Evidence map›Paper›PMID 40018566›Full record

ArticleBMJ public health2024

"Whenever I help her, I am also expecting her vagina in return": a qualitative analysis to explore men's and adolescent girls' perceptions of the impact of the COVID-19 pandemic on the sexual behaviour and health of adolescent girls in rural western Kenya.

Enid Awiti, Sophie Young, Garazi Zulaika, Fredrick Odhiambo Otieno, Elizabeth Nyothach, Penelope A Phillips-Howard, Supriya D Mehta, Linda Mason

Abstract read
In one paragraph

Article in BMJ public health, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

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

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. 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

8 authors.

Enid Awiti *Nyanza Reproductive Health Society, Kisumu, Kenya.
Sophie Young *University of Illinois, Chicago School of Public Health, Chicago, Illinois, USA.
Garazi ZulaikaClinical Sciences, Liverpool School of Tropical Medicine, Liverpool, UK.ORCID 0000-0003-1452-6225
Fredrick Odhiambo OtienoNyanza Reproductive Health Society, Kisumu, Kenya.ORCID 0000-0003-0823-412X
Elizabeth NyothachCGHR, KEMRI, Kisumu, Kenya.ORCID 0000-0003-0904-9081
Penelope A Phillips-HowardClinical Sciences, Liverpool School of Tropical Medicine, Liverpool, UK.ORCID 0000-0003-1018-116X
Supriya D MehtaUniversity of Illinois, Chicago School of Public Health, Chicago, Illinois, USA.ORCID 0000-0002-7926-2489
Linda MasonClinical Sciences, Liverpool School of Tropical Medicine, Liverpool, UK.ORCID 0000-0003-1568-9261

Funding

Increased risk of STI and HIV among adolescent girls and young women due to COVID-19 and pandemic mitigation: Biological, behavioral, and psychosocial mediatorsR01HD106822 · NICHD · UNIVERSITY OF ILLINOIS AT CHICAGO · PI MEHTA, SUPRIYA DINESH · 2021 to 2024
$2.5M
Menstrual cups, maturation of the adolescent vaginal microbiome, and STI/HIV riskR01HD093780 · NICHD · UNIVERSITY OF ILLINOIS AT CHICAGO · PI MEHTA, SUPRIYA DINESH · 2018 to 2021
$1.9M
NICHD NIH HHS R01 HD093780NICHD NIH HHS R01 HD106822Wellcome Trust
6 · The paper itself

Abstract

abstractIntroduction: The COVID-19 pandemic caused school closures, which intensified the negative sexual and reproductive health (SRH) of adolescent girls in sub-Saharan Africa (SSA), including increases in transactional sexual partnerships, gender-based violence, risk of early pregnancy and sexually transmitted infections (STIs). We conducted a qualitative study to understand how adolescent girls experienced and reacted to the pandemic restrictions and perceived consequences on their schooling and sexual behaviours. In parallel, we sought community men's perceptions and opinions on the same issues. Methods: Set in rural western Kenya, the study used six focus group discussions with adolescent girls and five with community males aged 19-41 years, conducted from June 2022 to January 2023. Results: Thematic analysis identified three key themes, parallel in girls and men: (1) Conclusion: School closure jeopardised girls' SRH through acute poverty and increased opportunity for sexual exposure. Mitigation methods are needed now to prevent girls bearing the brunt of ensuing societal disruption and acute poverty in future catastrophes. Deeper understanding of men's attitudes and behaviours towards adolescent girls are needed to improve the foundation for working with them to reduce power imbalance and compulsion in sexual interactions with adolescent girls.

Indexed as

COVID-19femalepublic health

Identifiers

PMID40018566
PMCPMC11816869

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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.