The Utilization of Sexual and Reproductive Health Services among young people: A cross-sectional study in Greece

Reproductive Health Services and young people

  • Theodora Zoitaki Saint Panteleimon General Hospital of Nikaia, Piraeus, Athens
  • Christina Dimitrakaki
  • Assist Prof Venetia Notara
  • Evanthia Sakellari
  • Prof Areti Lagiou
Keywords: sexual and reproductive health services, youth-friendly health services, young people, counseling, satisfaction, sexually transmitted infections

Abstract

Purpose: To explore young people’s experiences of public or private services received for their sexual and reproductive healthcare.

Materials and Methods: A cross-sectional study was carried out involving 358 students from vocational post-secondary education during the academic year 2018-2019, using a questionnaire based on the directions of the Youth Friendly Sexual and Reproductive Health Services (SRHS) proposed by the International Planned Parenthood Federation (IPPF).

Results: Out of 358 students, only 35(9.78%) visited public health services, while 85 (23.74%) visited both public and private services.  Gynaecologists, in private sectors, were visited by 127 students of whom 34.6% and 33,1% were between the ages of 18-20 and 21-30 years, respectively.  111 students (31.01%) did not use any service. A slight difference between the staff friendliness and the services received between the public and private sectors was observed. Similarly, a marginal lead was apparent in the private sector with regards to availability of appointments, emergencies and privacy. In the public sector, fewer participants were informed of the abortion services available.

Conclusions:  The satisfaction rate was quite high regarding healthcare consultation, in both sectors. However, counseling on contraceptive methods, information on the prevention of sexually transmitted infections, and other aspects of sexual and reproductive health were not satisfactorily covered. Finally, participants wished for more counseling and a greater focus on personal concerns.

Downloads

Download data is not yet available.

Author Biographies

Christina Dimitrakaki

2Centre for Health Services Research, Department of Hygiene, Epidemiology and Medical Statistics, University of Athens Medical School, Athens, Greece

Assist Prof Venetia Notara

3Laboratory of Hygiene and Epidemiology, University of West Attica, Athens, Greece; 4Department of Public and Community Health, University of West Attica, Athens, Greece

Evanthia Sakellari

3Laboratory of Hygiene and Epidemiology, University of West Attica, Athens, Greece; 4Department of Public and Community Health, University of West Attica, Athens, Greece

Prof Areti Lagiou

3Laboratory of Hygiene and Epidemiology, University of West Attica, Athens, Greece; 4Department of Public and Community Health, University of West Attica, Athens, Greece

References

. Starrs AM, Ezeh AC, Barker G, Basu A, Bertrand JT, Blum R, Coll-Seck AM, Grover A, Laski L, Roa M, Sathar ZA, Say L, Serour GI, Singh S, Stenberg K, Temmerman M, Biddlecom A, Popinchalk A, Summers C, Ashford LS. Accelerate progress-sexual and reproductive health and rights for all: report of the Guttmacher-Lancet Commission. Lancet. 2018;391(10140):2642-92. doi: 10.1016/S0140-6736(18)30293-9, PMID 29753597.

. Boyer JA. Time to lead: A road map for progress on sexual and reproductive health and rights worldwide. Guttmacher Institute; 2018. Available from: https://www.guttmacher.org/sites/default/files/article_files/gpr2103518x.pdf [cited 10/12/2020].

. Michielsen K, De Meyer S, Ivanova O, Anderson R, Decat P, Herbiet C, Kabiru CW, Ketting E, Lees J, Moreau C, Tolman DL, Vanwesenbeeck I, Vega B, Verhetsel E, Chandra-Mouli V. Reorienting adolescent sexual and reproductive health research: reflections from an international conference. Reprod Health. 2016;13:3. doi: 10.1186/s12978-016-0117-0. PMID 26758038.

