Herbert Ann C, Ramirez Ana Maria, Lee Grace, North Savannah J, Askari Melanie S, West Rebecca L, Sommer Marni
Department of Population, Family and Reproductive Health, Johns Hopkins School of Public Health, Baltimore, Maryland.
Department of Sociomedical Sciences, Mailman School of Public Health, Columbia University, New York, New York.
J Adolesc Health. 2017 Apr;60(4):363-379. doi: 10.1016/j.jadohealth.2016.10.008. Epub 2016 Dec 29.
Puberty is a critical period of development that lays the foundation for future sexual and reproductive health. It is essential to learn about the puberty experiences of low-income girls in the United States given their increased vulnerability to negative sexual and reproductive health outcomes. To understand the present-day puberty experiences of this population, we conducted a qualitative systematic review.
We systematically searched the peer-reviewed literature published between 2000 and 2014 on the puberty experiences of low-income girls in the United States. Reviewers screened titles, abstracts, and the full texts of articles. Using standardized templates, reviewers assessed the methodologic quality and extracted data. Data were synthesized using thematic analysis. Confidence in each finding was assessed using Confidence in the Evidence from Reviews of Qualitative research.
Twenty qualitative articles were included. They described the experiences of mostly African-American, Caucasian, and Hispanic girls living primarily in urban areas of Northeastern United States. Five overarching themes emerged: content of girls' puberty experiences, quality of girls' puberty experiences, messages girls receive about puberty, other factors that shape girls' puberty experiences, and relationships that shape girls' experiences of puberty.
The limited existing evidence suggests that low-income girls in the United States are unprepared for puberty and have largely negative experiences of this transition.
青春期是一个关键的发育阶段，为未来的性健康和生殖健康奠定基础。鉴于美国低收入女孩在性健康和生殖健康方面更容易出现负面结果，了解她们的青春期经历至关重要。为了了解这一人群当前的青春期经历，我们进行了一项定性系统综述。
我们系统检索了2000年至2014年间发表的关于美国低收入女孩青春期经历的同行评审文献。评审人员筛选文章的标题、摘要和全文。使用标准化模板，评审人员评估方法学质量并提取数据。采用主题分析法对数据进行综合分析。使用定性研究综述证据可信度评估对每个研究结果的可信度进行评估。
纳入了20篇定性文章。这些文章描述了主要居住在美国东北部城市地区的非裔美国女孩、白种女孩和西班牙裔女孩的经历。出现了五个总体主题：女孩青春期经历的内容、女孩青春期经历的质量、女孩收到的关于青春期的信息、影响女孩青春期经历的其他因素以及影响女孩青春期经历的人际关系。
现有的有限证据表明，美国低收入女孩对青春期没有做好准备，并且在这一转变过程中大多经历负面。
