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Sexual and Reproductive Health Service Utilization and Associated Factors Among Young People With Disabilities in Ethiopia: Systematic Review and Meta-analysis.

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Title: Sexual and Reproductive Health Service Utilization and Associated Factors Among Young People With Disabilities in Ethiopia: Systematic Review and Meta-analysis.
Authors: Tesfaw, Mihiret1,2 (AUTHOR) mihirettesfaw2024@gmail.com, Tadesse, Takele1 (AUTHOR), Daka, Kassa1 (AUTHOR), Abebe, Amene1 (AUTHOR)
Source: Inquiry (00469580). 2/28/2026, Vol. 63, p1-14. 14p.
Subject Terms: *Health services accessibility, *People with disabilities, Reproductive health, Medical care, Meta-analysis, Descriptive statistics, Systematic reviews, Odds ratio, MEDLINE, Medical databases, Confidence intervals, Online information services, Data analysis software, Sexual health
Geographic Terms: Ethiopia
Abstract: Disability is a major public health concern affecting about 16% of the global population. It results from the interaction of health condition and/or impairments with various contextual personal and environmental factors. All people need access to sexual and reproductive health (SRH) services, but young people with disabilities (YPWDs) need it even more. In Ethiopia, evidence indicates that YPWDs experience substantially limited access to SRH services. This study aimed to systematically identify, appraise, and summarize existing evidence on SRH service utilization and associated factors among YPWDs in Ethiopia. Eight electronic databases were searched for studies published between 2010 and 2024. Microsoft Excel and STATA software were used for data extraction and analysis, respectively. A random-effect model of meta-analysis was conducted. Heterogeneity was assessed using Cochrane's Q and I 2 statistics and a funnel plot was used to identify whether there is a publication bias among included studies. Findings are reported according to the Preferred Reporting Items for Systematic Review and Meta-analysis (PRISMA) guidelines. Out of 2105 studies, 9 studies with 4066 YPWDs were included. The pooled prevalence of SRH service utilization among YPWDs in Ethiopia is 36.56% [95% CI: 29.58, 43.55], with P -value <.001 and I 2 = 95.76%. Good knowledge of SRH services was significantly associated with service uptake (OR 4.84, [1.16, 20.24], with P -value <.001 and I 2 = 87.3%). This study shows that SRH service utilization among YPWDs in Ethiopia remains low, with only 36.56% accessing the service. The significant association between knowledge of SRH and service uptake underscore the need for inclusive SRH strategies tailored to young people with disabilities through adapted communication and service delivery approaches. [ABSTRACT FROM AUTHOR]
Copyright of Inquiry (00469580) is the property of Sage Publications Inc. and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Education Research Complete
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  Data: Sexual and Reproductive Health Service Utilization and Associated Factors Among Young People With Disabilities in Ethiopia: Systematic Review and Meta-analysis.
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  Data: &lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Tesfaw%2C+Mihiret%22&quot;&gt;Tesfaw, Mihiret&lt;/searchLink&gt;&lt;relatesTo&gt;1,2&lt;/relatesTo&gt; (AUTHOR)&lt;i&gt; mihirettesfaw2024@gmail.com&lt;/i&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Tadesse%2C+Takele%22&quot;&gt;Tadesse, Takele&lt;/searchLink&gt;&lt;relatesTo&gt;1&lt;/relatesTo&gt; (AUTHOR)&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Daka%2C+Kassa%22&quot;&gt;Daka, Kassa&lt;/searchLink&gt;&lt;relatesTo&gt;1&lt;/relatesTo&gt; (AUTHOR)&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Abebe%2C+Amene%22&quot;&gt;Abebe, Amene&lt;/searchLink&gt;&lt;relatesTo&gt;1&lt;/relatesTo&gt; (AUTHOR)
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  Data: &lt;searchLink fieldCode=&quot;JN&quot; term=&quot;%22Inquiry+%2800469580%29%22&quot;&gt;Inquiry (00469580)&lt;/searchLink&gt;. 2/28/2026, Vol. 63, p1-14. 14p.
