ArticleSSM - population health2022
The development of adolescent agency and implications for reproductive choice among girls in Zambia.
Article in SSM - population health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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Who cites it
6 citing papers in PubMed.
- Adolescent Girls' Agency in an Integrated Sexual and Reproductive Health and Economic Empowerment Intervention Pilot.Journal of adolescence · 2025Article
- Impact of a multilevel HIV prevention programme on adolescent girls and young women's empowerment for risk reduction: A mixed methods evaluation in Kenya.PLOS global public health · 2025Article
- Measuring adolescent girls' agency.Journal of adolescence · 2025Article
- Agency and role models: do they matter for adolescent girls' sexual and reproductive health?BMC women's health · 2023Article
- Article
- Which Structural Interventions for Adolescent Contraceptive Use Have Been Evaluated in Low- and Middle-Income Countries?International journal of environmental research and public health · 2022Review
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundA substantial proportion of adolescent girls in Zambia lack the ability to decide their reproductive future. We examined the role of agency in early and unwanted adolescent childbearing.
methodsUsing latent transition analysis, we characterized a multi-dimensional profile of adolescent agency annually over a four-year period. We investigated the influence of early life access to resources and time-varying predictors (school retention, violence, early marriage and unwanted/mistimed pregnancy and childbearing) on agency profile membership as well as transitions in agency status over time.
resultsFour agency profiles were identified, with differences by age cohort (10-14 years vs. 15-19 years). Three profiles identified in both age cohorts were:
conclusionsResults show agency is dynamic but less mutable with increasing age. Early adolescent strategies which address inequitable gender norms and limit early marriage, may guard against losses to agency which contribute to unwanted fertility outcomes.
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