{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T01:05:13Z","timestamp":1791162313842,"version":"4.1.0"},"reference-count":37,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2019,12,8]],"date-time":"2019-12-08T00:00:00Z","timestamp":1575763200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100008548","name":"Harvard T.H. Chan School of Public Health","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100008548","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100005156","name":"Alexander von Humboldt-Stiftung","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100005156","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Tropical Med Int Health"],"published-print":{"date-parts":[[2020,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To examine knowledge of menstruation, HIV and STIs other than HIV across eight sites in SSA to develop effective programmatic interventions enabling adolescents to achieve positive SRH as their transition to adulthood.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We combine data from eight Health and Demographic Surveillance Sites across sub\u2010Saharan Africa, from an adolescent\u2010specific survey that included 7116 males and females age 10\u201319\u00a0years old. We provide pooled and site\u2010specific estimates from multiple analytic models examining the how year\u2010specific age, school attendance and work correlate with knowledge of menstruation, HIV knowledge and knowledge of sexually transmitted infections (STIs) other than HIV.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Many adolescents lack knowledge of menstruation (37.3%, 95% CI 31.8, 43.1 do not know of menstruation) and STIs other than HIV (55.9%, 95% CI 50.4, 61.3 do not know of other STIs). In multivariate analysis, older age, being in school and wealth are significant positive correlates of STI knowledge. Older adolescent age, female sex and being in school are significant positive correlates of knowledge of menstruation. Knowledge of HIV is high (89.7%, 95% CI 8.3, 12.7 know of HIV) and relatively similar across adolescent age, sex, wealth and school and work attendance.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Knowledge of HIV is widespread across adolescents in these communities in sub\u2010Saharan Africa, but knowledge of other dimensions of sexual and reproductive health \u2013 menstruation and other STIs in this study \u2013 is lacking especially for early adolescents (10\u2010 to 14\u2010year olds). The dissemination of more comprehensive sexual and reproductive health information is needed within these and similar communities in SSA to help adolescents gain insight on how to make their own decisions towards positive adolescent sexual and reproductive health and protect them from risks.<\/jats:p><\/jats:sec>","DOI":"10.1111\/tmi.13332","type":"journal-article","created":{"date-parts":[[2019,11,6]],"date-time":"2019-11-06T06:36:03Z","timestamp":1573022163000},"page":"44-53","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":55,"title":["Sexual and reproductive health knowledge among adolescents in eight sites across sub\u2010Saharan Africa"],"prefix":"10.1111","volume":"25","author":[{"given":"Jocelyn E.","family":"Finlay","sequence":"first","affiliation":[{"name":"Department of Global Health and Population Harvard T.H. Chan School of Public Health Boston MA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nega","family":"Assefa","sequence":"additional","affiliation":[{"name":"College of Health and Medical Sciences Haramaya University Dire Dawa Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mary","family":"Mwanyika\u2010Sando","sequence":"additional","affiliation":[{"name":"African Academy for Public Health Dar es Salaam Tanzania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yadeta","family":"Dessie","sequence":"additional","affiliation":[{"name":"College of Health and Medical Sciences Haramaya University Dire Dawa Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Guy","family":"Harling","sequence":"additional","affiliation":[{"name":"Institute for Global Health University College London London UK"},{"name":"Africa Health Research Institute KwaZulu\u2010Natal South Africa"},{"name":"Department of Epidemiology &amp; Harvard Center for Population and Development Studies Harvard T.H. Chan School of Public Health Boston MA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tasiana","family":"Njau","sequence":"additional","affiliation":[{"name":"Muhimbili University of Health and Allied Sciences Dar es Salaam Tanzania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Angela","family":"Chukwu","sequence":"additional","affiliation":[{"name":"Department of Statistics University of Ibadan Ibadan Nigeria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ayoade","family":"Oduola","sequence":"additional","affiliation":[{"name":"Department of Statistics University of Ibadan Ibadan Nigeria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Iqbal","family":"Shah","sequence":"additional","affiliation":[{"name":"Department of Global Health and Population Harvard T.H. Chan School of Public Health Boston MA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Richard","family":"Adanu","sequence":"additional","affiliation":[{"name":"Department of Population, Family and Reproductive Health University of Ghana Accra Ghana"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Justine","family":"Bukenya","sequence":"additional","affiliation":[{"name":"Department of Community Health and Behavioral Sciences Makerere University School of Public Health Kampala Uganda"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2019,12,8]]},"reference":[{"key":"e_1_2_6_2_1","volume-title":"Global Accelerated Action for the Health of Adolescents (AA\u2010HA!): Guidance to Support Country Implementation","author":"World Health Organization","year":"2017"},{"key":"e_1_2_6_3_1","unstructured":"World Health Organization.Causes of Death Among Adolescents 2016. 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