The influence of socio-demographic characteristics on health information needs and accessibility among secondary school students in Morogoro region, Tanzania
DOI:
https://doi.org/10.51867/ajernet.6.4.10Keywords:
Access to Health Information, Health Information Needs, Secondary School Students, Socio-DemographicAbstract
The study examined the influence of socio-demographic characteristics on health information needs and accessibility among secondary school students in Morogoro Municipal Council and Ifakara Town Council. The Comprehensive Model of Information Seeking (CMIS) anchored this research. This study adopted a descriptive and analytical research design. The study involved 271 students from 10 secondary schools selected through systematic sampling and 99 key informants chosen purposefully. Data were collected using a structured questionnaire, a key informant interview guide, and a focus group discussion guide. The data were analyzed using the Statistical Package for the Social Sciences (SPSS) Version 26. Descriptive statistics, such as frequencies, percentages, and means, were used, and multiple linear regression analysis was conducted. The results indicated that the most highly needed health information was the prevention of sexually transmitted diseases (x̄ = 3.79), teeth management and care (x̄ = 3.40), and puberty and body changes (x̄ = 3.39). Furthermore, the most frequently accessed health information topics were types of food for a balanced diet (x̄ = 3.78) and physical exercises (x̄ = 3.43). In addition, age, class level, and students' place of residence significantly influenced their health information needs, while age and class level also influenced access to health information. The study concludes that students have moderate access to health information. The study findings underscore the need for targeted interventions, such as the establishment of health clubs in schools and the distribution of sufficient printed materials, to bridge information gaps and ultimately improve adolescent health literacy.
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Abdissa, G. (2021). Knowledge on menstruation and practice of menstrual hygiene management among school adolescent girls in Central Ethiopia: A cross-sectional study. Risk Management and Healthcare Policy, 14, 911-923. https://doi.org/10.2147/RMHP.S296670
Adeniyi, O. E., David, O. B., Kolawole, M. O., Agboola, I. O., Olanike, A. A., & Abayomi, O. K. (2022). Socio-demographic characteristics and utilization of electronic information resources among Nigerian university students. Library Herald Journal, 60(4), 1.
Anne-Laure, H. S., Maxime, M., Denise, B. M., Nathalie, B., & Cindy, S. (2024). Determining adolescent health information needs: A survey in Geneva, 2022. Preventive Medicine Reports, 41, 102682. https://doi.org/10.1016/j.pmedr.2024.102682
Ayubu, A. E., & Kabeya, L. D. (2019). Knowledge, attitudes, and use of family planning methods among female secondary school students in Tanzania. Research Square, 2019, 1-13. https://doi.org/10.21203/rs.2.13447/v1
Bayingana, J. M., Shyaka, G., & Ogendi, J. (2024). Knowledge, attitude and practices towards oral health among secondary school students in Huye district, Rwanda. African Health Sciences, 24(1), 183-194.
https://doi.org/10.4314/ahs.v24i1.30
Basnyat, I., Nekmat, E., Jiang, S., & Lin, J. (2018). Applying the modified comprehensive model of information seeking to online health information seeking in the context of India. Journal of Health Communication, 23(6), 563-572.
https://doi.org/10.1080/10810730.2018.1493058
Boateng, S., Asare, D., Manu, P. T., Sefah, E. A., & Adomako, J. (2021). Relationship between students' home background and their academic performance: A case of some selected senior high school students in rural districts in Ashanti Region, Ghana. Journal of Education, 201(3), 153-161.
https://doi.org/10.1177/0022057420904370
CDC. (2023). Protects people in the United States and around the world by preventing, detecting, and responding to disease threats anytime and anywhere (22 pp.). Centers for Disease Control and Prevention.
