title: Factors affecting parent-adolescent discussion on reproductive health issues in Harar, eastern Ethiopia: a cross-sectional study.
abstract: BACKGROUND
  Open family discussion on reproductive health (RH) issues often leads to increased awareness on RH matters and reduces risky behaviors among adolescents. This study was conducted to assess factors affecting parent-adolescent discussion on RH issues in Harar, Ethiopia.
  
  
  METHODS
  A cross-sectional survey using face to face interview supplemented with focus group discussion (FGD) was conducted on 751 randomly selected parents of 10-19-year-old adolescents. Data was analyzed using SPSS version 15.
  
  
  RESULTS
  More than one-fourth (28.76%) of parents reported discussing RH issues with their adolescents during the last six months. In the logistic regression, parents who have demonstrated good RH knowledge and positive attitude towards RH were almost six times and seventy percent (AOR 5.69, 95% CI: 3.67-8.82; AOR 1.70, 95% CI: 1.08-2.68) higher in discussing RH with their adolescents than their counterparts, respectively.
  
  
  CONCLUSIONS
  Parent-adolescent discussion about RH issues rarely occurs and is bounded by lack of knowledge, sociocultural norms, and parental concern that discussion would encourage premarital sex. Reproductive health programs should target on improving awareness of parents and addressing sociocultural norms surrounding reproductive health issues.
authors.affiliation: School of Nursing and Midwifery, College of Health and Medical Sciences, Haramaya University, P.O.B. 235 Harar, Ethiopia.
authors.forename: Tesfaye Assebe
authors.initials: TA
authors.lastname: Yadeta
authors.affiliation: Department of Public Health, College of Health and Medical Sciences, Haramaya University, Harar, Ethiopia.
authors.forename: Haji Kedir
authors.initials: HK
authors.lastname: Bedane
authors.affiliation: School of Nursing and Midwifery, College of Health and Medical Sciences, Haramaya University, P.O.B. 235 Harar, Ethiopia.
authors.forename: Abera Kenay
authors.identifier: 0000-0002-2735-7523
authors.initials: AK
authors.lastname: Tura
mesh_terms: D000293:Adolescent; D000294:Adolescent Behavior; D000328:Adult; D002648:Child; D003430:Cross-Sectional Studies; D005002:Ethiopia; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008297:Male; D008875:Middle Aged; D010287:Parent-Child Relations; D060728:Reproductive Health; D012725:Sexual Behavior; D011795:Surveys and Questionnaires