Ahmed Fardawsa, Nyamwanza Owen, Ladur Alice N, Dambi Jermaine, Cowan Frances, Mavhu Webster
Department of International Public Health, Liverpool School of Tropical Medicine, Liverpool, England, UK.
SRH & MNCH, Center for Sexual Health and HIV/AIDS Research (CeSHHAR), Harare, Zimbabwe.
Wellcome Open Res. 2025 Feb 28;9:670. doi: 10.12688/wellcomeopenres.23139.2. eCollection 2024.
Introduction Very young adolescents (VYAs, aged 10-14 years) in sub-Saharan Africa (SSA) have the worst sexual and reproductive health (SRH) outcomes of this age group worldwide due to structural, behavioural, socioeconomic and other factors. Social and gender norms have important consequences for the SRH and wellbeing of VYAs both now and over their life course. SRH programming often focuses on older adolescents (aged 15-19 years), overlooking younger ones. This scoping review sets out to explore how social and gender norms influence VYAs' SRH in SSA, in addition to exploring interventions that have been effective, to inform a context-specific intervention.
We will employ the methodology developed by Arksey and O'Malley to review the available literature. We will search online databases (PubMed/MEDLINE, CINHAL, EMBASE, PsycINFO, Cochrane Library, and African Index Medicus) for original studies published between 1 January 2000 and 31 December 2024. Further, we will perform a manual search to include relevant grey literature. The steps in the review are: 1) defining the research question, 2) identifying relevant studies, 3) selecting studies, 4) charting the data, and 5) collating, summarising, and reporting the results.
Results We will report findings in accordance with the guidance provided in the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Protocols (PRISMA-P) statement. We will analyse and summarise data about study characteristics using descriptive statistics. We will use thematic analysis to analyse and summarise key themes and issues. We will triangulate quantitative and qualitative findings.
The review will map the breadth of studies focusing on social and gender norms, and SRH among VYAs, in addition to exploring interventions that have been effective. Findings will help us and others develop context-specific, bespoke interventions.
撒哈拉以南非洲地区（SSA）的低龄青少年（VYAs，10 - 14岁）由于结构、行为、社会经济及其他因素，在全球该年龄组中有着最差的性与生殖健康（SRH）结果。社会和性别规范对低龄青少年目前及整个生命历程中的性与生殖健康及福祉有着重要影响。性与生殖健康项目通常侧重于年龄较大的青少年（15 - 19岁），而忽视了年龄较小的青少年。本综述旨在探讨社会和性别规范如何影响撒哈拉以南非洲地区低龄青少年的性与生殖健康，此外还将探索有效的干预措施，以为因地制宜的干预提供参考。
我们将采用阿克西和奥马利开发的方法来回顾现有文献。我们将在在线数据库（PubMed/MEDLINE、CINHAL、EMBASE、PsycINFO、Cochrane图书馆和非洲医学索引）中搜索2000年1月1日至2024年12月31日期间发表的原始研究。此外，我们将进行手动搜索以纳入相关灰色文献。综述步骤如下：1）确定研究问题；2）识别相关研究；3）选择研究；4）梳理数据；5）整理、总结并报告结果。
我们将根据系统评价与Meta分析方案的首选报告项目（PRISMA - P）声明中提供的指导报告研究结果。我们将使用描述性统计分析和总结有关研究特征的数据。我们将使用主题分析来分析和总结关键主题和问题。我们将对定量和定性研究结果进行三角互证。
本综述将梳理聚焦于社会和性别规范以及低龄青少年性与生殖健康的研究范围，此外还将探索有效的干预措施。研究结果将帮助我们及其他人制定因地制宜、量身定制的干预措施。
