Evidence map›Paper›PMID 29720276›Full record

ArticleReproductive health2018

Ethics challenges and guidance related to research involving adolescent post-abortion care: a scoping review.

Joseph M Zulu, Joseph Ali, Kristina Hallez, Nancy Kass, Charles Michelo, Adnan A Hyder

Open access · goldAbstract readScoping Review
In one paragraph

Article in Reproductive health, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
1.6field-weighted citation impact, top 16% 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

10 citing papers in PubMed, 19 citations in OpenAlex.

  1. Article
  2. The meaning of ethical collaborative research according to young people.International journal of adolescence and youth · 2025
    Article
  3. Article
  4. Ethical guidelines for human research on children and adolescents: A narrative review study.Journal of research in medical sciences : the official journal of Isfahan University of Medical Sciences · 2024
    Review
  5. Article
  6. Article
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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

6 authors at 4 institutions in 2 countries.

Joseph M ZuluSchool of Public Health, University of Zambia, P.O. Box 50110, Lusaka, Zambia. josephmumbazulu@gmail.com.
Joseph AliJohns Hopkins Berman Institute of Bioethics, Deering Hall, 1809 Ashland Avenue, Baltimore, MD, 21205, USA.
Kristina HallezJohns Hopkins Berman Institute of Bioethics, Deering Hall, 1809 Ashland Avenue, Baltimore, MD, 21205, USA.
Nancy KassJohns Hopkins Berman Institute of Bioethics, Deering Hall, 1809 Ashland Avenue, Baltimore, MD, 21205, USA.
Charles MicheloSchool of Public Health, University of Zambia, P.O. Box 50110, Lusaka, Zambia.
Adnan A HyderJohns Hopkins Berman Institute of Bioethics, Deering Hall, 1809 Ashland Avenue, Baltimore, MD, 21205, USA.
Johns Hopkins Berman Institute of Bioethics · USUniversity of Zambia · ZMAshland (United States) · USJohns Hopkins University · US

Funding

The Addis Ababa University-Johns Hopkins University Research Ethics Training Program in Ethiopia (AAU-JHU RETP)R25TW001604 · FIC · JOHNS HOPKINS UNIVERSITY · PI Adamu Addissie, Joseph Ali · 2000 to 2026
$6.4M
FIC NIH HHS R25 TW001604
6 · The paper itself

Abstract

introductionAn increase in post abortion care (PAC) research with adolescents, particularly in low- and middle-income countries, has brought to attention several associated research ethics challenges. In order to better understand the ethics context of PAC research with adolescents, we conducted a scoping review of published literature.

methodsFollowing a systematic search of PubMed, HINARI, and Google Scholar, we analysed articles meeting inclusion criteria to determine common themes across both the ethical challenges related to PAC research with adolescents and any available guidance on the identified challenges.

resultsThe literature search identified an initial 3321 records of which 14 were included in analysis following screening. Several ethical challenges stem from abortion being a controversial, sensitive, and stigmatized topic in many settings. Ethical dilemmas experienced by researchers conducting adolescent PAC research included: difficulties in convincing local health providers to permit PAC research; challenges in recruiting and seeking consent due to sensitivity of the subject; effectively protecting confidentiality; managing negative effects of interventions; creating a non-prejudicial atmosphere for research; managing emotional issues among adolescents; and dealing with uncertainty regarding the role of researchers when observing unethical health care practices. Suggested strategies for addressing some of these challenges include: using several sources to recruit study participants, using research to facilitate dialogue on abortion, briefing health workers on any observed unethical practices after data collection, fostering a comprehensive understanding of contextual norms and values, selecting staff with experience working with study populations, and avoiding collection of personal identifiers.

conclusionAddressing ethical challenges that researchers face when conducting PAC research with adolescents requires guidance at the individual, institutional, community, and international levels. Overall, despite the documentation of challenges in the published literature, guidance on handling several of these ethics challenges is sparse. We encourage further research to clarify the identified challenges and support the development of formal guidance in this area.

Indexed as

Abortion, InducedAttitude of Health PersonnelEthics, ResearchPostoperative CareAdolescentDecision MakingFemaleHealth Services ResearchHumansPregnancyPregnancy in AdolescenceAdolescentsEthics guidancePost abortion careReproductive ethicsResearch ethics

Identifiers

PMID29720276
PMCPMC5930754
OpenAlexW2807521999

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.