Parent-adolescent Communication About Contraceptives and Its Associated Factors in Bahir Dar City, North West, Ethiopia, 2022

Abstract Background Adolescent pregnancy is a serious and complex problem. An overwhelming majority of teens feel that avoiding teen pregnancy would be easier if they were able to have open discussions about contraceptives with their parents. Objective To assess parent-adolescent communication about contraceptives and its associated factors in Bahir Dar city, North West Ethiopia,2022 GC. Methods Institution based cross-sectional study was conducted. A total of 821 adolescent was included in the study from June 10 to 30/2022GC. Multi stage - simple random sampling technique was used. The data was collected by using a pre-tested and structured interviewer administered questionnaire via Epicollect5. Then it was exported in to Statistical Package for Social Sciences version 25 for analysis. Both bivariable and multi-variable logistic regression analysis were done. Variables with a p-value of < 0.05 were considered statistically significant. Result Overall (22.3%) (95% CI: 19%-25%) of adolescent had communicated about contraceptives with their parents in the past six months. Favorable attitude toward parent adolescent communication [AOR = 4.014;95%CI: 2.618–6.155], being sexually active[AOR = 2.236,95%CI: 1.341–3.731 ], female sex [AOR = 2.675, 95%CI: 1.761–4.065], age(15–19) [AOR = 1.641,95%CI: 1.042,2.586], knowledgeable toward contraceptives [AOR = 1.661, 95%CI: 1.016–2.717],private school student [AOR = 0.451;95%CI: 0.245–0.831] and family size of ≥ 5[AOR = 2.764,95%CI: 1.791–4.267] were significantly associated with parent adolescent communication about contraceptives. Conclusion and Recommendation: Communication about contraceptives between adolescent and their parent was low. Parent shall give especial emphasis for male adolsecents, but not mean that negelecting the female adolsecent. It is important to encourage and empower parents to start to communicate with their adolescent while the adolescents are still in early adolescent years, before they become sexually active.