{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,1]],"date-time":"2026-11-01T03:34:05Z","timestamp":1793504045010,"version":"4.5.0"},"reference-count":35,"publisher":"BMJ","issue":"4","license":[{"start":{"date-parts":[[2025,4,2]],"date-time":"2025-04-02T00:00:00Z","timestamp":1743552000000},"content-version":"unspecified","delay-in-days":1,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Open"],"accepted":{"date-parts":[[2025,3,17]]},"published-print":{"date-parts":[[2025,4]]},"abstract":"<jats:sec>\n                  <jats:title>Objectives<\/jats:title>\n                  <jats:p>Adolescent Sexual and Reproductive Health encompasses their physical and emotional well-being, including their ability to avoid unwanted pregnancies, unsafe abortions, sexually transmitted infections (STIs) and any type of sexual violence and coercion. However, these risks may be mitigated through improved knowledge, encouraging positive attitudes, and adopting better practices. This study aimed to identify the factors associated with knowledge, attitudes and practices (KAP) related to HIV, STI, family planning and pregnancy among adolescents residing in rural Thatta.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Design<\/jats:title>\n                  <jats:p>A cross-sectional study.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Setting<\/jats:title>\n                  <jats:p>62 villages from Thatta, Gharo and Jungshahi registered under the Global Network Maternal and Newborn Health Registry in Thatta, Pakistan.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Participants<\/jats:title>\n                  <jats:p>632 adolescents aged 14\u201319 years.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Outcome measures<\/jats:title>\n                  <jats:p>The association between sociodemographic factors and KAP was assessed using a modified version of the \u2018Asking Young People about Sexual and Reproductive Behaviors\u2019 tool. Statistical analysis was performed on Stata V.15.0 using multiple linear regression.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>Among 632 adolescents, 82.7% were females. No significant differences were found in mean scores of knowledge and attitudes between males and females. However, a difference of 0.13 (95%\u2009CI 0.005, 0.24) in practice scores was observed. In design-based multivariable analysis, adolescents\u2019 marital status (\u03b2 5.13; 95%\u2009CI 1.34, 8.91) and father\u2019s occupation (\u03b2 3.41; 95%\u2009CI 0.90, 5.93) were associated with knowledge. Marital status (\u03b2 1.34; 95%\u2009CI 0.82, 1.86), household income (\u03b2 \u22122.36; 95%\u2009CI \u22124.64, \u20130.07), father\u2019s occupation (\u03b2 \u22121.42; 95%\u2009CI \u22122.52, \u20130.33) and mother\u2019s education (\u03b2 \u22121.41; 95%\u2009CI \u22122.71, \u20130.11) were associated with attitudes. Moreover, marital status (\u03b2 0.24; 95%\u2009CI 0.06, 0.41) and mother\u2019s occupation (\u03b2 0.64; 95%\u2009CI 0.38, 0.90) were associated with practices.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusion<\/jats:title>\n                  <jats:p>No differences in knowledge and attitudes between male and female adolescents were found. These findings suggest that community awareness programmes should be implemented to improve sexual and reproductive health KAP for both male and female adolescents in Thatta.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1136\/bmjopen-2024-096404","type":"journal-article","created":{"date-parts":[[2025,4,3]],"date-time":"2025-04-03T02:27:44Z","timestamp":1743647264000},"page":"e096404","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":9,"title":["Sexual and reproductive health knowledge, attitudes and practices among adolescents in rural Thatta, Pakistan: a cross-sectional study"],"prefix":"10.1136","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0009-0006-3567-3768","authenticated-orcid":false,"given":"Alijaan","family":"Inayat Ali","sequence":"first","affiliation":[{"name":"Population and Reproductive Health Section, Department of Community Health Sciences, The Aga Khan University, Karachi, Pakistan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Iqbal","family":"Azam","sequence":"additional","affiliation":[{"name":"Epidemiology and Biostatistics Section, Department of Community Health Sciences, Aga Khan University Hospital, Karachi, Pakistan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shiyam S","family":"Tikmani","sequence":"additional","affiliation":[{"name":"Population and Reproductive Health Section, Department of Community Health Sciences, The Aga Khan University, Karachi, Pakistan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6797-8631","authenticated-orcid":false,"given":"Sarah","family":"Saleem","sequence":"additional","affiliation":[{"name":"Population and Reproductive Health Section, Department of Community Health Sciences, The Aga Khan University, Karachi, Pakistan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2025,4,2]]},"reference":[{"key":"2025101813014066000_15.4.e096404.1","doi-asserted-by":"crossref","DOI":"10.3390\/ijerph17217720","article-title":"Knowledge on, Attitude towards, and Practice of Sexual and Reproductive Health among Older Adolescent Girls in Bangladesh: An Institution-Based Cross-Sectional Study","volume":"17","author":"Zakaria","year":"2020","journal-title":"Int J Environ Res Public Health"},{"key":"2025101813014066000_15.4.e096404.2","unstructured":"World Health Organization . 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