003c/strong\u003e:\u0026nbsp;\u003c/p\u003e\n\u003cp\u003eThe main objective of the study is to examine the prevalence and determinants of reproductive health services use among private college student in Addis Ababa, 2022.\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eMethod:\u0026nbsp;\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003eInstitutional based cross-sectional study would be employed from May to June,2022 to assess reproductive health service use and its associated factors by administering a pretested structured questionnaire. A multi stage cluster sampling technique would be used to select a total of 575 college student. The data was collected from nine Private collages by using self-administered questionnaire. The collected data would be checked for its completeness and clarity by the principal investigator daily and entered and analyzed by epi info version 7 and analyzed by SPSS version 25 software package respectively. Logistic regression (Bivariate and multivariable) analysis would be used to examine possible factors associated with reproductive health service use . P value less than 0.2 for Bivariate logistic regression and p value less than 0.05for multivariable logistic regression would be considered as level of significance. Confidentiality will be reserved. Participants’ involvement in the study would be on voluntary basis and they didn’t ask to write neither their name nor their address.\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eResult :\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003eAbout half of (51.03%) of the students utilized at least one of reproductive health services. Students who had discussed with their reproductive health issues with their sexual partner were around 85% less likely to use reproductive health service than those student who were not discussed with their sex partners, and Students who had discussed with their reproductive health issues with their peers were around nine times more likely to use reproductive health service than their counter parts (AOR= 0.148, 95% CI:0.025-0.8972 and AOR= 8.320, 95% CI: 1.807-38.315 ) respectively.\u003c/p\u003e\n\u003cp\u003eStudent who were exposed to different type of mass media were around fifteen times more likely to utilize reproductive health service than those who were not exposed to mass media (AOR= 14.732, 95% CI=3.777-50.461).Ever had sexual intercourse were around seven times more likely utilized one of the four reproductive health service than against the counter (AOR 6.566 ,95% CI ;1.534-28.103).\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eConclusion and recommendation:\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003eThe use of reproductive health services among student in the study area were low related to other study finding . Discussion with sexual partner and peers, exposure to mass media and ever had sexual intercourse was among the predictors of reproductive health services use. College reproductive health clubs are important steps to improve students reproductive health service utilization.\u003c/p\u003e","manuscriptTitle":"Utilization and Associated factor for Reproductive Health Service among Private College Students in Addis Ababa, Ethiopia, An institutional cross-sectional study. 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