{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,28]],"date-time":"2026-08-28T12:43:56Z","timestamp":1787921036817,"version":"build-2784847793"},"reference-count":22,"publisher":"Wiley","license":[{"start":{"date-parts":[[2022,8,18]],"date-time":"2022-08-18T00:00:00Z","timestamp":1660780800000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["International Journal of Reproductive Medicine"],"published-print":{"date-parts":[[2022,8,18]]},"abstract":"<jats:p>Introduction. Adolescents with disability are often presumed erroneously to be sexually inactive. Though they have the same need for sexual and reproductive health (SRH) services as nondisabled people, they are often overlooked by sexual and reproductive health programs, interventions, and studies. Objective. To assess determinant factors of sexual and reproductive health service utilization among in-school adolescents with disability in Jimma zone, southwest Ethiopia. Method. Institution-based cross-sectional study design was employed among in-school adolescents with disability in Jimma zone, Ethiopia, from September 21 to November 30, 2021. A total of 454 participants were included in the study by using the multistage sampling technique. Data were collected by using a structured questionnaire through face-to-face interviews. Data were entered into Epi-data version 4.2 and analyzed by using SPSS version 23. Bivariate and multivariable logistic regression analyses at a 95% confidence interval were performed, and a <jats:inline-formula>\n                     <a:math xmlns:a=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M1\">\n                        <a:mi>P<\/a:mi>\n                     <\/a:math>\n                  <\/jats:inline-formula> value &lt; 0.05 was considered statistically significant. Result. 454 study participants were included in this study with a respondent rate of 97.4%. Only 38 (8.4%, 95% CI: 5.7-10.8%) of in-school adolescents utilized SRH information and education service. The majority (265, 49%) of adolescents with disability knew family planning as sexual and reproductive health services which were followed by voluntary counselling and testing for HIV\/AIDS (116, 21.4%). Seventy-eight (17.2%, 95% CI: 13.7-20.5%) of in-school adolescents with disability visited nearby health facilities for VCT services. Male sex (<jats:inline-formula>\n                     <c:math xmlns:c=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M2\">\n                        <c:mtext>AOR<\/c:mtext>\n                        <c:mo>=<\/c:mo>\n                        <c:mn>2.32<\/c:mn>\n                     <\/c:math>\n                  <\/jats:inline-formula>, 95% CI: 1.18-4.57), favourable attitude (<jats:inline-formula>\n                     <e:math xmlns:e=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M3\">\n                        <e:mtext>AOR<\/e:mtext>\n                        <e:mo>=<\/e:mo>\n                        <e:mn>3.11<\/e:mn>\n                     <\/e:math>\n                  <\/jats:inline-formula>, 95% CI: 1.59-6.07), and history of sexual intercourse (<jats:inline-formula>\n                     <g:math xmlns:g=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M4\">\n                        <g:mtext>AOR<\/g:mtext>\n                        <g:mo>=<\/g:mo>\n                        <g:mn>5.34<\/g:mn>\n                     <\/g:math>\n                  <\/jats:inline-formula>, 95% CI: 2.05\u201313.92) were significantly associated with SRH service utilization. Conclusion. The overall sexual and reproductive health service utilization of in-school adolescents with disability was low when compared with other studies. Physical impairment, male sex, ever had sexual intercourse, good knowledge, and favourable attitudes were determinant factors of SRH service utilization among in-school adolescents with disabilities. So, it is recommended that the Jimma zone administration, government, and NGOs should give attention to SRH services.<\/jats:p>","DOI":"10.1155\/2022\/5945921","type":"journal-article","created":{"date-parts":[[2022,8,18]],"date-time":"2022-08-18T20:05:06Z","timestamp":1660853106000},"page":"1-9","source":"Crossref","is-referenced-by-count":9,"title":["Determinant Factors of Sexual and Reproductive Health Service Utilization among In-School Adolescents with Disability in Jimma Zone, Southwest Ethiopia"],"prefix":"10.1155","volume":"2022","author":[{"given":"Tujuba","family":"Diribsa","sequence":"first","affiliation":[{"name":"Department of Population and Family Health, Jimma University, Jimma, Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Diriba","family":"Wakjira","sequence":"additional","affiliation":[{"name":"Department of Midwifery, Jimma