Global Health, McMaster University, Hamilton, Ontario, Canada
Departamento de Medicina Familiar y Salud Pública, Universidad de La Sabana, Chia, Colombia.
BMJ Open. 2023 Mar 10;13(3):e066416. doi: 10.1136/bmjopen-2022-066416.
Despite the global efforts to promote adolescent sexual and reproductive health (SRH), many doubts remain on how to ensure universal health access for this population. Many obstacles prevent adolescents from accessing SRH information and services. As a result, adolescents are disproportionally affected by adverse SRH outcomes. Indigenous adolescents are more likely to receive insufficient information and health services due to poverty, discrimination and social exclusion. This situation is compounded by parents' limited access to information and the possibility of sharing this information with younger generations. The literature shows that parents play a crucial role in informing adolescents about SRH, but the evidence remains scarce for Indigenous adolescents in Latin America. We aim to discuss the barriers and facilitators of parent-adolescent communication on SRH for Indigenous adolescents in Latin American countries.
A scoping review will follow the Arksey and O'Malley's framework and the Joanna Briggs Institute Manual. We will include articles published between January 2000 and February 2023 in English and Spanish from seven electronic databases and retrieved references from selected articles. Two independent researchers will screen the articles, excluding duplicates, and extract the data based on the inclusion criteria using a data extraction template. The data will be analysed using a thematic analysis approach. Results will be presented following the Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA) extension for Scoping Reviews checklist and using the PRISMA flow chart, tables and a summary of the key findings.
No ethical approval is needed to conduct a scoping review considering the data will be retrieved from previous publicly published studies. The results of the scoping review will be disseminated in a peer-reviewed journal and conferences targeting researchers, programme developers and policymakers that have experience working in the Americas.
尽管全球努力促进青少年性健康和生殖健康（SRH），但对于如何确保这一人群普遍获得健康，仍存在许多疑问。许多障碍使青少年难以获得 SRH 信息和服务。因此，青少年受到不良 SRH 结果的影响不成比例。由于贫困、歧视和社会排斥，土著青少年获得的信息和健康服务更不足。由于父母获取信息的机会有限，以及与年轻一代分享这些信息的可能性有限，这种情况更加复杂。文献表明，父母在告知青少年 SRH 方面发挥着至关重要的作用，但拉丁美洲土著青少年的相关证据仍然很少。我们旨在讨论拉丁美洲国家土著青少年父母与青少年就 SRH 进行沟通的障碍和促进因素。
将按照 Arksey 和 O'Malley 的框架以及 Joanna Briggs 研究所手册进行范围审查。我们将纳入 2000 年 1 月至 2023 年 2 月期间以英语和西班牙语发表的来自七个电子数据库的文章，并从选定文章中检索参考文献。两名独立研究人员将筛选文章，排除重复项，并根据纳入标准使用数据提取模板提取数据。将使用主题分析方法分析数据。结果将按照系统评价和荟萃分析（PRISMA）扩展的范围审查清单以及使用 PRISMA 流程图、表格和关键发现摘要进行呈现。
由于数据将从以前公开发表的研究中检索，因此进行范围审查不需要伦理批准。范围审查的结果将在针对研究人员、方案开发者和政策制定者的同行评议期刊和会议上发表，这些人员在美洲有工作经验。
