{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,23]],"date-time":"2026-10-23T23:42:30Z","timestamp":1792798950709,"version":"4.5.0"},"reference-count":59,"publisher":"BMJ","issue":"2","license":[{"start":{"date-parts":[[2025,8,16]],"date-time":"2025-08-16T00:00:00Z","timestamp":1755302400000},"content-version":"unspecified","delay-in-days":46,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"name":"Center of International Reproductive Health-University of Michigan","award":["N\/A"],"award-info":[{"award-number":["N\/A"]}],"id":[{"id":"https:\/\/ror.org\/00jmfr291","id-type":"ROR","asserted-by":"crossref"}]}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["bmjph"],"accepted":{"date-parts":[[2025,6,17]]},"published-print":{"date-parts":[[2025,7]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Poor knowledge of sexual and reproductive health and rights (SRHR) among university students has been constantly reported in low-income and middle-income countries. This study aimed to assess University of Rwanda (UR) students\u2019 knowledge on SRHR.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This cross-sectional study involved an online survey of 441 students across UR. Data were collected using a validated 50-item SRHR knowledge questionnaire via Moodle. Data were cleaned and analysed using STATA. Descriptive and inferential statistics, such as a bivariate logistic regression model and multivariate logistic regression with backward elimination, were used for the final model. A P-value of 0.05 with 95% CI limits was considered. The association between explanatory variables and the outcome (SRHR knowledge) was evaluated. A mean cut-off was employed, categorising experiences into a binary outcome (poor and good SRHR knowledge scores). Stepwise backward elimination logistic regression analysis was conducted to identify predictors of good SRHR knowledge.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The majority of the participants (56%) had poor SRHR knowledge. In the bivariate analysis, statistically significant variables included prior exposure to the SRHR course by using YouTube (OR 2.36 (1.12 to 4.97) and radio (OR 3.08 (1.20 to 7.88)), prior learning SRHR courses online (OR 1.92 (1.10 to 3.38)) and participant age group 21\u201324 years (OR 0.50 (0.27 to 0.93). In the multivariate analysis, prior exposure to the SRHR course through YouTube (adjusted OR (aOR) 5.48 (1.29 to 23.22)) and SRHR prior exposure through radio (aOR 5.56 (1.37 to 23.04)) were associated with SRHR knowledge.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion and recommendations<\/jats:title>\n                    <jats:p>UR students do not have sufficient knowledge of SRHR. Every UR student can benefit from SRHR training from reliable sources so that they can make effective choices regarding their reproductive health.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1136\/bmjph-2024-001607","type":"journal-article","created":{"date-parts":[[2025,8,17]],"date-time":"2025-08-17T22:20:35Z","timestamp":1755469235000},"page":"e001607","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":2,"title":["Knowledge of sexual and reproductive health and rights among University of Rwanda students: a cross-sectional study"],"prefix":"10.1136","volume":"3","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5318-497X","authenticated-orcid":false,"given":"Alice","family":"Muhayimana","sequence":"first","affiliation":[{"name":"University of Rwanda, Kigali, Rwanda"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Theoneste","family":"Ntalindwa","sequence":"additional","affiliation":[{"name":"University of Rwanda, Kigali, Rwanda"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aline","family":"Uwase","sequence":"additional","affiliation":[{"name":"University of Rwanda, Kigali, Rwanda"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kaberuka","family":"Gerard","sequence":"additional","affiliation":[{"name":"University of Rwanda, Kigali, Rwanda"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jean Damascene","family":"Niringiyumukiza","sequence":"additional","affiliation":[{"name":"Gyneco-Obstetrics, Kibagabaga Hospital, Gasabo, Kigali City, Rwanda"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Allen Jean de la Croix","family":"Ingabire","sequence":"additional","affiliation":[{"name":"Surgery Department, College of Medicine and Health Sciences, University of Rwanda, Kigali, Kigali City, Rwanda"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emmanuel","family":"Nzabonimana","sequence":"additional","affiliation":[{"name":"Dentistry, University of Rwanda, Kigali, Kigali City, Rwanda"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Irene Josephine","family":"Kearns","sequence":"additional","affiliation":[{"name":"Nursing education, University of the Witwatersrand Johannesburg Faculty of Health Sciences, Johannesburg, South Africa"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marie Laetitia Ishimwe","family":"Bazakare","sequence":"additional","affiliation":[{"name":"University of Rwanda, Kigali, Rwanda"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fulgence","family":"Maniriho","sequence":"additional","affiliation":[{"name":"University of Rwanda, Kigali, Rwanda"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jean","family":"de Dieu Habimana","sequence":"additional","affiliation":[{"name":"Public Health Nutrition, University of Rwanda College of Medicine and Health Sciences, Kigali, Kigali City, Rwanda"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0005-7034-2983","authenticated-orcid":false,"given":"Vedaste","family":"Bagweneza","sequence":"additional","affiliation":[{"name":"Nursing, University of Rwanda College of Medicine and Health Sciences, Kigali, Rwanda"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mathias","family":"Nduwingoma","sequence":"additional","affiliation":[{"name":"Centre for Open Distance and eLearning, University of Rwanda College of Education, Kayonza, Eastern Province, Rwanda"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2025,8,17]]},"reference":[{"key":"2026010703063136000_3.2.e001607.1","doi-asserted-by":"crossref","first-page":"21","DOI":"10.18034\/ajhal.v7i1.366","article-title":"Sexual and Reproductive Health in (Nigeria) Africa: Issues, Debate and Approaches","volume":"7","author":"Ibanga","year":"2020","journal-title":"Asian j humanity, art lit"},{"key":"2026010703063136000_3.2.e001607.2","unstructured":"World Health Organization . 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