University, Jimma, Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gamechu","family":"Atomsa","sequence":"additional","affiliation":[{"name":"Department of Nursing, Jimma University, Jimma, Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tsiyon","family":"Mekoya","sequence":"additional","affiliation":[{"name":"Department of Nursing, Jimma University, Jimma, Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3587-0711","authenticated-orcid":true,"given":"Fedhesa","family":"Mamo","sequence":"additional","affiliation":[{"name":"Department of Midwifery, Jimma University, Jimma, Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bekana","family":"Fekecha","sequence":"additional","affiliation":[{"name":"Department of Midwifery, Jimma University, Jimma, Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mosisa","family":"Ebisa","sequence":"additional","affiliation":[{"name":"Department of Nursing, Jimma University, Jimma, Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3237-1549","authenticated-orcid":true,"given":"Girma","family":"Teferi","sequence":"additional","affiliation":[{"name":"Department of Nursing, Wolkite University, Wolkite, Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","reference":[{"key":"1","doi-asserted-by":"publisher","DOI":"10.3109\/09638288.2011.590392"},{"key":"2","first-page":"1","article-title":"Inclusion of people with disabilities in Ethiopia governmental support for people with disabilities","volume":"2007","author":"International Labor Organization","year":"2013","journal-title":"International Labour Organization"},{"key":"3","unstructured":"United Nations, UNDisability and development report2018NewyorkUnited Nations, UN"},{"key":"4","doi-asserted-by":"publisher","DOI":"10.1016\/0370-2693(78)90137-5"},{"key":"5","volume-title":"World Report on Disability-summary","author":"World Health Organization","year":"2011"},{"key":"6","doi-asserted-by":"publisher","DOI":"10.1057\/palgrave.development.1100310"},{"key":"7","doi-asserted-by":"publisher","DOI":"10.1016\/j.socscimed.2011.08.040"},{"key":"8","unstructured":"SeiduA.Utilisation of sexual and reproductive health services among young people with disabilities in Ghana, unpublished thesis2020University of Cape Coast"},{"key":"9","doi-asserted-by":"publisher","DOI":"10.1186\/s12992-016-0142-3"},{"key":"10","doi-asserted-by":"publisher","DOI":"10.1097\/OLQ.0000000000000182"},{"issue":"4","key":"11","doi-asserted-by":"crossref","first-page":"26","DOI":"10.5463\/dcid.v28i4.656","article-title":"Barriers to healthcare services for people with disabilities in developing countries: a literature review","volume":"28","author":"J. 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Oljira","year":"2016"},{"key":"16","unstructured":"KumssaH.Risky sexual practice, accessibility and utilization of HIV service among people with disabilities in Addis Ababa, unpublished thesis2011Addis Ababa University"},{"key":"17","doi-asserted-by":"publisher","DOI":"10.5897\/JPHE2014.0700"},{"key":"18","doi-asserted-by":"publisher","DOI":"10.1186\/s12978-018-0659-4"},{"key":"19","unstructured":"MesheshaS.Comparative study on the utilization of reproductive health services and factors affecting it among students with and without disabilities in public universities in Addis Ababa, Ethiopia. unpublished thesis2017Addis Ababa University"},{"key":"20","doi-asserted-by":"publisher","DOI":"10.4102\/ajod.v10i0.671"},{"issue":"2","key":"21","first-page":"87","article-title":"Awareness and use of modern contraceptives among physically challenged in-school adolescents in Osun State, Nigeria","volume":"18","author":"F. O. Olajide","year":"2014","journal-title":"African Journal of Reproductive Health"},{"key":"22","doi-asserted-by":"publisher","DOI":"10.1155\/2021\/5573687"}],"container-title":["International Journal of Reproductive Medicine"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/downloads.hindawi.com\/journals\/ijrmed\/2022\/5945921.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/ijrmed\/2022\/5945921.xml","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/ijrmed\/2022\/5945921.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,8,18]],"date-time":"2022-08-18T20:05:18Z","timestamp":1660853118000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.hindawi.com\/journals\/ijrmed\/2022\/5945921\/"}},"subtitle":[],"editor":[{"given":"Giuseppe","family":"Gullo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"editor"}]}],"short-title":[],"issued":{"date-parts":[[2022,8,18]]},"references-count":22,"alternative-id":["5945921","5945921"],"URL":"https:\/\/doi.org\/10.1155\/2022\/5945921","relation":{},"ISSN":["2314-5757","2356-7104"],"issn-type":[{"value":"2314-5757","type":"electronic"},{"value":"2356-7104","type":"print"}],"subject":[],"published":{"date-parts":[[2022,8,18]]}}}