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与青少年怀孕相关的风险和保护因素及代际干预措施:一项范围综述方案

Risk and protective factors associated with teenage pregnancy and intergenerational interventions: a scoping review protocol.

作者信息

Luvuno Zamasomi, Chiya Wilbroda Hlolosile, Ngcobo Silingene Joyce, Naidoo Deshini, Omowale Serwaa, Zhandire Tracy, Joseph-Shehu Elizabeth Musili, Ncama Busisiwe Purity, Duma Sinegugu E

机构信息

Centre for Rural Health, University of KwaZulu-Natal, Durban, South Africa.

School of Nursing and Public Health, University of KwaZulu-Natal College of Health Sciences, Durban, South Africa.

出版信息

BMJ Open. 2025 Jun 12;15(6):e094710. doi: 10.1136/bmjopen-2024-094710.

DOI:10.1136/bmjopen-2024-094710
PMID:40506074
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12161424/
Abstract

INTRODUCTION

Teenage pregnancy remains a critical global health issue, particularly in low- and middle-income countries. The intergenerational transmission of teenage pregnancy underscores the need for targeted interventions. Existing research on intergenerational approaches is fragmented, with varying methodologies and outcomes. This scoping review seeks to address this gap by answering the following research questions: What are the available intergenerational interventions for teenage pregnancy, and what are the associated risks and protective factors for early and late teenage pregnancy?

METHODS AND ANALYSIS

This study does not involve primary data collection and therefore does not require ethical approval. The review will be conducted in five stages: identifying the research question; identifying relevant studies; study selection; charting the data; and collating, summarising and reporting the results. A comprehensive search of electronic databases, grey literature and relevant organisational websites will be conducted for literature published between 2014 and 2024. Data will be extracted using a standardised form and synthesised narratively. Stakeholder consultation will be conducted to refine findings and ensure relevance. The findings will be reported in accordance with the PRISMA-ScR (Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews) extension for Scoping Reviews guidelines. The results will be presented through narrative synthesis, with tables and charts used to summarise key information.

ETHICS AND DISSEMINATION

As the review is based on publicly available data, ethical approval is not required. Ethical clearance will be sought for stakeholder consultations, if necessary. Findings will be disseminated through peer-reviewed publications, conferences, policy briefs and shared openly on the Open Science Framework (OSF). This protocol is registered in the OSF (https://doi.org/10.17605/OSF.IO/CM9WK).

摘要

引言

青少年怀孕仍然是一个关键的全球健康问题,在低收入和中等收入国家尤为如此。青少年怀孕的代际传播凸显了针对性干预措施的必要性。现有的关于代际方法的研究较为零散,方法和结果各不相同。本范围综述旨在通过回答以下研究问题来填补这一空白:针对青少年怀孕有哪些可用的代际干预措施,以及青少年早孕和晚孕的相关风险和保护因素是什么?

方法与分析

本研究不涉及原始数据收集,因此无需伦理批准。综述将分五个阶段进行:确定研究问题;识别相关研究;研究选择;绘制数据;以及整理、总结和报告结果。将对电子数据库、灰色文献和相关组织网站进行全面搜索,以查找2014年至2024年期间发表的文献。数据将使用标准化表格提取并进行叙述性综合。将进行利益相关者咨询以完善研究结果并确保其相关性。研究结果将根据PRISMA-ScR(系统评价和Meta分析扩展版的范围综述优先报告项目)扩展版的范围综述指南进行报告。结果将通过叙述性综合呈现,使用表格和图表总结关键信息。

伦理与传播

由于本综述基于公开可用的数据,无需伦理批准。如有必要,将为利益相关者咨询寻求伦理许可。研究结果将通过同行评审出版物、会议、政策简报进行传播,并在开放科学框架(OSF)上公开共享。本方案已在OSF(https://doi.org/10.17605/OSF.IO/CM9WK)上注册。

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本文引用的文献

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Interventions to prevent unintended pregnancies among adolescents: a rapid overview of systematic reviews.干预措施以预防青少年非意愿妊娠:系统评价快速综述。
Syst Rev. 2023 Oct 19;12(1):198. doi: 10.1186/s13643-023-02361-8.
2
Strengthening Families to Disrupt Intergenerational Health Inequities With Adolescents at Risk for Commercial Sexual Exploitation, Substance Use, and HIV.加强家庭力量,以消除面临商业性剥削、药物使用和艾滋病毒风险的青少年的代际健康不平等现象。
Am J Public Health. 2023 Jun;113(S2):S124-S128. doi: 10.2105/AJPH.2023.307284.
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Rapid reviews methods series: Guidance on team considerations, study selection, data extraction and risk of bias assessment.
快速综述方法系列:团队考虑因素、研究选择、数据提取和偏倚风险评估指南。
BMJ Evid Based Med. 2023 Nov 22;28(6):418-423. doi: 10.1136/bmjebm-2022-112185.
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Effectiveness of interventions to reduce child marriage and teen pregnancy in sub-Saharan Africa: A systematic review of quantitative evidence.撒哈拉以南非洲减少童婚和青少年怀孕干预措施的有效性:定量证据的系统评价
Front Reprod Health. 2023 Mar 31;5:1105390. doi: 10.3389/frph.2023.1105390. eCollection 2023.
5
Adolescent pregnancy in sub-Saharan Africa - a cause for concern.撒哈拉以南非洲地区的青少年怀孕问题——令人担忧的一个原因。
Front Reprod Health. 2022 Dec 2;4:984303. doi: 10.3389/frph.2022.984303. eCollection 2022.
6
Adolescent pregnancy, public policies, and targeted programs in Latin America and the Caribbean: a systematic review.拉丁美洲和加勒比地区的青少年怀孕、公共政策及针对性项目:一项系统综述
Rev Panam Salud Publica. 2021 Dec 16;45:e144. doi: 10.26633/RPSP.2021.144. eCollection 2021.
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Scoping reviews: reinforcing and advancing the methodology and application.范围综述:加强和推进方法和应用。
Syst Rev. 2021 Oct 8;10(1):263. doi: 10.1186/s13643-021-01821-3.
8
The Role of Culture in Effective Intervention Design, Implementation, and Research: Its Universal Importance.文化在有效干预设计、实施和研究中的作用:其普遍重要性。
Prev Sci. 2020 Jan;21(Suppl 1):93-97. doi: 10.1007/s11121-019-01065-7.
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Comprehensive understanding of risk and protective factors related to adolescent pregnancy in low- and middle-income countries: A systematic review.全面了解低收入和中等收入国家青少年怀孕相关的风险和保护因素:系统评价。
J Adolesc. 2018 Dec;69:180-188. doi: 10.1016/j.adolescence.2018.10.007. Epub 2018 Oct 26.
10
Determinants of adolescent pregnancy in sub-Saharan Africa: a systematic review.撒哈拉以南非洲青少年怀孕的决定因素:系统评价。
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