. World Health Organization (WHO). Making health services adolescent friendly: developing national quality standards for adolescent friendly health services; 2012. Available from: https://apps.who.int/iris/bitstream/handle/10665/75217/9789241503594_eng.pdf;jsessionid=C1ABA87FD9A81722108896C7F79E5690?sequence=1https://apps [cited May 20, 2020].

. Sustainable development goals; 2015 [cited Jul 13 2020]. Available from: https://www.un.org/sustainabledevelopment/sustainable-development-goals/.

. International Planned Parenthood Federation (IPPF). Springboard: A hands-on guide to developing youth friendly services. London: INTERNATIONAL PLANNED PARENTHOOD FEDERATION EUROPEAN NETWORK; 2008 [cited Jul 13, 2020]. Available from: https://www.ippf.org/sites/default/files/inspire_springboard.pdf.

. Chandra-Mouli V, Parameshwar PS, Parry M, Lane C, Hainsworth G, Wong S, Menard-Freeman L, Scott B, Sullivan E, Kemplay M, Say L. A never-before opportunity to strengthen investment and action on adolescent contraception, and what we must do to make full use of it. Reprod Health. 2017;14(1):85. doi: 10.1186/s12978-017-0347-9, PMID 28728586.

. Munea AM, Alene GD, Debelew GT. Quality of youth friendly sexual and reproductive health Services in West Gojjam Zone, north west Ethiopia: with special reference to the application of the Donabedian model. BMC Health Serv Res. 2020;20(1):245. doi: 10.1186/s12913-020-05113-9, PMID 32209071.

. Liddon N, Steiner RJ, Martinez GM. Provider communication with adolescent and young females during sexual and reproductive health visits: findings from the 2011-2015 National Survey of Family Growth. Contraception. 2018;97(1):22-8. doi: 10.1016/j.contraception.2017.08.012, PMID 28882681.

. World Health Organization (WHO). Integrating sexual and reproductive health-care services. Vol. 2; 2006. Department of Reproductive Health and Research. Policy briefing [cited May 6 2020]. Available from: http://whqlibdoc.who.int/policy_briefs/2006/RHR_policybrief2_eng.pdf.

. Ketting E, Esin A. Integrating sexual and reproductive health in primary health care in Europe: position paper of the European Forum for Primary Care. Qual Prim Care. 2010;18(4):269-82. PMID 20836943.

. Greek Ministry of Health. Family planning acts. 2015 [cited May 6 2020]. Available from: https://www.moh.gov.gr/articles/health/dieythynsh-prwtobathmias-frontidas-ygeias/agogi-ygeias/programmata-prwtobathmias-frontidas-ygeias/3395-egkyklios-leitoyrgia-monadwn-oikogenei.

. Chandra-Mouli V, Svanemyr J, Amin A, et al. S1-S6. http://doi:10.1016/j.jadohealth.2014.09.015. Twenty years after International Conference on Population and Development: where are we with adolescent sexual and reproductive health and rights? J Adolesc Health. Vol. 56(1); 2015.

. Slater C, Robinson AJ. Sexual health in adolescents. Clin Dermatol. 2014;32(2):189-95. doi: 10.1016/j.clindermatol.2013.08.002, PMID 24559553.

. Bender SS, Fulbright YK. Content analysis: a review of perceived barriers to sexual and reproductive health services by young people. Eur J Contracept Reprod Health Care. 2013;18(3):159-67. doi: 10.3109/13625187.2013.776672, PMID 23527736.

. Mazur A, Brindis CD, Decker MJ. Assessing youth-friendly sexual and reproductive health services: a systematic review. BMC Health Serv Res. 2018;18(1):216. doi: 10.1186/s12913-018-2982-4, PMID 29587727.

. Alli F, Maharaj P, Vawda MY. Interpersonal relations between health care workers and young clients: barriers to accessing sexual and reproductive health care. J Commun Health. 2013;38(1):150-5. doi: 10.1007/s10900-012-9595-3, PMID 22782338.