Chekol, B. M., Sheehy, G., & Siraneh, Y. (2023). Sexual and reproductive health experiences, access to services, and sources of information among university students in Ethiopia. Frontiers in Reproductive Health, 5, 1271685. https://doi.org/10.3389/frph.2023.1271685
Duplaga, M., & Grysztar, M. (2021). Socio-economic determinants of health literacy in high school students: A cross-sectional study. International Journal of Environmental Research and Public Health, 18(22), 12231.
https://doi.org/10.3390/ijerph182212231
Essén, B., Åkerman, E., Larsson, E. C., & Westerling, R. (2019). A missed opportunity? Lack of knowledge about sexual and reproductive health services among immigrant women in Sweden. Sexual & Reproductive Healthcare, 19, 64-70.
https://doi.org/10.1016/j.srhc.2018.12.005
Fastrich, G. M., FitzGibbon, L., Lau, J. K., Aslan, S., Sakaki, M., & Murayama, K. (2024). Adult age differences in noninstrumental information-seeking strategies. Psychology and Aging, 39(3), 313.
https://doi.org/10.1037/pag0000806
Ferraris, G., Monzani, D., Coppini, V., Conti, L., Maria Pizzoli, S. F., Grasso, R., & Pravettoni, G. (2023). Barriers to and facilitators of online health information-seeking behaviours among cancer patients: A systematic review. Digital Health, 9, 20552076231210663. https://doi.org/10.1177/20552076231210663
Fetherston, M. (2019). What influences college students' career information seeking on the internet? A test of the comprehensive model of information seeking. Journal of Applied Communication Research, 47(2), 1-22.
https://doi.org/10.1080/00909882.2019.1615631
Folorunso, O., & Olaniyi, F. (2020). Socio-demographic factors and online information-seeking behaviour of postgraduate students, Faculty of Education, University of Ibadan, Nigeria. Nigerian Library and Information Science Review, 20, 28-42.
Gift, A., & Mweya, C. N. (2024). Prevalence and factors influencing substance abuse among secondary school students in Mbeya City, Tanzania. African Health Sciences, 24(3), 430-437.
https://doi.org/10.4314/ahs.v24i3.47
Gondim, P. S., Souto, N. F., Moreira, C. B., da Cruz, M. E. C., Caetano, F. H. P., & Montesuma, F. G. (2015). Accessibility of adolescents to sources of information on sexual and reproductive health. Journal of Human Growth and Development, 25(1), 50-53. https://doi.org/10.7322/jhgd.96767
Hailemariam, S., Gutema, L., Agegnehu, W., & Derese, M. (2021). Challenges faced by female out-of-school adolescents in accessing and utilizing sexual and reproductive health service: A qualitative exploratory study in Southwest, Ethiopia. Journal of Primary Care & Community Health, 12, 21501327211018936.
https://doi.org/10.1177/21501327211018936
Hair, J. F., Black, W. C., Babin, B. J., & Anderson, R. E. (2010). Multivariate data analysis (7th ed.). Prentice Hall.
Hamilton-Ekeke, J. T., Abam, R. P., & Ogobiri, E. (2020). Health literacy in the promotion of wellness among secondary school students in Bayelsa State, Nigeria. Journal of Health Education Teaching, 11(1), 1-7. www.jhetonline.com
https://doi.org/10.11591/edulearn.v14i1.14490
Harrison, A., Tyrill, C., Cousins, S., Rocke, K., & Gossell-Williams, M. (2023). Disparity between adolescents' health information needs and the information received in a middle-income country. Journal of Tropical Pediatrics, 69(2), fmad018.
Holst, C., Tschirhart, N., Ngowi, B., Noll, J., & Winkler, A. S. (2023). Utilizing community InfoSpots for health education: Perspectives and experiences in Migoli. Health Promotion International, 38(4), 1-11.
https://doi.org/10.1093/heapro/daab187
Holtman, N., Bimerew, M., & Mthimunye, K. (2024). Adolescent girls' sexual and reproductive health information needs and barriers in Cape Town. Health SA Gesondheid, 29, 2650. https://doi.org/10.4102/hsag.v29i0.2650
Human Rights Watch. (2017). I had a dream to finish school: Barriers to secondary education in Tanzania. Human Rights Watch.
