{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T07:46:17Z","timestamp":1777880777712,"version":"3.51.4"},"reference-count":32,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2022,1,1]],"date-time":"2022-01-01T00:00:00Z","timestamp":1640995200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["SAGE Open Medicine"],"published-print":{"date-parts":[[2022,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Youth faces various sexual and reproductive health problems in developing countries like Ethiopia. Major health problems like unintended pregnancy, unsafe abortion, and sexually transmitted infections are common among youth in Ethiopia. This study aimed to determine the level of utilization of youth-friendly reproductive health services and associated factors among youth in Aleta Wondo town, southern Ethiopia, from 20 to 30 June 2020.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>A community-based cross-sectional study was conducted among youths of Aleta Wondo town from 20 to 30 June 2020. A total of 421 study participants were selected from households of selected kebeles in the town by using a systematic random sampling method. Data were collected using structured pretested face-to-face interviewer-administered questionnaires. The data were entered using Epi-data version 4.4.2 and exported to SPSS version 25 for analysis. Bivariate and multivariate logistic regression models were used to determine factors significantly associated with the utilization of youth-friendly reproductive health services. Adjusted odds ratio and 95% confidence interval with p value of &lt;0.05 were considered to declare statistical significance.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>The level of utilization of youth-friendly reproductive health services was 32.8% (95% confidence interval\u2009=\u200928.0%\u201337.0%). Youth-friendly service utilization was significantly associated with being female gender (adjusted odds ratio\u2009=\u20092.20, 95% confidence interval\u2009=\u20091.34\u20133.62), living alone (adjusted odds ratio\u2009=\u20092.99, 95% confidence interval\u2009=\u20091.48\u20135.77), who had not ever discussed with their parents (adjusted odds ratio\u2009=\u20090.46, 95% confidence interval\u2009=\u20090.27\u20130.81), have visited service required and missed service (adjusted odds ratio\u2009=\u20091.96, 95% confidence interval\u2009=\u20091.19\u20133.24), and have sexual partner (adjusted odds ratio\u2009=\u20094.52, 95% confidence interval\u2009=\u20092.75\u20137.44).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Youth-friendly reproductive health service utilization among youth Aleta Wondo town was low. Factors like gender, current living place, have ever discussed in reproductive health issues with their parents, have visited health facility and missed service, and having sexual partner were predictors of youth-friendly service utilization. It is better to work in collaboration with youth clubs and schoolteachers to scale up youth-friendly service.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/20503121221088089","type":"journal-article","created":{"date-parts":[[2022,3,26]],"date-time":"2022-03-26T12:39:57Z","timestamp":1648298397000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":14,"title":["Utilization of youth-friendly reproductive health service and associated factors among youth in Aleta Wondo town, southern Ethiopia, 2020"],"prefix":"10.1177","volume":"10","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8991-9579","authenticated-orcid":false,"given":"Elias","family":"Amaje","sequence":"first","affiliation":[{"name":"School of Public Health, Institute of Health, Bule Hora University, Bule Hora, Ethiopia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eyasu","family":"Daniel","sequence":"additional","affiliation":[{"name":"Public Health Department, Pharma College, Hawassa, Ethiopia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kebede","family":"Tefera","sequence":"additional","affiliation":[{"name":"School of Public Health, College of Medicine and Health Sciences, Hawassa University, Hawassa, Ethiopia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4561-1289","authenticated-orcid":false,"given":"Nurye","family":"Sirage","sequence":"additional","affiliation":[{"name":"Department of Midwifery, Institute of Health, Bule Hora University, Bule Hora, Ethiopia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2022,3,26]]},"reference":[{"key":"bibr1-20503121221088089","unstructured":"Federal Democratic Republic of Ethiopia Ministry of Health. Standards on Youth Friendly Reproductive Health Services Service Delivery guideline & Minimum Service Delivery Package on YFRH Services, 2008, https:\/\/scorecard.prb.org\/wp-content\/uploads\/2018\/05\/Standards-on-Youth-Friendly-Reproductive-Health-Services-Minimum-Service-Delivery-Package-on-YFRH-Services-Service-Delivery-Guideline.Ethiopia.pdf"},{"key":"bibr2-20503121221088089","volume-title":"Risk and protective factors affecting adolescent reproductive health in developing