. Johnston K, Harvey C, Matich P, Page P, Jukka C, Hollins J, Larkins S. Increasing access to sexual health care for rural and regional young people: similarities and differences in the views of young people and service providers. Aust J Rural Health. 2015;23(5):257-64. doi: 10.1111/ajr.12186, PMID 25809380.

. Thomée S, Malm D, Christianson M, Hurtig AK, Wiklund M, Waenerlund AK, Goicolea I. Challenges and strategies for sustaining youth-friendly health services — a qualitative study from the perspective of professionals at youth clinics in northern Sweden. Reprod Health. 2016;13(1):147. doi: 10.1186/s12978-016-0261-6, PMID 28003025.

. Hultstrand Ahlin CH, Carson D, Goicolea I. ’There is no reward penny for going out and picking up youths’: issues in the design of accessible youth healthcare services in rural northern Sweden. BMC Res Notes. 2019;12(1):74. doi: 10.1186/s13104-019-4108-4, PMID 30717774.

. World Health Organization. Improving the quality of care for reproductive, maternal, neonatal, child and adolescent health in the WHO European region.; 2016 [cited 20 May, 2020]. Available from: https://www.euro.who.int/__data/assets/pdf_file/0009/330957/RMNCAH-QI-Framework.pdf?ua=1 [accessed 20 May, 2020].

. Villa-Torres L, Svanemyr J. Ensuring youth’s right to participation and promotion of youth leadership in the development of sexual and reproductive health policies and programs. J Adolesc Health. 2015;56(1);Suppl:S51-7. doi: 10.1016/j.jadohealth.2014.07.022, PMID 25528979.

. Braeken D, Rondinelli I. Sexual and reproductive health needs of young people: matching needs with systems. Int J Gynaecol Obstet. 2012;119;Suppl 1:S60-3. doi: 10.1016/j.ijgo.2012.03.019. PMID 22884824.

. Apter D. Contraception options: aspects unique to adolescent and young adult. Best Pract Res Clin Obstet Gynaecol. 2018. doi: 10.1016/j.bpobgyn.2017.09.010, PMID 29032945.

. Bersamin M, Fisher DA, Marcell AV, Finan LJ. Reproductive health services: barriers to use among college students. J Commun Health. 2017;42(1):155-9. doi: 10.1007/s10900-016-0242-2, PMID 27604424.

. Yared A, Sahile Z, Mekuria M. Sexual and reproductive health experience, knowledge and problems among university students in Ambo, central Ethiopia. Reprod Health. 2017;14(1):41. doi: 10.1186/s12978-017-0302-9, PMID 28292296.

. Coronado PJ, Delgado-Miguel C, Rey-Cañas A, Herráiz MA. Sexual and Reproductive Health in Spanish University Students. A comparison between medical and law students. Sex Reprod Healthc. 2017;11:97-101. doi: 10.1016/j.srhc.2016.11.004, PMID 28159136.

. Nair M, Baltag V, Bose K, Boschi-Pinto C, Lambrechts T, Mathai M. Improving the quality of health care services for adolescents, globally: A standards-driven approach. J Adolesc Health. 2015;57(3):288-98. doi: 10.1016/j.jadohealth.2015.05.011, PMID 26299556.

. Brittain AW, Loyola Briceno ACL, Pazol K, Zapata LB, Decker E, Rollison JM, Malcolm NM, Romero LM, Koumans EH. Youth-friendly family planning services for young people: A systematic review update. Am J Prev Med. 2018;55(5):725-35. doi: 10.1016/j.amepre.2018.06.010, PMID 30342635.

CITATION
DOI: 10.26838/MEDRECH.2021.8.1.468
Published: 2021-01-14
How to Cite
1.
Zoitaki T, Dimitrakaki C, Notara V, Sakellari E, Lagiou A. The Utilization of Sexual and Reproductive Health Services among young people: A cross-sectional study in Greece: Reproductive Health Services and young people. Med. res. chronicles [Internet]. 2021Jan.14 [cited 2021Apr.20];8(1):01-2. Available from: https://medrech.com/index.php/medrech/article/view/468
Section
Original Research Article