School of Nursing, The University of British Columbia, Vancouver, British Columbia, Canada
School of Nursing, The University of British Columbia, Vancouver, British Columbia, Canada.
BMJ Open. 2023 Jul 26;13(7):e066713. doi: 10.1136/bmjopen-2022-066713.
African, Caribbean and Black (ACB) adolescents are disproportionately affected by teen pregnancy in North America. Teen pregnancy poses risks to the quality of life of adolescent boys and girls, including physical, psychosocial and socioeconomic risks. Our review aims to explore this public health concern for ACB adolescents within North America. We aim to identify and analyse available evidence on the incidence and prevalence of, associated factors of and interventions to curtail teen pregnancy involvement (TPI) among ACB adolescent boys and girls in North America. This review will explore TPI, rather than teen pregnancy, to ensure a review of men' involvement in teen pregnancy outcomes.
Health literature databases such as CINAHL, OVID (Medline and Embase) and CAB direct. Searches will be conducted for evidence published from 2001 to October 2021. Search results will be exported to Covidence for subsequent steps of the review. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Review guidelines will be used to ensure reproducibility and transparency. We will include all study designs focused on ACB boys and girls between 10 and 19 years old, residing in North America. Studies with a mixed racial sample will be included if sample consists of greater than 50% ACB individuals.
TPI is a public health concern with socioeconomic and health consequences for ACB teens in North America. A scoping review such as this will provide direction for healthcare practice, policy changes, education and further research in reducing the incidence of TPI in North America. Study results will be disseminated via presentations at conferences, at target populations, communities and organisations and publications via peer-reviewed journals. As knowledge generated from this scoping review will stem from previously published evidence, an ethical approval is not needed.
非洲裔加勒比裔和黑人（ACB）青少年在北美青少年怀孕的比例过高。青少年怀孕会给青少年男孩和女孩的生活质量带来风险，包括身体、心理社会和社会经济风险。我们的综述旨在探讨北美地区 ACB 青少年的这一公共卫生问题。我们旨在确定和分析现有的关于北美的 ACB 青少年的青少年怀孕发生率和流行率、相关因素以及减少青少年怀孕参与的干预措施的证据。本综述将探讨青少年怀孕参与（TPI），而不是青少年怀孕本身，以确保审查男性在青少年怀孕结果中的参与。
健康文献数据库，如 CINAHL、OVID（Medline 和 Embase）和 CAB direct。将从 2001 年到 2021 年 10 月进行证据搜索。搜索结果将导出到 Covidence 进行综述的后续步骤。将使用系统评价和荟萃分析扩展的首选报告项目扩展范围综述指南来确保可重复性和透明度。我们将包括所有研究设计，重点关注 10 至 19 岁居住在北美的 ACB 男孩和女孩。如果混合种族样本中的 ACB 个体比例大于 50%，则将包括具有混合种族样本的研究。
TPI 是一个公共卫生问题，对北美的 ACB 青少年有社会经济和健康后果。这样的范围综述将为减少北美 TPI 的发病率提供医疗实践、政策变化、教育和进一步研究的方向。研究结果将通过会议、目标人群、社区和组织的演示以及同行评议期刊的出版物进行传播。由于本范围综述产生的知识源自先前发表的证据，因此不需要伦理批准。