countries","author":"Blum RW","year":"2005"},{"key":"bibr3-20503121221088089","unstructured":"Ministry of Youth, Sport and Culture of Ethiopia (MYSC 2014). National Youth Policy. https:\/\/www.who.int\/ncds\/governance\/Ethiopia.pdf"},{"key":"bibr4-20503121221088089","volume-title":"A guide for developing policies on sexual and reproductive health and rights of young people in Europe","author":"IPPF","year":"2007"},{"key":"bibr5-20503121221088089","volume-title":"HIV and adolescents: Guidance for HIV testing and counselling and care for adolescents living with HIV","author":"World Health Organization","year":"2013"},{"key":"bibr6-20503121221088089","doi-asserted-by":"publisher","DOI":"10.4236\/ojepi.2014.42012"},{"key":"bibr7-20503121221088089","unstructured":"Ministry of Youth Sport Culture of Ethiopia (MYSC). National Youth Policy, 2004, https:\/\/www.youthpolicy.org\/national\/Ethiopia_2004_National_Youth_Policy.pdf"},{"key":"bibr8-20503121221088089","volume-title":"The millennium development goals report","author":"Ki-Moon B","year":"2013"},{"key":"bibr9-20503121221088089","volume-title":"Sexually transmitted infections among adolescents: The need for adequate health services","author":"WHO and Deutsche Gesell\u2019s chaftfuer Technische Zusammenarbeit GmbH","year":"2010"},{"key":"bibr10-20503121221088089","volume-title":"Ethiopia Demographic and Health Survey","author":"Central Statistical Agency","year":"2016"},{"key":"bibr11-20503121221088089","volume-title":"Poverty, gender and youth: premarital sex and schooling transitions in four sub-Saharan African countries 2011","author":"US Population Council","year":"2012"},{"key":"bibr12-20503121221088089","doi-asserted-by":"publisher","DOI":"10.1186\/s12978-018-0501-z"},{"key":"bibr13-20503121221088089","doi-asserted-by":"publisher","DOI":"10.1186\/s12978-018-0659-4"},{"key":"bibr14-20503121221088089","volume-title":"Ethiopia Demographic and Health Survey 2016","author":"Central Statistical Agency [Ethiopia] ICF and International","year":"2017"},{"key":"bibr15-20503121221088089","volume-title":"Ethiopia Demographic and Health Survey 2000","author":"Central Statistical Authority (CSA) and ORC Macro","year":"2001"},{"key":"bibr16-20503121221088089","doi-asserted-by":"publisher","DOI":"10.15171\/ijhpm.2019.76"},{"key":"bibr17-20503121221088089","doi-asserted-by":"publisher","DOI":"10.1016\/S0968-8080(11)37557-X"},{"issue":"2","key":"bibr18-20503121221088089","first-page":"716","volume":"10","author":"Appiah SCAB","year":"2015","journal-title":"Int J Innovat Appl Stud"},{"key":"bibr19-20503121221088089","doi-asserted-by":"publisher","DOI":"10.4172\/2155-6113.1000576"},{"key":"bibr20-20503121221088089","first-page":"11","volume":"2","author":"Kerbo AA","year":"2018","journal-title":"J Women Health Reprod Med"},{"key":"bibr21-20503121221088089","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0151613"},{"key":"bibr22-20503121221088089","first-page":"4","volume":"2","author":"Helamo D","year":"2017","journal-title":"Int J Public Health Saf"},{"issue":"3","key":"bibr23-20503121221088089","first-page":"335","volume":"4","author":"Jarssa AG","year":"2017","journal-title":"Eur J Biomed Pharm Sci"},{"key":"bibr24-20503121221088089","doi-asserted-by":"publisher","DOI":"10.1186\/s12913-016-1513-4"},{"key":"bibr25-20503121221088089","doi-asserted-by":"publisher","DOI":"10.1186\/1472-6963-14-138"},{"issue":"4","key":"bibr26-20503121221088089","first-page":"515","volume":"6","author":"Hiwot WG","year":"2016","journal-title":"Indian J Appl Sci"},{"key":"bibr27-20503121221088089","doi-asserted-by":"publisher","DOI":"10.5897\/JPHE2014.0700"},{"key":"bibr28-20503121221088089","first-page":"49","volume":"33","author":"Kalayu K","year":"2016","journal-title":"Int J Ther Appl"},{"key":"bibr29-20503121221088089","doi-asserted-by":"publisher","DOI":"10.1186\/1472-6963-13-294"},{"key":"bibr30-20503121221088089","first-page":"1","volume":"21","author":"Negash T","year":"2016","journal-title":"J Cult Soc Dev"},{"issue":"3","key":"bibr31-20503121221088089","first-page":"59","volume":"2","author":"Jaleta A","year":"2017","journal-title":"Int J Ophthalmol Vis Sci"},{"key":"bibr32-20503121221088089","doi-asserted-by":"publisher","DOI":"10.2147\/AHMT.S193219"}],"container-title":["SAGE Open Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/20503121221088089","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/20503121221088089","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/20503121221088089","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T00:22:01Z","timestamp":1777594921000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/20503121221088089"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,1]]},"references-count":32,"alternative-id":["10.1177\/20503121221088089"],"URL":"https:\/\/doi.org\/10.1177\/20503121221088089","relation":{},"ISSN":["2050-3121","2050-3121"],"issn-type":[{"value":"2050-3121","type":"print"},{"value":"2050-3121","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,1]]},"article-number":"20503121221088089"}}