Sexual and reproductive health communication between parents and adolescents: the case of Wa West District of the Upper West Region, Ghana

Background: Sexual and reproductive health communication is an important conversation challenge between parents and their adolescent children. Studies have established that parent-adolescent communication about sex can greatly reduce adolescents' risky sexual behaviour. Factors such as attitude, religious beliefs, perceived behavioural control, and behavioural intentions have been reported to affect parent-adolescent communication. Objective: This study assessed the communication practices between adolescents and their parents in the Wa West District in the Upper West Region of Ghana and factors that may be associated with this communication process. Methods: A community-based cross-sectional study design was employed using a four-stage sampling technique. A total of 420 parents with adolescents aged 10to 19years were recruited to answer structured questions using Somers and Canivez's sexual communication tool. The tool yielded sexual communication mean scores. The analysis of variance test was used to compare mean scores. Binary logistic regression was used to determine possible factors affecting SRH communications. All analyses were done using IBM SPSS Statistics (Version 25). Results: The study found that most of the respondents had good communication on sexual and reproductive health with their adolescents. There was a significant difference between Dagaabas and the other ethnic groups (p=0.025, 95% confidence interval (95% CI) = 0.05-1.25), between public sector employees and farmers (p=0.008, 95% CI = 0.07-0.90), and between Christians and Muslims (p=0.032, 95% CI= 0.01-0.38) on SRH communication. Conclusion: Though parents' communication with adolescents was good, health stakeholders need to empower parents with information on sexual and reproductive health to ensure effective counselling of their adolescents