Massachusetts General Hospital, 185 Cambridge Street, Boston, MA 02114, United States of America.
UNDP-UNFPA-UNICEF-WHO-World Bank Special Programme of Research, Development and Research Training in Human Reproduction, Department of Sexual and Reproductive Health and Research, World Health Organization, Geneva, Switzerland.
Bull World Health Organ. 2021 May 1;99(5):359-373K. doi: 10.2471/BLT.20.254144. Epub 2021 Mar 2.
To systematically review the literature on the mental health of adolescents associated with sexual and reproductive outcomes, and compare the mental health outcomes with that of other age groups.
We searched seven databases for relevant peer-reviewed articles published between 1 January 2010 and 25 April 2019. Our inclusion criteria required that the study included age-disaggregated data on adolescents, and focused and assessed mental health outcomes associated with pregnancy or sexually transmitted infections. We extracted data on the specific health event, the mental health outcome and the method of measuring this, and comparisons with other age groups.
After initially screening 10 818 articles by title and abstract, we included 96 articles in our review. We observed that a wide-ranging prevalence of mental ill-health has been reported for adolescents. However, most studies of mental health during pregnancy did not identify an increased risk of depression or other mental disorders among adolescents compared with other age groups. In contrast, the majority of studies conducted during the postpartum period identified an increased risk of depression in adolescents compared with other age groups. Three studies reported on mental health outcomes following abortion, with varying results. We found no studies of the effect of sexually transmitted infections on mental health among adolescents.
We recommend that sexual and reproductive health services should be accessible to adolescents to address their needs and help to prevent any adverse mental health outcomes.
系统综述与性生殖结局相关的青少年心理健康文献，并与其他年龄组的心理健康结果进行比较。
我们检索了 7 个数据库，以获取 2010 年 1 月 1 日至 2019 年 4 月 25 日期间发表的相关同行评审文章。我们的纳入标准要求研究包括按年龄分组的青少年数据，以及关注和评估与怀孕或性传播感染相关的心理健康结果。我们提取了关于特定健康事件、心理健康结果以及衡量方法的信息，并与其他年龄组进行了比较。
最初通过标题和摘要筛选了 10818 篇文章后，我们纳入了 96 篇综述文章。我们观察到，广泛报道了青少年心理健康不良的情况。然而，大多数关于怀孕期间心理健康的研究并未发现与其他年龄组相比，青少年患抑郁症或其他精神障碍的风险增加。相比之下，大多数在产后期间进行的研究发现，与其他年龄组相比，青少年患抑郁症的风险增加。有 3 项研究报告了堕胎后的心理健康结果，结果各异。我们没有发现关于性传播感染对青少年心理健康影响的研究。
我们建议应向青少年提供性生殖健康服务，以满足他们的需求，并帮助预防任何不良的心理健康结果。
