{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T01:48:57Z","timestamp":1788227337682,"version":"build-2803163510"},"reference-count":0,"publisher":"African Journals Online (AJOL)","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["gmj"],"abstract":"<jats:p>Objective: To explore factors associated with adolescents\u2019 sexual and reproductive health (SRH) knowledge and their engagement with educational and clinical servicesDesign: Regression analysis of secondary data collected during a community surveySetting: Adaklu district, Volta Region, GhanaParticipants: 221 adolescent caregiver pairsMain outcome measures: The study employed three main outcome measures: (1) adolescents\u2019 level of SRH knowledge (assessed via questionnaire), (2) membership in district-sponsored adolescent health clubs (AHCs), and (3) ever-utilization of clinical SRH services.Results: Greater SRH knowledge was significantly associated with older age, AHC membership, and relying primarily on teachers or friends for SRH information. Increased odds of AHC membership were observed among females (AOR = 2.38, 95% CI 1.14-4.95); those who had communicated with one parent about sexual issues (OR 2.70, 95% CI 1.17-6.21); and those with a history of transactional sex (OR 5.53, 95% CI 1.04-29.37). Decreased odds were observed among adolescents whose caregivers were educated to the primary level (AOR = 0.24, 95% CI = 0.07-0.79). Overall, utilization of clinical SRH services was low, but higher odds were detected among individuals reporting a history of forced sex (AOR = 117.07, 95% CI 3.82-3588.52) and those who had discussed sexual issues with both oftheir parents (AOR = 13.11, 95% CI 1.85-92.93).Conclusions: Awareness of the predictors of knowledge, AHC involvement, and clinical service utilization can empower adolescent SRH initiatives\u2014both present and future\u2014to enhance their teaching, develop targeted outreach to underserved groups, and promote engagement with key clinical resources.<\/jats:p>","DOI":"10.4314\/gmj.v58i1.9","type":"journal-article","created":{"date-parts":[[2024,3,28]],"date-time":"2024-03-28T06:00:44Z","timestamp":1711605644000},"page":"60-72","source":"Crossref","is-referenced-by-count":7,"title":["Predictors of sexual and reproductive health knowledge and utilization of services among adolescents in Ghana\u2019s Adaklu district"],"prefix":"10.4314","volume":"58","author":[{"given":"Clare","family":"Westerman","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Margaret","family":"Gyapong","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Evelyn","family":"K. Ansah","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Desmond","family":"Klu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matilda","family":"Aberese-Ako","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maxwell","family":"A. Dalaba","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"2895","published-online":{"date-parts":[[2024,3,25]]},"container-title":["Ghana Medical Journal"],"original-title":[],"link":[{"URL":"https:\/\/www.ajol.info\/index.php\/gmj\/article\/download\/267456\/252350","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.ajol.info\/index.php\/gmj\/article\/download\/267456\/252350","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,3,28]],"date-time":"2024-03-28T06:02:17Z","timestamp":1711605737000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ajol.info\/index.php\/gmj\/article\/view\/267456"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,3,25]]},"references-count":0,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2024,3,25]]}},"URL":"https:\/\/doi.org\/10.4314\/gmj.v58i1.9","relation":{},"ISSN":["0016-9560"],"issn-type":[{"value":"0016-9560","type":"print"}],"subject":[],"published":{"date-parts":[[2024,3,25]]}}}