Groenewald Candice, Isaacs Nazeema, Qoza Phiwokazi
Centre for Community-Based Research, Human Sciences Research Council, Pretoria, South Africa.
Psychology Department, Rhodes University, Grahamstown, South Africa.
Front Reprod Health. 2023 Feb 17;5:1007005. doi: 10.3389/frph.2023.1007005. eCollection 2023.
Availability of and access to services that promote sexual and reproductive health (SRH) amongst adolescent girls have become a global priority. Yet, while researchers have explored factors that influence the uptake of SRH services in low-and-middle income countries, the roles that "agency" and "hope" play in adolescent SRH is less understood. To study this, this mini review systematically reviewed the literature across three databases, , and , for the period of January 2012 to January 2022. Findings showed that a paucity of studies identified the link between agency, hope and adolescent SRH respectively. Our review included 12 articles and found no studies that focused on hope and its role in adolescent SRH or seeking SRH services. However, the literature revealed the complexities of adolescent SRH agency and autonomy where female adolescents had limited autonomy to make SRH decisions. Limited access to adolescent friendly SRH services was also found to restrict girls' agency to prevent unintended pregnancies or to take up SRH support. Given the paucity of research, empirical studies are needed to further understand the extent to which hope, agency and other subjective factors implicate adolescent SRH in the African context.
在少女中提供和获取促进性与生殖健康（SRH）的服务已成为全球优先事项。然而，尽管研究人员已探讨了影响低收入和中等收入国家采用SRH服务的因素，但“能动性”和“希望”在青少年性与生殖健康中所起的作用却鲜为人知。为了对此进行研究，本小型综述系统回顾了2012年1月至2022年1月期间三个数据库（分别为[此处应补充具体数据库名称1]、[此处应补充具体数据库名称2]和[此处应补充具体数据库名称3]）中的文献。研究结果表明，分别确定能动性、希望与青少年性与生殖健康之间联系的研究很少。我们的综述纳入了12篇文章，未发现聚焦于希望及其在青少年性与生殖健康或寻求性与生殖健康服务方面作用的研究。然而，文献揭示了青少年性与生殖健康能动性和自主性的复杂性，其中女性青少年在做出性与生殖健康决策方面的自主性有限。还发现获得青少年友好型性与生殖健康服务的机会有限，限制了女孩预防意外怀孕或获得性与生殖健康支持的能动性。鉴于研究匮乏，需要开展实证研究，以进一步了解在非洲背景下，希望、能动性和其他主观因素在多大程度上与青少年性与生殖健康相关。
