Tianna Loose, Sylvana Côté, Catherine Malboeuf-Hurtubise, Jean-Philippe Ayotte Beaudet, Geneviève Lessard, Nicholas Chadi, Lise Gauvin, Isabelle Ouellet Morin, Marie-Claude Geoffroy
Protocol for the Open Sky School: a two-arm clustered randomized controlled trial to test the effectiveness of a nature-based intervention on mental health of elementary school children
BMC public health
early sexual initiation esi causes unintended pregnancy sexually transmitted infections sti high risk depression anxiety developmental delays lack emotional maturity difficulty pursuing education study aims analyze geographically weighted regression associated factors esi women ethiopia study utilized data ethiopian demographic health survey 2016 included weighted sample 11775 women spatial regression carried determine factors related hotspots esi women identify factors associated esi multilevel poisson regression model robust variance conducted adjusted prevalence ratio apr 95 confidence interval presented prevalence esi 753 95ci 746 761 showing notable spatial variation across different regions ethiopia areas significant hotspots esi identified western southern tigray parts amhara southern central western afar eastern gambella north western snnpr significant variables spatial variation esi single rural residence formal education women factors including wealth index marital status khat chewing education level residence region associated significantly esi multilevel robust poisson analysis higher proportion esi women found public health interventions must made targeting hotspot areas esi increasing health care access education specifically among rural residents developing comprehensive sexual education implementing policies laws outlaw early marriage mass communitybased programs increase awareness importance delaying sexual activity