The prevalence of adolescent pregnancy and its associated consequences in the Eastern Mediterranean region: a systematic review and meta-analysis.

IF 3.6 2区医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Reproductive Health Pub Date : 2024-07-31 DOI:10.1186/s12978-024-01856-4

Mehdi Varmaghani, Asma Pourtaheri, Hamideh Ahangari, Hadi Tehrani

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引用次数: 0

Abstract

Background: Adolescent pregnancy is one of the public health problems that both mother and baby suffer from its consequences. This study was conducted to estimate the prevalence and consequences of adolescent pregnancy in the Eastern Mediterranean region.

Methods: In this systematic review and meta-analysis, four databases (PubMed, ProQuest, Web of Science and Scopus) were systematically searched for relevant articles published from 1990 to 2022. The screening process for articles was conducted in accordance with the PRISMA guidelines. Joanna Briggs checklists were used to assess the quality of included studies. A random effects model was performed for the meta-analysis. Narrative synthesis of adolescent pregnancy prevalence, as well as a meta-analysis of adolescent pregnancy prevalence was performed using STATA 14.

Results: The review included 12 studies and 94,189 study participants. The prevalence of adolescent pregnancy was [9% (95% CI 6.9, 11.2, p < 0.001)]. Pregnancy outcomes included preeclampsia [12.9%(95% CI 7.3,18.5, p < 0.001)], low birth weight [16.1%(95% CI 7.4-24.8, p < 0.001)], anemia [33%(95% CI 14.4, 51.7, p < 0.001)], and cesarean delivery [15.9%(95% CI 11.1-20.7, p < 0.001)].The results showed that 16.9% of deliveries were cesarean sections.

Conclusion: The study's findings indicate that adolescent pregnancy is prevalent in the Middle East region and is associated with negative outcomes for teenagers. Therefore, it is necessary to carry out effective interventions to reduce adolescent pregnancy.

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东地中海地区少女怀孕率及其相关后果：系统回顾和荟萃分析。

背景：少女怀孕是公共卫生问题之一，母亲和婴儿都要承受其后果。本研究旨在估算东地中海地区少女怀孕的发生率和后果：在这项系统综述和荟萃分析中，系统地搜索了四个数据库（PubMed、ProQuest、Web of Science 和 Scopus）中 1990 年至 2022 年发表的相关文章。文章筛选过程按照 PRISMA 指南进行。乔安娜-布里格斯（Joanna Briggs）检查表用于评估纳入研究的质量。荟萃分析采用随机效应模型。使用 STATA 14 对青少年怀孕率进行了叙述性综合分析和荟萃分析：综述包括 12 项研究和 94 189 名研究参与者。青少年怀孕率为[9%（95% CI 6.9，11.2，p 结论：研究结果表明，青少年怀孕率与女性怀孕率呈正相关：研究结果表明，少女怀孕在中东地区很普遍，并与青少年的不良后果有关。因此，有必要采取有效的干预措施来减少少女怀孕。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Reproductive Health PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-

CiteScore

6.00

自引率

5.90%

发文量

220

审稿时长

>12 weeks

期刊介绍： Reproductive Health focuses on all aspects of human reproduction. The journal includes sections dedicated to adolescent health, female fertility and midwifery and all content is open access. Reproductive health is defined as a state of physical, mental, and social well-being in all matters relating to the reproductive system, at all stages of life. Good reproductive health implies that people are able to have a satisfying and safe sex life, the capability to reproduce and the freedom to decide if, when, and how often to do so. Men and women should be informed about and have access to safe, effective, affordable, and acceptable methods of family planning of their choice, and the right to appropriate health-care services that enable women to safely go through pregnancy and childbirth.