Evidence map›Paper›PMID 28499280›Full record

SynthesisSexually transmitted diseases2017

Help and Care Seeking for Sexually Transmitted Infections Among Youth in Low- and Middle-Income Countries.

Anna Newton-Levinson, Jami S Leichliter, Venkatraman Chandra-Mouli

Open access · greenAbstract readSystematic Review
In one paragraph

Synthesis in Sexually transmitted diseases, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
4.4field-weighted citation impact, top 6% of its field
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

20 citing papers in PubMed, 35 citations in OpenAlex.

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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

3 authors at 1 institution in 2 countries.

Anna Newton-LevinsonFrom the *Department of Behavioral Sciences and Health Education, Rollins School of Public Health, Emory University; †Division of STD Prevention, Centers for Disease Control and Prevention, Atlanta, GA; and ‡Department of Reproductive Health and Research, World Health Organization, Geneva, Switzerland.
Jami S Leichliter
Venkatraman Chandra-Mouli
Emory University · US

Funding

World Health Organization 001
6 · The paper itself

Abstract

backgroundThe ability to seek help or medical care for sexually transmitted infections (STIs) is vital for sexually active youth; yet, their needs are often unmet.

methodsWe conducted a qualitative systematic review of studies to assess youth and provider views about the behaviors of young people in help seeking and care seeking for STI services in low- and middle-income countries. We searched peer-reviewed literature for studies published between 2001 and 2014 with a study population of youth (age, 10-24 years) and/or health service providers. Eighteen studies were identified for inclusion from 18 countries. Thematic analyses identified key themes across the studies.

resultsThe majority of studies included discussion of youth not seeking treatment, resorting to self-treatment, or waiting to access care, suggesting that many youth still do not seek timely care for STIs. Youth desired more information on sexual health and cited barriers related to fear or taboos in obtaining help or information, especially from providers or parents. Many did not recognize symptoms or waited until symptoms worsened. However, many youth were able to identify a number of sources for STI related care including public and private clinics, pharmacies, alternative healers, and nongovernmental organizations. Youth's help seeking and care seeking preferences were frequently influenced by desires for confidentiality, friendliness, and cost.

conclusionsYouth in low- and middle-income countries experience significant barriers in help seeking for STIs and often do not seek or postpone medical care. Improving uptake may require efforts to address clinic systems, provider attitudes, confidentiality, and cultural norms related to youth sexuality.

Indexed as

Developing CountriesHelp-Seeking BehaviorAdolescentAdolescent Health ServicesChildHealth Knowledge, Attitudes, PracticeHealth Services AccessibilityHumansPatient Acceptance of Health CareQualitative ResearchSexual BehaviorSexually Transmitted Diseases

Identifiers

PMID28499280
PMCPMC5434953
OpenAlexW2604953678

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.