Ito, K., Madeni, F. E., & Shimpuku, Y. (2022). Secondary school students' and peer educators' perceptions of adolescent education in rural Tanzania: A qualitative study. Reproductive Health, 19, 109. https://doi.org/10.1186/s12978-022-01418-6
Jiang, F., Liu, Y., Hu, J., & Chen, X. (2022). Understanding health empowerment from the perspective of information processing: Questionnaire study. Journal of Medical Internet Research, 24(1), e27178.
Kalabamu, F. S., Msengi, G., & Mkopi, N. (2020). Magnitude of overweight, obesity and insufficient physical sports activities among secondary school students in Kinondoni Municipal, Dar es Salaam. East African Health Research Journal, 4(2), 164-171. https://doi.org/10.24248/eahrj.v4i2.640
Kassim, M., & Katunzi-Mollel, K. (2020). Antecedent factors influencing maternal health information seeking behaviour of women of childbearing age in rural Tanzania. University of Dar es Salaam Library Journal, 15(2), 57-68.
Kavana, N. (2021). Sexually transmitted infections among secondary school students in Mlimba Division, Ifakara, Tanzania. International Journal of Sexually Transmitted Diseases, 1(1), 20-27.
Kavitha, N., & Chandrashekara, M. (2022). Information needs and information seeking behaviour of secondary school students in Mysore North Block: A study. Asian Journal of Information Science & Technology, 12(1), 2.
https://doi.org/10.51983/ajist-2022.12.1.3032
Kundu, S., Khan, M. S. I., Bakchi, J., Sayeed, A., Banna, M. H. A., Begum, M. R., & Hassan, M. N. (2020). Sources of nutrition information and nutritional knowledge among school-going adolescents in Bangladesh. Public Health in Practice, 1, 100030. https://doi.org/10.1016/j.puhip.2020.100030
Kutner, B. A., Perry, N. S., Stout, C., Norcini Pala, A., Paredes, C. D., & Nelson, K. M. (2022). The inventory of anal sex knowledge (iASK): A new measure of sexual health knowledge among adolescent sexual minority males. The Journal of Sexual Medicine, 19(3), 521-528. https://doi.org/10.1016/j.jsxm.2021.12.011
Lee, K., Fanguy, M., Lu, X. S., & Bligh, B. (2021). Student learning during COVID-19: It was not as bad as we feared. Distance Education, 42(1), 164-172. https://doi.org/10.1080/01587919.2020.1869529
León-Himmelstine, C., Samman, E., Kyungu, E., Roche, J. M., Festo, C., Plank, G., Amani, E., Samuels, F., & Pellini, A. (2021). Mental health and psychosocial well-being among adolescents in Tanzania: Findings from a mixed-methods baseline study. Overseas Development Institute.
Lugard, I. A. (2023). Assessment of information and communication technologies awareness level among secondary school students in Delta State, Nigeria. Asian Journal of Education and Social Studies, 39(3), 15-33. https://doi.org/10.9734/ajess/2023/v39i3846
Maphoto, A. R. (2016). Information needs and information seeking behaviour of Grade 10 and 11 learners at Gerson Ntjie Secondary School, at Magooa Village, Limpopo Province (Doctoral dissertation, University of KwaZulu-Natal, Pietermaritzburg).
Martinović, I., Kim, S. U., & Stanarević Katavić, S. (2023). Study of health information needs among adolescents in Croatia shows distinct gender differences in information seeking behaviour. Health Information & Libraries Journal, 40(1), 70-91. https://doi.org/10.1111/hir.12369
Mavura, R. A., Nyaki, A. Y., Leyaro, B. J., Mamseri, R., George, J., Ngocho, J. S., & Mboya, I. B. (2022). Prevalence of substance use and associated factors among secondary school adolescents in Kilimanjaro region, northern Tanzania. PLoS ONE, 17(9), e0274102. https://doi.org/10.1371/journal.pone.0274102
Mbatia, C. (2024). Role of peer influence on substance abuse among teenagers in Kenya. European Journal of Sociology, 7(2), 1-10.
