Introduction: Several studies have been done on the utilization of sexual and reproductive health services by high school students in Ethiopia, but they have yielded inconsistent results. This study aimed to evaluate the extent to which high school students in Ethiopia are using sexual and reproductive health services by conducting a systematic review and meta-analysis.

Methods: Various electronic databases such as PubMed, Cochrane Library, AJOL, Google Scholar, and Grey Literature were used to search for relevant articles. Preferred Reporting Items for Systematic Reviews and Meta-Analysis Guidelines were followed for this review and meta-analysis. Heterogeneity was assessed using I² and Cochrane Q statistical tests, and data analysis was done with STATA 17 software. Random effect meta-analyses were used to determine the overall utilization rate of sexual and reproductive health services.

Result: This review included 20 studies with 12, 215 study participants. The pooled magnitude of sexual and reproductive health service utilization among high school students in Ethiopia was 29.79% (95% CI: 25.14, 34.43). Students with grades 11-12 (AOR = 2.33, 95% CI: 1.39, 3.90), aged between 20 and 24 years (AOR = 2.61; 95% CI: 1.79-3.81), having higher level of knowledge towards sexual and reproductive health issues (AOR = 3.10; 95% CI: 1.67-5.77), previous history of sexual intercourse (AOR = 4.18; 95% CI: 2.59-6.75), previous history of sexually transmitted infection (AOR = 3.74; 95% CI: 2.22-6.31), presence of a reproductive health service facility in the school (AOR = 2.55; 95% CI: 1.72-3.77), and ever-discussed reproductive health issues (AOR = 4.04; 95% CI: 1.62-10.03) were more likely to utilize sexual and reproductive health services.

Conclusions: The overall utilization of sexual and reproductive services among high school students in Ethiopia was found to be low as compared to SDG 3.7. Older individuals with higher education levels and knowledge about sexual and reproductive health services, as well as those who have had previous sexual experiences or discussions about sexual health, are more likely to utilize reproductive health services. To increase utilization, the Ministry of Health and the Ministry of Education should prioritize these factors.

Keywords: Ethiopia; high school; meta-analysis; sexual and reproductive health; students; utilization.

© 2024 Delie, Adal, Tareke, Ketema Bogale, Anagaw, Tiruneh, Fenta and Endeshaw.

简介： 已有几项研究探讨了埃塞俄比亚高中生使用性与生殖健康服务的情况，但结果不一致。本研究旨在通过系统评价和meta分析评估埃塞俄比亚高中生使用性与生殖健康服务的程度。

方法： 利用PubMed、Cochrane Library、AJOL、Google Scholar和灰色文献等电子数据库搜索相关文章，遵循系统评价和Meta分析的Preferred Reporting Items for Systematic Reviews and Meta-Analysis（PRISMA）指南。使用I²和Cochrane Q统计检验评估异质性，并用STATA 17软件进行数据分析。采用随机效应meta分析确定性与生殖健康服务的整体利用率。

结果： 本综述纳入了20项研究，共有12,215名参与者。埃塞俄比亚高中生使用性与生殖健康服务的总体比例为29.79%（95% CI: 25.14-34.43）。就读于11至12年级的学生（AOR = 2.33，95% CI: 1.39, 3.90）、年龄在20至24岁之间（AOR = 2.61；95% CI: 1.79-3.81）、对性与生殖健康问题有较高知识水平的学生（AOR = 3.10；95% CI: 1.67-5.77）、有过性经历（AOR = 4.18；95% CI: 2.59-6.75）和曾患过性传播感染病史的学生（AOR = 3.74；95% CI: 2.22-6.31）、学校内设有生殖健康服务设施（AOR = 2.55；95% CI: 1.72-3.77）以及曾讨论过性与生殖健康问题的学生（AOR = 4.04；95% CI: 1.62-10.03），更有可能使用性与生殖健康服务。

结论： 埃塞俄比亚高中生利用性与生殖健康服务的总体利用率较低，远低于可持续发展目标（SDG）3.7的要求。年龄较大、教育水平较高和对性与生殖健康有了解的人群以及有过性经历或讨论过性健康的个体更有可能使用这些服务。为了提高利用率，卫生部和教育部应优先考虑这些因素。

关键词： 埃塞俄比亚；高中生；meta分析；性与生殖健康；学生；利用度。