Evidence map›Paper›PMID 28296626›Full record

ArticleWomen & health2018

Multiple levels of social influence on adolescent sexual and reproductive health decision-making and behaviors in Ghana.

Sneha Challa, Abubakar Manu, Emmanuel Morhe, Vanessa K Dalton, Dana Loll, Jessica Dozier, Melissa K Zochowski, Andrew Boakye, Richard Adanu, Kelli Stidham Hall

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Women & health, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 57 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
57citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

57 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Review
  4. Article
  5. Article
  6. Article
  7. Article
  8. Sexual health of adolescent girls in Tehran: Definition and dimensions.Journal of education and health promotion · 2025
    Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Review
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Socio-cultural factors perceived to influence sexual behaviours of adolescents in Ethiopia.African journal of primary health care & family medicine · 2023
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Sneha Challaa Department of Health Behavior and Health Education , University of Michigan School of Public Health , Ann Arbor , Michigan , USA.
Abubakar Manub School of Public Health , University of Ghana , Legon , Ghana.
Emmanuel Morhec Department of Obstetrics and Gynecology , Komfo Anokye Teaching Hospital , Kumasi , Ghana.
Vanessa K Daltond Department of Obstetrics and Gynecology , University of Michigan , Ann Arbor , Michigan , USA.
Dana Lolla Department of Health Behavior and Health Education , University of Michigan School of Public Health , Ann Arbor , Michigan , USA.
Jessica Dozierd Department of Obstetrics and Gynecology , University of Michigan , Ann Arbor , Michigan , USA.
Melissa K Zochowskid Department of Obstetrics and Gynecology , University of Michigan , Ann Arbor , Michigan , USA.
Andrew Boakyec Department of Obstetrics and Gynecology , Komfo Anokye Teaching Hospital , Kumasi , Ghana.
Richard Adanub School of Public Health , University of Ghana , Legon , Ghana.
Kelli Stidham Halld Department of Obstetrics and Gynecology , University of Michigan , Ann Arbor , Michigan , USA.

Funding

Stress and Unintended Pregnancy in Adolescence and Young AdulthoodK01HD080722 · NICHD · EMORY UNIVERSITY · PI HALL, KELLI STIDHAM · 2015 to 2018
$512k
NICHD NIH HHS K01 HD080722
6 · The paper itself

Abstract

Little is known about the multilevel social determinants of adolescent sexual and reproductive health (SRH) that shape the use of family planning (FP) among young women in Africa. We conducted in-depth, semi-structured, qualitative interviews with 63 women aged 15-24 years in Accra and Kumasi, Ghana. We used purposive, stratified sampling to recruit women from community-based sites. Interviews were conducted in English or local languages, recorded, and transcribed verbatim. Grounded theory-guided thematic analysis identified salient themes. Three primary levels of influence emerged as shaping young women's SRH experiences, decision-making, and behaviors. Interpersonal influences (peers, partners, and parents) were both supportive and unsupportive influences on sexual debut, contraceptive (non) use, and pregnancy resolution. Community influences included perceived norms about acceptability/unacceptability of adolescent sexual activity and its consequences (pregnancy, childbearing, abortion). Macro-social influences involved religion and abstinence and teachings about premarital sex, lack of comprehensive sex education, and limited access to confidential, quality SRH care. The willingness and ability of young women in our study to use FP methods and services were affected, often negatively, by factors operating within and across each level. These findings have implications for research, programs, and policies to address social determinants of adolescent SRH.

Indexed as

Contraception BehaviorDecision MakingInterpersonal RelationsSexual BehaviorSocial Determinants of HealthAdolescentFamilyFamily Planning ServicesFemaleHealth Knowledge, Attitudes, PracticeHumansMalePeer GroupQualitative ResearchReproductive HealthSexual HealthAdolescentsfamily planningreproductive healthsexual healthsocial determinants of healthsocial ecological model

Identifiers

PMID28296626
PMCPMC5891210

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.