Evidence map›Paper›PMID 34465510›Full record

ArticleThe Journal of adolescent health : official publication of the Society for Adolescent Medicine2021

Youth Relationships in the Era of COVID-19: A Mixed-Methods Study Among Adolescent Girls and Young Women in Kenya.

Celia Karp, Caroline Moreau, Grace Sheehy, Selena Anjur-Dietrich, Faith Mbushi, Eva Muluve, Daniel Mwanga, Mercy Nzioki, Jessie Pinchoff, Karen Austrian

Open access · bronzeAbstract read
In one paragraph

Article in The Journal of adolescent health : official publication of the Society for Adolescent Medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed, 4 pooled it
11.8field-weighted citation impact, top 2% 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

29 citing papers in PubMed, 4 syntheses or guidelines pooled it, 47 citations in OpenAlex.

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  10. Trends in Adolescent Sexual and Reproductive Health Outcomes Before and Into the COVID-19 Pandemic in Burkina Faso and Kenya: Evidence From Panel Data.The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2024
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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

10 authors at 3 institutions in 3 countries.

Celia KarpDepartment of Population Family and Reproductive Health, Johns Hopkins Bloomberg School of Public Health, Baltimore Maryland. Electronic address: celia.karp@jhu.edu.
Caroline MoreauDepartment of Population Family and Reproductive Health, Johns Hopkins Bloomberg School of Public Health, Baltimore Maryland; Soins et Santé Primaire, CESP Centre for Research in Epidemiology and Population Health, Inserm, Villejuif, France.
Grace SheehyDepartment of Population Family and Reproductive Health, Johns Hopkins Bloomberg School of Public Health, Baltimore Maryland.
Selena Anjur-DietrichDepartment of Population Family and Reproductive Health, Johns Hopkins Bloomberg School of Public Health, Baltimore Maryland.
Faith MbushiPopulation Council, Nairobi, Kenya.
Eva MuluvePopulation Council, Nairobi, Kenya.
Daniel MwangaPopulation Council, Nairobi, Kenya.
Mercy NziokiPopulation Council, Nairobi, Kenya.
Jessie PinchoffPopulation Council, New York, New York.
Karen AustrianPopulation Council, Nairobi, Kenya.
British Council · KEJohns Hopkins University · USPopulation Council · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMeasures to mitigate COVID-19's impact may inhibit development of healthy youth relationships, affecting partnership quality and sexual and reproductive health (SRH) outcomes.

methodsWe conducted a mixed-methods study to understand how COVID-19 affected girls' and young women's relationships in Kenya. Bivariate and multivariate logistic regression examined factors associated with relationship quality dynamics and SRH outcomes among 756 partnered adolescents aged 15-24 years. Qualitative data from in-depth interviews were analyzed using inductive thematic analysis to explore youth perceptions of how intimate relationships changed during COVID-19.

resultsNearly three-quarters of youth described changes in relationship quality since COVID-19 began, with 24% reporting worsening. Reduced time with partners was the strongest predictor of changed relationship quality. Youth experiencing complete or partial COVID-19-related household income loss had heightened risk of deteriorating partnerships (relative risk ratio = 2.43 and 2.02; p < .05); those whose relationships worsened were more likely to experience recent intimate partner violence, relative to no relationship change (20.8% vs. 3.5%; p < .001). Qualitative analysis revealed how COVID-19 mitigation measures hindered intimate relationships, school closures accelerated marriage timelines, and economic hardships strained relationships, while increasing early pregnancy risk and girls' financial dependency on their partners.

conclusionsCOVID-19 disrupted adolescent girls' and young women's romantic relationships, depriving some of partner emotional support and exposing others to sexual violence, early pregnancy, and economically motivated transactional relationships. Increased social support systems, including access to psychosocial services, are needed in low-income communities in Kilifi, Kisumu, and Nairobi, in particular the informal settlement areas, to mitigate COVID-19's consequences on girls' SRH.

Indexed as

COVID-19Intimate Partner ViolenceAdolescentFemaleHumansKenyaPregnancySARS-CoV-2Sexual BehaviorSexual PartnersAdolescent healthContraceptionCOVID-19Intimate partner violenceRelationship satisfactionRomantic relationshipsSexual and reproductive health

Identifiers

PMID34465510
PMCPMC8460286
OpenAlexW3196999831

What OpenQuestion holds

Textmetadata
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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.