Evidence map›Paper›PMID 41693751›Full record

ReviewSAGE open medicine2026

Exploring prevalence of risky sexual behaviour among adolescents in high schools: A systematic review.

Refiloi Ndlovu, Perez Livias Moyo

Abstract readReview
In one paragraph

Review in SAGE open medicine, 2026. 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

2 authors.

Refiloi NdlovuDepartment of Environmental Health, Faculty of Environmental Science, National University of Science and Technology, Bulawayo, Zimbabwe.
Perez Livias MoyoDepartment of Environmental Health, Faculty of Environmental Science, National University of Science and Technology, Bulawayo, Zimbabwe.ORCID https://orcid.org/0009-0005-7501-0611

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Adolescents' engagement in risky sexual behaviours poses a significant risk to their sexual and reproductive health, particularly in low- and middle-income nations. Risky sexual behaviour includes actions that heighten the risk of sexually transmitted infections and unintended pregnancies. This study aims to identify strategies for managing risky sexual behaviours among adolescents, focusing on understanding their prevalence, risk factors, consequences and effective interventions. Methods: A systematic review was performed following the PRISMA 2020 guidelines. We searched electronic databases (PubMed, Cochrane Library, Web of Science, Science Direct, Google Scholar) for English-language studies published between January 2012 and May 2024, using keywords and MeSH terms related to 'risky sexual behaviour', 'adolescents', 'high school students', 'prevalence', 'factors', 'consequences' and 'interventions'. The review involved identification, screening, eligibility assessment and data extraction, with methodological quality assessed using Joanna Briggs Institute checklists, guided by inclusion and exclusion criteria. Results: A total of 26 studies showed global risky sexual behaviour prevalence ranging from 7.6% in Uganda to 85.1% in Indonesia. Key risky behaviours included multiple partners and inconsistent condom use. Influencing factors were socioeconomic status, substance use, peer/media influence, family dynamics and individual traits. Consequences included sexually transmitted infections, unintended pregnancies and school dropouts. Peer pressure and inadequate parental involvement were identified as major drivers of high-risk activities. Conclusion: Effective strategies identified include sexual education, healthcare, family support and policy changes. A multifaceted approach involving education, parental involvement and peer engagement is essential for reducing adolescent risky sexual behaviour and promoting healthier outcomes for youth.

Indexed as

adolescentshigh schoolsrisky sexual behavioursexual health

Identifiers

PMID41693751
PMCPMC12905071

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

None linked

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.