Sexual and reproductive health literacy Level and Associated Factors Among Undergraduate Female Students at Jimma University, Southwest Ethiopia, 2025

Abstract

Sexual and reproductive health literacy refers to the ability to understand and apply knowledge related to sexual and reproductive health. Limited SRH in young adult hood also increases the risk of unsafe abortion, cesarean sections, social isolation, reduced likelihood of completing higher education, diminished economic stability, and services, absenteeism from school, and vulnerability to HIV/AIDS and other Moreover, there has been a lack of research on sexual and reproductive health literacy among university students in the local area populations. Objective: To assess sexual and reproductive health literacy levels and associated factors among undergraduate female students at Jimma University in 2025. Method: The study was conducted from March 3 to April 5, 2025, using a facility-based quantitative cross-sectional design among sampled adolescent girls at Jimma University. A total of 481 students were recruited through simple random sampling by using their email addresses of students obtained from the department. Sexual and reproductive health literacy was measured using the Health Literacy Measure for Adolescents tool. Data were analyzed using SPSS version 26. Binary logistic regression was performed to identify associated factors. Variables with a p-value <0.25 in bivariable analysis were entered into multivariable logistic regression. Model fitness was confirmed using the Hosmer–Lemeshow goodness-of-fit test, and statistical significance was declared at p <0.05. RESULT: In this study, 467 female students responded to the questionnaires, resulting in a response rate of 97%. The overall prevalence of limited SRH among female students was 43.47% CI (0.389,0.481) preferred source of information about SRH (AOR =7.701(3.184, 18.625)), awareness of SRH services available (AOR =3.846(2.011, 7.355)), and presence of health care provider in the family (AOR=0.508(.307,.841)) were statistically significant factors CONCLUSION: Less than half of the respondents had limited SRH literacy. factors like academic department and family background influenced their knowledge levels. To improve outcomes, policymakers should provide monitored health information, inclusive education, and targeted outreach for those in non-health