Evidence map›Paper›PMID 39959761›Full record

ArticleRevista panamericana de salud publica = Pan American journal of public health2025

Barriers to and facilitators of access to mental health services among pregnant adolescents and young mothers in Belize.

Olusola Oladeji, Joanna Lai, Natalia R Velazquez, Mohammed I Bammai, Ghanshyam Kandel, Andria Spyridou, Natalia L Beer, Angella E Baitwabusa, Juliet Simmons, Fidel L Cuellar and 2 more

Abstract read
In one paragraph

Article in Revista panamericana de salud publica = Pan American journal of public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

2 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
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

12 authors.

Olusola OladejiUNICEF Belize City Belize UNICEF, Belize City, Belize.
Joanna LaiUNICEF New York, NY United States of America UNICEF, New York, NY, United States of America.
Natalia R VelazquezYale University New Haven, CT United States of America Yale University, New Haven, CT, United States of America.
Mohammed I BammaiYale University New Haven, CT United States of America Yale University, New Haven, CT, United States of America.
Ghanshyam KandelUNICEF New York, NY United States of America UNICEF, New York, NY, United States of America.
Andria SpyridouUNICEF Latin America and Caribbean Regional Office Panama City Panama UNICEF Latin America and Caribbean Regional Office, Panama City, Panama.
Natalia L BeerMinistry of Health and Wellness Belmopan Belize Ministry of Health and Wellness, Belmopan, Belize.
Angella E BaitwabusaUNICEF Belize City Belize UNICEF, Belize City, Belize.
Juliet SimmonsMinistry of Health and Wellness Belmopan Belize Ministry of Health and Wellness, Belmopan, Belize.
Fidel L CuellarMinistry of Health and Wellness Belmopan Belize Ministry of Health and Wellness, Belmopan, Belize.
Iveth QuintanillaMinistry of Health and Wellness Belmopan Belize Ministry of Health and Wellness, Belmopan, Belize.
Jeffan AugustineUNICEF Belize City Belize UNICEF, Belize City, Belize.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: To identify barriers to and facilitators of access to perinatal mental health services among pregnant adolescents and young mothers in Belize. Methods: This was an exploratory descriptive qualitative study using focus group discussions conducted in August 2023. The study sample was selected through purposeful sampling. Participants included pregnant adolescents, adolescent mothers and young mothers from rural and urban areas in three regions of the country (Southern, Northern, and Western). The data were analyzed using thematic analysis and the results were organized into themes. Results: The barriers and facilitators identified fell into four themes. The first theme was individual factors and showed that respondents had good knowledge about mental health problems and a desire to seek mental health services. However, awareness about their availability was limited. The second theme was health systems and highlighted a lack of trust and confidence in health care providers, as well as limited access to mental health services due to insufficient human resources, long waiting times, and transportation costs. The third theme was stigma about teenage pregnancy and mental health issues. The fourth theme was social support, with both family and peer group support identified as facilitators for help-seeking among the respondents. Conclusion: This study highlights important barriers to using mental health services for pregnant adolescents and young mothers in Belize. These include stigma, lack of awareness of mental health services, and limited access to them. Implementing targeted strategies to address the barriers are recommended to improve provision and uptake of mental health services among the study population.

Indexed as

adolescent mothersBelizemental healthmental health servicesPregnancy in adolescence

Identifiers

PMID39959761
PMCPMC11829315

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Registered trials

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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.