西非青少年心理健康、性健康和生殖健康干预措施:范围界定审查

IF 2.2 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Irene A. Agyepong , Emelia Agblevor , Selase Odopey , Selasie Addom , Nana Efua Enyimayew Afun , Mary Pomaa Agyekum , Paapa Yaw Asante , Grace Emmanuelle Aye , Natasha Darko , Aïssa Diarra , Ama Pokuaa Fenny , Annick Gladzah , Nassirou Ibrahim , Aline Kagambega , Lauren J. Wallace , Jacob Novignon , Maurice Yaogo , Roxane Borgès Da Sliva , Tim Ensor , Tolib Mirzoev
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引用次数: 0

摘要

目标 西非人口的四分之一是 10-19 岁的青少年。他们的心理健康、性健康和生殖健康是相互关联的。因此,我们旨在研究西非国家经济共同体(ECOWAS)中已发表的有关青少年心理健康、性健康和生殖健康干预措施有效性的证据,为政策和计划的制定、实施和终止提供参考。研究设计研究设计为范围综述。研究方法我们考虑了所有定性和定量研究设计,这些设计将 10-19 岁的青少年纳入了包括青少年心理健康、性健康和生殖健康在内的任何类型的干预评估中。结果由研究者定义。我们在 PubMedline/Medline、APA PsycINFO、CAIRN 和 Google Scholar 数据库中检索了 2000 年 1 月至 2023 年 11 月 9 日期间发表的论文。在剔除重复内容、筛选摘要和全文后,共纳入了 27 篇来自西非经共体的研究论文。结果干预措施分为三类:服务获取、质量和利用;知识和信息获取以及青少年健康的交叉性和社会决定因素。大多数研究都是小规模的干预研究项目,干预的重点是性健康和生殖健康或心理健康,而不是协同作用。最常见的评价设计是准实验(13/27),其次是观察研究(8/27);随机和分组随机对照试验(5/27),以及一项现实主义评价。对正在大规模实施的政策和项目进行评估的研究采用的是观察性设计。结论迫切需要对青少年心理健康、性健康和生殖健康政策、干预措施、实施和终止实施的协同方法进行有力的评估设计研究,以便为青少年健康政策和项目提供信息。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Interventions for adolescent mental, sexual and reproductive health in West Africa: A scoping review

Objectives

A quarter of West Africa's population are adolescents 10–19 years. Their mental, sexual, and reproductive health is inter-related. We therefore aimed to examine published evidence on effectiveness of interventions for adolescent mental, sexual and reproductive health in the Economic Community of West African States (ECOWAS) to inform development, implementation and de-implementation of policies and programs.

Study design

The study design was a scoping review.

Methods

We considered all qualitative and quantitative research designs that included adolescents 10–19 years in any type of intervention evaluation that included adolescent mental, sexual and reproductive health. Outcomes were as defined by the researchers. PubMed/Medline, APA PsycINFO, CAIRN, and Google Scholar databases were searched for papers published between January 2000 and November 9, 2023.1526 English and French language papers were identified. After eliminating duplicates, screening abstracts and then full texts, 27 papers from studies in ECOWAS were included.

Results

Interventions represented three categories: service access, quality, and utilization; knowledge and information access and intersectionality and social determinants of adolescent health. Most studies were small-scale intervention research projects and interventions focused on sexual and reproductive or mental health individually rather than synergistically. The most common evaluation designs were quasi-experimental (13/27) followed by observational studies (8/27); randomized, and cluster randomized controlled trials (5/27), and one realist evaluation. The studies that evaluated policies and programs being implemented at scale used observational designs.

Conclusion

Research with robust evaluation designs on synergistic approaches to adolescent mental, sexual and reproductive health policies, interventions, implementation and de-implementation is urgently needed to inform adolescent health policies and programs.

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来源期刊
Public Health in Practice
Public Health in Practice Medicine-Health Policy
CiteScore
2.80
自引率
0.00%
发文量
117
审稿时长
71 days
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