Mishra, S. K., & Mukhopadhyay, S. (2021). Knowledge and practices about sexual health and its socioeconomic correlates among adolescent girls in Sikkim, India. The Oriental Anthropologist, 21(1), 49-66.
https://doi.org/10.1177/0972558X211001156
MoEST & Ministry of Health. (2021). National strategy for inclusive education 2021/22-2025/2026. Dodoma, Tanzania.
Msollo, S. S., & Majaliwa, N. K. (2025). Knowledge and practices on prevention of overweight and obesity among secondary school adolescents in Morogoro Municipality, Tanzania. Advances in Public Health, 2025(1), 9970378.
https://doi.org/10.1155/adph/9970378
Msovela, J., Shija, A. E., Ntuyeko, H., Imeda, C., Mugula, A., Mgina, E., & Egidio, A. A. (2025). Puberty and menstruation knowledge, information sources and needs among secondary school adolescent girls and boys in Kibaha, Tanzania. PLOS Global Public Health, 5(3), e0004176. https://doi.org/10.1371/journal.pgph.0004176
Nash, K., O'Malley, G., Geoffroy, E., Schell, E., Bvumbwe, A., & Denno, D. M. (2019). "Our girls need to see a path to the future": Perspectives on sexual and reproductive health information among adolescent girls, guardians, and initiation counselors in Mulanje district, Malawi. Reproductive Health, 16, 1-13.
https://doi.org/10.1186/s12978-018-0661-x
National Institute on Drug Abuse. (2022). Race and drug use: An analysis of trends and impacts. https://www.nida.nih.gov/reports/race-and-drug-use
Ndijuye, L. G., & Dadi, N. (2024). Home learning environments and family socioeconomic status: Implications on early learning attainments in Tanzania. Journal of Early Childhood Research, 22(2), 207-223.
https://doi.org/10.1177/1476718X231195712
Ngissa, S., Sanga, E., Nsanya, M. K., Kweka, B., & Malindisa, E. (2024). Curriculum-based sexual and reproductive health education: Revealing its relevance for risky sexual behaviors among secondary school students in Mwanza, Tanzania. Reproductive Health, 21(58), 1-10. https://doi.org/10.1186/s12978-024-01798-x
OECD. (2021). Health at a glance 2021: OECD indicators. OECD Publishing. https://doi.org/10.1787/ae3016b9-en
Otoide, P. G. (2015). Information needs of secondary school students in selected schools in Abaraka Community. International Journal of Academic Library and Information Science, 3(3), 81-88.
Oyedokun-Adebagbo, F., de Silva, S., Jadhav, A., Fabic, M. S., Munthali, L., & Kebede, Z. (2024). Family planning, reproductive health, and progress toward the Sustainable Development Goals: Reflections and directions on the 30th anniversary of the International Conference on Population and Development. Global Health: Science and Practice, 12(5), 6. https://doi.org/10.9745/GHSP-D-24-00127
Pallant, A., Lee, H. S., & Pryputniewicz, S. (2020). How to support secondary school students' consideration of uncertainty in scientific argument writing: A case study of a High-Adventure Science curriculum module. Journal of Geoscience Education, 68(1), 8-19. https://doi.org/10.1080/10899995.2019.1622403
Pendl, D., Maitz, K. M., & Gasteiger-Klicpera, B. (2024). Examining the relationship between health literacy and individual and sociodemographic factors in secondary school students. Journal of Public Health, 32(3), 531-542.
https://doi.org/10.1007/s10389-023-01836-1
Pufall, E., Eaton, J. W., Nyamukapa, C., Schur, N., Takaruza, A., & Gregson, S. (2016). The relationship between parental education and children's schooling in a time of economic turmoil: The case of East Zimbabwe, 2001 to 2011. International Journal of Educational Development, 51, 125-134.