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  Data: *&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Health+services+accessibility%22&quot;&gt;Health services accessibility&lt;/searchLink&gt;&lt;br /&gt;*&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22People+with+disabilities%22&quot;&gt;People with disabilities&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Reproductive+health%22&quot;&gt;Reproductive health&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Medical+care%22&quot;&gt;Medical care&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Meta-analysis%22&quot;&gt;Meta-analysis&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Descriptive+statistics%22&quot;&gt;Descriptive statistics&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Systematic+reviews%22&quot;&gt;Systematic reviews&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Odds+ratio%22&quot;&gt;Odds ratio&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22MEDLINE%22&quot;&gt;MEDLINE&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Medical+databases%22&quot;&gt;Medical databases&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Confidence+intervals%22&quot;&gt;Confidence intervals&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Online+information+services%22&quot;&gt;Online information services&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Data+analysis+software%22&quot;&gt;Data analysis software&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Sexual+health%22&quot;&gt;Sexual health&lt;/searchLink&gt;
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  Label: Geographic Terms
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  Data: &lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Ethiopia%22&quot;&gt;Ethiopia&lt;/searchLink&gt;
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Disability is a major public health concern affecting about 16% of the global population. It results from the interaction of health condition and/or impairments with various contextual personal and environmental factors. All people need access to sexual and reproductive health (SRH) services, but young people with disabilities (YPWDs) need it even more. In Ethiopia, evidence indicates that YPWDs experience substantially limited access to SRH services. This study aimed to systematically identify, appraise, and summarize existing evidence on SRH service utilization and associated factors among YPWDs in Ethiopia. Eight electronic databases were searched for studies published between 2010 and 2024. Microsoft Excel and STATA software were used for data extraction and analysis, respectively. A random-effect model of meta-analysis was conducted. Heterogeneity was assessed using Cochrane&#39;s Q and I 2 statistics and a funnel plot was used to identify whether there is a publication bias among included studies. Findings are reported according to the Preferred Reporting Items for Systematic Review and Meta-analysis (PRISMA) guidelines. Out of 2105 studies, 9 studies with 4066 YPWDs were included. The pooled prevalence of SRH service utilization among YPWDs in Ethiopia is 36.56% [95% CI: 29.58, 43.55], with P -value &lt;.001 and I 2 = 95.76%. Good knowledge of SRH services was significantly associated with service uptake (OR 4.84, [1.16, 20.24], with P -value &lt;.001 and I 2 = 87.3%). This study shows that SRH service utilization among YPWDs in Ethiopia remains low, with only 36.56% accessing the service. The significant association between knowledge of SRH and service uptake underscore the need for inclusive SRH strategies tailored to young people with disabilities through adapted communication and service delivery approaches. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
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  Data: &lt;i&gt;Copyright of Inquiry (00469580) is the property of Sage Publications Inc. and its content may not be copied or emailed to multiple sites without the copyright holder&#39;s express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.&lt;/i&gt; (Copyright applies to all Abstracts.)
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=ehh&AN=191984488
RecordInfo BibRecord:
  BibEntity:
    Identifiers:
      – Type: doi
        Value: 10.1177/00469580261420715
    Languages:
      – Code: eng
        Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 14
        StartPage: 1
    Subjects:
      – SubjectFull: Health services accessibility
        Type: general
      – SubjectFull: People with disabilities
        Type: general
      – SubjectFull: Reproductive health
        Type: general
      – SubjectFull: Medical care
        Type: general
      – SubjectFull: Meta-analysis
        Type: general
      – SubjectFull: Descriptive statistics
        Type: general
      – SubjectFull: Systematic reviews
        Type: general
      – SubjectFull: Odds ratio
        Type: general
      – SubjectFull: MEDLINE
        Type: general
      – SubjectFull: Medical databases
        Type: general
      – SubjectFull: Confidence intervals
        Type: general
      – SubjectFull: Online information services
        Type: general
      – SubjectFull: Data analysis software
        Type: general
      – SubjectFull: Sexual health
        Type: general
      – SubjectFull: Ethiopia
        Type: general
    Titles:
      – TitleFull: Sexual and Reproductive Health Service Utilization and Associated Factors Among Young People With Disabilities in Ethiopia: Systematic Review and Meta-analysis.
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            NameFull: Tesfaw, Mihiret
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            NameFull: Tadesse, Takele
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            NameFull: Daka, Kassa
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            – D: 28
              M: 02
              Text: 2/28/2026
              Type: published
              Y: 2026
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