撒哈拉以南非洲青少年性与生殖健康的决定因素：一项综合综述方案

Determinants of Adolescent Sexual and Reproductive Health in Sub-Saharan Africa: Protocol for an Umbrella Review.

作者信息

Ghadirian Mona Ziba, Omer Khalid, Cockcroft Anne

机构信息

Department of Family Medicine, McGill University, Montreal, QC, Canada.

出版信息

JMIR Res Protoc. 2023 Nov 17;12:e51278. doi: 10.2196/51278.

DOI:10.2196/51278

PMID:37976499

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10692888/

Abstract

BACKGROUND

Adolescents are a large proportion of the population in sub-Saharan Africa and face multiple risks to their health and well-being. Prior systematic reviews have focused on specific adolescent sexual and reproductive health outcomes such as teen pregnancies, HIV/AIDS, and sexually transmitted diseases. A comprehensive synthesis of the influential factors that shape different aspects of adolescent sexual and reproductive health can inform health policy and program development for this important segment of the population.

OBJECTIVE

This paper presents the protocol for an umbrella review that aims to synthesize the existing knowledge in the literature on the associations among individual, family, and societal factors and sexual and reproductive health outcomes among adolescents in sub-Saharan Africa.

METHODS

We will include systematic reviews that identify factors associated with sexual and reproductive health outcomes among adolescents, 10-19 years of age, in sub-Saharan Africa. Reviews can include quantitative and qualitative primary studies with or without meta-analysis. Academic and gray literature searches will identify reviews from PubMed, Scopus, CINAHL, Cochrane Database of Systematic Reviews, ProQuest, Google, and Google Scholar. Two reviewers (MZG and KO) will independently carry out title, abstract, and full text screening, assess methodological quality, and extract data. We will assess the methodological quality of the included studies using the Joanna Briggs Institute standard forms. The review will present findings in narrative form and in tables and will follow PRISMA (the Preferred Reporting Items for Systematic Reviews and Meta-Analyses) reporting guidelines.

RESULTS

A preliminary search in April 2023 found 1351 articles to be screened.

CONCLUSIONS

This umbrella review will permit a comprehensive and high-level understanding of the various factors that influence adolescent sexual and reproductive health in sub-Saharan Africa.

TRIAL REGISTRATION

PROSPERO International Prospective Register of Systematic Reviews CRD42023394512; https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=394512.

INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID): DERR1-10.2196/51278.

摘要

背景

在撒哈拉以南非洲地区，青少年占人口的很大比例，他们的健康和福祉面临多种风险。先前的系统评价主要关注青少年性与生殖健康的特定结果，如青少年怀孕、艾滋病毒/艾滋病和性传播疾病。全面综合影响青少年性与生殖健康不同方面的影响因素，可为针对这一重要人群的卫生政策和项目制定提供参考。

目的

本文介绍了一项伞状评价方案，旨在综合文献中关于撒哈拉以南非洲地区青少年个人、家庭和社会因素与性与生殖健康结果之间关联的现有知识。

方法

我们将纳入识别撒哈拉以南非洲地区10至19岁青少年性与生殖健康结果相关因素的系统评价。评价可包括有或没有meta分析的定量和定性原始研究。学术和灰色文献检索将从PubMed、Scopus、CINAHL、Cochrane系统评价数据库、ProQuest、谷歌和谷歌学术搜索中识别评价。两名评审员（MZG和KO）将独立进行标题、摘要和全文筛选，评估方法学质量并提取数据。我们将使用乔安娜·布里格斯研究所标准表格评估纳入研究的方法学质量。该评价将以叙述形式、表格形式呈现结果，并遵循PRISMA（系统评价和Meta分析的首选报告项目）报告指南。