https://doi.org/10.1016/j.ijedudev.2016.09.003
Rahayu, A., Setyawan, H., Sabariah, S., Rufii, R., Hendri, N., Safrudin, S., & Sanjaykumar, S. (2024). Strategies to increase physical activity in elementary school children in the digital age to support a healthy lifestyle. Retos: Nuevas tendencias en educación física, deporte y recreación, 61, 1410-1421.
https://doi.org/10.47197/retos.v61.110184
Rashidi, R. (2015). Socio-economic factors affecting students' accessibility to rural community secondary schools in Tanzania: A case of Tunduru District (Master's thesis, University of Dar es Salaam).
Sambah, F., Quansah, F., Srem-Sai, M., Frimpong, J. B., Agormedah, E. K., Ankomah, F., & Hagan, J. E. Jr. (2023). Assessing secondary school students' digital health literacy, information searching behaviours, and satisfaction with online COVID-19 information in Northern Ghana. Heliyon, 9(7), e17936. https://doi.org/10.1016/j.heliyon.2023.e17936
Shrestha, N., Aryal, S., Nepal, S., Marahatta, A., Gurung, B., & Sharma, B. (2024). Knowledge, barriers and perceived needs of adolescent sexual and reproductive health services among higher secondary school students in Chitwan district. Journal of Gandaki Medical College-Nepal, 17(2), 129-135. https://doi.org/10.3126/jgmc-n.v17i2.70720
Spinelli, H., & Martinovich, V. (2024). From the factory model to the classroom-workshop: Learning from practice in the fields of health and education. Global Public Health, 19(1), 2290677.
https://doi.org/10.1080/17441692.2023.2290677
The Chanzo. (2023). Infographic: 329,918 students dropped out of schools in Tanzania in 2022. https://thechanzo.com/infographic-329918-students-dropped-out-of-schools-in-tanzania-in-2022
Tönsing, K. M., Dada, S., Bastable, K., & Samuels, A. (2022). Health information and education needs for youth with complex communication needs during the Covid-19 pandemic: Rehabilitation professionals' perspectives. Disability and Rehabilitation, 45(10), 1619-1628. https://doi.org/10.1080/09638288.2022.2069872
UNESCO. (2021). Making every school a health-promoting school: Global standards and indicators (67 pp.).
Upadhyay, J. (2023). Criteria for proper selection of study area, population, and sample. School of Health and Allied Sciences, India. https://www.slideshare.net/slideshow/criteria-for-proper-selection-of-study-area-population-and-samplepptx/256771483
Waral, L. N. (2020). A study on the information collecting mode of secondary school students in a digital setting. Library Philosophy and Practice, 2020, 1-16.
Wilder, R. (2023). Power, authority and expertise: Policy making about relationships and sex education in English primary schools. Journal of Education Policy, 38(5), 782-802. https://doi.org/10.1080/02680939.2022.2028309
World Bank. (2022). Achieving gender equality in education: Examining progress and constraints (36 pp.).
WHO. (2022). Global case for support-UNICEF and WHO joint programme on mental health and psychosocial well-being and development of children and adolescents. World Health Organization.
WHO. (2023). The critical role of accessibility in health information. World Health Organization. https://www.who.int/news/item
Xu, S., Shi, Y., Yang, T., Liu, Z., Liu, T., Li, X., & Liu, N. (2025). Mkrag: Medical knowledge retrieval augmented generation for medical question answering. In AMIA Annual Symposium Proceedings (Vol. 2024, p. 1011). San Francisco.
Yang, Q., Van Stee, S. K., & Rains, S. A. (2023). Comprehensive model of information seeking: A meta-analysis. Journal of Health Communication, 28(6), 360-374. https://doi.org/10.1080/10810730.2023.2214097
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