Challenges of parent-adolescent communication on sexual and reproductive health and rights issues in Addis Ababa, Ethiopia: A quantitative study

Adolescent - parent communication on sexual and reproductive health issues plays a critical role on preventing risky sexual behaviours and associated morbidity and mortality related to sexual practices. The purpose of the study was to identify challenges on parent- adolescent communication on sexual and reproductive health issues in Addis Ababa, Ethiopia. A cross-sectional study design was used among in-school adolescents paired with their parents. Data was collected using a structured questionnaire to conduct this quantitative survey. Descriptive, binary and multiple logistic regressions were carried out. The comprehensive level of discussion on sexual and reproductive health issues was found to be 5.7%. Adolescents disclosed that feeling ashamed, embarrassed, lack of knowledge and cultural unacceptability as major barriers for sexual and reproductive health issues communication with their parents. Grade level, religion and knowledge were significantly associated with adolescent-parents' communication about their sexual and reproductive health issues. Designing effective parent-adolescent communication intervention is critical in improving communication about common sexual and reproductive health issues.