Factors associated with sexual and reproductive health stigma among adolescent girls in Ghana

dc.contributor.authorHall, S.K.
dc.contributor.authorMorhe, E.
dc.contributor.authorManu, A.
dc.contributor.authorEla, E.
dc.contributor.authorLol, D.
dc.contributor.authorKolenic, G.
dc.contributor.authorDozier, J.L.
dc.contributor.authorChalla, S.
dc.contributor.authorZochowski, K.M.
dc.contributor.authorBoakye, A.
dc.contributor.authorAdanu, R.
dc.contributor.authorDalton, K.V.
dc.date.accessioned2018-08-29T11:29:15Z
dc.date.available2018-08-29T11:29:15Z
dc.date.issued2018-04
dc.description.abstractObjective Using our previously developed and tested Adolescent Sexual and Reproductive Health (SRH) Stigma Scale, we investigated factors associated with perceived SRH stigma among adolescent girls in Ghana. Methods We drew upon data from our survey study of 1,063 females 15-24yrs recruited from community- and clinic-based sites in two Ghanaian cities. Our Adolescent SRH Stigma Scale comprised 20 items and 3 sub-scales (Internalized, Enacted, Lay Attitudes) to measure stigma occurring with sexual activity, contraceptive use, pregnancy, abortion and family planning service use. We assessed relationships between a comprehensive set of demographic, health and social factors and SRH Stigma with multi-level multivariable linear regression models. Results In unadjusted bivariate analyses, compared to their counterparts, SRH stigma scores were higher among girls who were younger, Accra residents, Muslim, still in/dropped out of secondary school, unemployed, reporting excellent/very good health, not in a relationship, not sexually experienced, never received family planning services, never used contraception, but had been pregnant (all p-values <0.05). In multivariable models, higher SRH stigma scores were associated with history of pregnancy (β = 1.53, CI = 0.51,2.56) and excellent/very good self-rated health (β = 0.89, CI = 0.20,1.58), while lower stigma scores were associated with older age (β = -0.17, 95%CI = -0.24,-0.09), higher educational attainment (β = -1.22, CI = -1.82,-0.63), and sexual intercourse experience (β = -1.32, CI = -2.10,-0.55).en_US
dc.identifier.citationHall KS, Morhe E, Manu A, Harris LH, Ela E, Loll D, et al. (2018) Factors associated with sexual and reproductive health stigma among adolescent girls in Ghana. PLoS ONE 13(4): e0195163.en_US
dc.identifier.issnhttps://doi.org/10.1371/journal.pone.0195163
dc.identifier.urihttp://ugspace.ug.edu.gh/handle/123456789/23894
dc.language.isoenen_US
dc.publisherPLOS ONEen_US
dc.subjectFactorsen_US
dc.subjectSexual and Reproductiveen_US
dc.subjectAssociateden_US
dc.subjectHealth Stigmaen_US
dc.subjectAdolescent Girlsen_US
dc.titleFactors associated with sexual and reproductive health stigma among adolescent girls in Ghanaen_US
dc.typeArticleen_US

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