Evidence map›Paper›PMID 32133182›Full record

ReviewBMJ global health2020

Adolescent sexual and reproductive health in sub-Saharan Africa: who is left behind?

Dessalegn Y Melesse, Martin K Mutua, Allysha Choudhury, Yohannes D Wado, Cheikh M Faye, Sarah Neal, Ties Boerma

Open access · goldAbstract readReview
PubMed Full text at PMC Publisher
In one paragraph

Review in BMJ global health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 151 papers, 9 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
151citing papers in PubMed, 9 pooled it
36.7field-weighted citation impact, top 1% 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

151 citing papers in PubMed, 9 syntheses or guidelines pooled it, 261 citations in OpenAlex.

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91 more citing papers are in PubMed but not listed here.

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

7 authors at 4 institutions in 9 countries.

Dessalegn Y MelesseCountdown to 2030 for Women's, Children's and Adolescents' Health, Centre for Global Public Health, Department of Community Health Sciences, University of Manitoba, Winnipeg, Manitoba, Canada.ORCID 0000-0003-3917-5329
Martin K MutuaAfrican Population and Health Research Center, Nairobi, Kenya.ORCID 0000-0003-1643-9934
Allysha ChoudhuryData and Analytics Section, UNICEF, New York City, New York, USA.
Yohannes D WadoAfrican Population and Health Research Center, Nairobi, Kenya.
Cheikh M FayeWest Africa Regional Office, African Population and Health Research Center, Dakar, Senegal.ORCID 0000-0002-4028-0575
Sarah NealDepartment of Social Statistics and Demography, University of Southampton, Southampton, Hampshire, UK.
Ties BoermaCountdown to 2030 for Women's, Children's and Adolescents' Health, Centre for Global Public Health, Department of Community Health Sciences, University of Manitoba, Winnipeg, Manitoba, Canada.ORCID 0000-0001-9922-495X
African Population and Health Research Center · KEUniversity of Manitoba · CAUnited Nations Children's Fund · USUniversity of Southampton · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Adolescent sexual and reproductive health (ASRH) continues to be a major public health challenge in sub-Saharan Africa where child marriage, adolescent childbearing, HIV transmission and low coverage of modern contraceptives are common in many countries. The evidence is still limited on inequalities in ASRH by gender, education, urban-rural residence and household wealth for many critical areas of sexual initiation, fertility, marriage, HIV, condom use and use of modern contraceptives for family planning. We conducted a review of published literature, a synthesis of national representative Demographic and Health Surveys data for 33 countries in sub-Saharan Africa, and analyses of recent trends of 10 countries with surveys in around 2004, 2010 and 2015. Our analysis demonstrates major inequalities and uneven progress in many key ASRH indicators within sub-Saharan Africa. Gender gaps are large with little evidence of change in gaps in age at sexual debut and first marriage, resulting in adolescent girls remaining particularly vulnerable to poor sexual health outcomes. There are also major and persistent inequalities in ASRH indicators by education, urban-rural residence and economic status of the household which need to be addressed to make progress towards the goal of equity as part of the sustainable development goals and universal health coverage. These persistent inequalities suggest the need for multisectoral approaches, which address the structural issues underlying poor ASRH, such as education, poverty, gender-based violence and lack of economic opportunity.

Indexed as

AdolescentAdolescent HealthAdultAfrica South of the SaharaFamily Planning ServicesFemaleHealthcare DisparitiesHIV InfectionsHumansMaleMarriageReproductive HealthSexual HealthSocioeconomic FactorsYoung Adulthealth policypublic Health

Identifiers

PMID32133182
PMCPMC7042602
OpenAlexW3002997900

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.