Reproductive health: knowledge, attitudes and needs of adolescents.
OBJECTIVE
To determine the knowledge and attitudes of adolescents with respect to reproductive health, with particular emphasis on their knowledge of the symptoms and transmission of sexually transmitted diseases (STDs), preventive strategies and sources of information.


METHODS
Questionnaire survey of a stratified random sample of Year 10 students followed by group interviews with volunteers from the sample.


METHODS
The study was carried out in 33 Victorian secondary schools.


METHODS
The questionnaire was administered to a stratified random sample of 1351 Year 10 students. Group interviews were conducted with 533 volunteers from the sample.


RESULTS
Considerable gaps were identified in knowledge of STDs and their short-term and long-term effects on reproductive health. An STD Knowledge Score was constructed based on responses to 46 items. The mean score for the full sample was 22.7 (49.3% correct) with a standard deviation of 6.4. As a group, country students scored better than city students (mean, 23.8 v. 22.2, t = 3.97, P less than 0.001) and females better than males (mean, 23.5 v. 21.9, t = 4.21, P less than 0.001). Medical practitioners were rarely identified as a source of preventive advice.


CONCLUSIONS
The deficiencies identified in knowledge about reproductive health suggest that young people need better access to health information. Schools and the medical profession need to work together both to provide information and to help young people develop the confidence to use available information sources.
Wright
S M
SM
Royal Australian College of Obstetricians and Gynaecologists, East Melbourne, VIC.
Gabb
R G
RG
Ryan
M M
MM
D000293:Adolescent; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008297:Male; D010817:Physician-Patient Relations; D000297:Psychology, Adolescent; D012424:Rural Population; D012736:Sex Education; D012737:Sex Factors; D012749:Sexually Transmitted Diseases; D014505:Urban Population; D014626:Vaginal Smears; D014739:Victoria