Evidence map›Paper›PMID 40116113›Full record

SynthesisInternational health2025

Family-based sexual health interventions for adolescents in low- and middle-income countries: systematic analysis and meta-analysis.

Dilini Mataraarachchi, Thomas Shepherd, Ram Bajpai, Gayan Ariyadasa, Nadia Corp, Priyamvada Paudyal

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in International health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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

1 citing paper in PubMed.

  1. 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

6 authors.

Dilini MataraarachchiSchool of Medicine, Keele University, Keele, Staffordshire ST5 5BG, UK.ORCID 0000-0001-6529-7472
Thomas ShepherdSchool of Medicine, Keele University, Keele, Staffordshire ST5 5BG, UK.ORCID 0000-0002-8311-7452
Ram BajpaiSchool of Medicine, Keele University, Keele, Staffordshire ST5 5BG, UK.ORCID 0000-0002-1227-2703
Gayan AriyadasaSchool of Medicine, Keele University, Keele, Staffordshire ST5 5BG, UK.
Nadia CorpSchool of Medicine, Keele University, Keele, Staffordshire ST5 5BG, UK.
Priyamvada PaudyalInstitute for Global Health and Wellbeing, School of Medicine, Keele University, Keele, UK.ORCID 0000-0002-6209-575X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Family-based sexual health interventions (FBSHI) have received considerable attention for their success in promoting adolescent sexual health outcomes. However, their effectiveness in low- and middle-income countries (LMICs) is unclear. Systematic searches were conducted for studies published from January 2000 to October 2023 using five electronic databases. Studies were included if they included adolescents aged 10-19 y and their family members (parents, siblings or primary caregivers) in a key intervention component, evaluated the effectiveness of the interventions using an experimental or quasi-experimental design, assessed sexual and reproductive health outcomes reported by adolescents and were carried out in LMICs. The review included nine studies, with 2404 adolescent participants and their families. Meta-analysis was carried out using a random-effects model. The key themes that emerged from this systematic review were: (i) FBSHI significantly improved adolescents' sexual health knowledge; and (ii) the impact of FBSHI on molding adolescents' sexual health attitudes, practices and family communication around sexual health topics was inconsistent. The importance of conducting combined interventions that involved adolescents and their parents to elicit better outcomes was highlighted in the review. Future research should prioritize under-represented geographical regions such as Asia and include culturally adopted, contextually relevant material to increase the acceptability and effectiveness in LMIC settings. By synthesizing existing literature, this review contributes to gaining a comprehensive understanding of varying strategies that can be used to ensure the effectiveness of family-based sexual health interventions in promoting adolescent sexual health in the LMIC setting. The review also highlights areas not explored by the existing research and that need attention when conducting further research.

Indexed as

Developing CountriesFamilyHealth Knowledge, Attitudes, PracticeReproductive HealthSexual HealthAdolescentChildFemaleHumansMaleSexual BehaviorYoung Adultadolescentsfamily-based interventionslow- and middle-income countriessexual and reproductive health

Identifiers

PMID40116113
PMCPMC12406781

What OpenQuestion holds

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LicenceCC BY
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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.