ArticleFrontiers in oral health2025
Development of the oral, mental, and sexual reproductive health assessment tool for adolescents in Nigeria.
Article in Frontiers in oral health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Background: Adolescence is a critical developmental stage where oral, mental, and sexual and reproductive health are closely interconnected. However, these domains are often assessed in isolation, creating a gap in holistic adolescent health understanding and intervention. This study aimed to develop an integrated tool for assessing oral, mental, and sexual and reproductive health. Methods: A systematic literature review framework guided the study. Three dimensions-oral health, mental health, and sexual and reproductive health-were defined Results: Seventy-eight articles were identified, and 43 met the inclusion criteria. From these, domains and subscales were adopted to construct an 81-item tool. Section one contains 21 socio-demographic items. Section two covers mental health with five constructs: psychological distress (12 items), depression (nine), generalized anxiety (eight), suicide ideation (four), and risk factors (alcohol, tobacco, psychoactive substance use, and self-esteem). Section three measures sexual and reproductive health with 11 items on sexual debut and activity status. Section four assesses oral health with eight items on oral hygiene, self-reported oral problems, and oral habits. Section five includes two questions on health service utilization, covering general, dental, and psychiatric services. Conclusion: This integrated 81-item tool captures three interconnected aspects of adolescent health, offering potential to strengthen service integration for this population. Beyond practice, it provides a foundation for empirical research to advance multisectoral adolescent health approaches. Future work should focus on validating the tool across diverse adolescent populations.
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