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One Health Education for Children as a Catalyst for Systems Change and Climate Action in Africa. 促进非洲系统变革和气候行动的一种儿童健康教育。
IF 4.1 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2025-11-14 eCollection Date: 2025-01-01 DOI: 10.3389/phrs.2025.1608071
Wilfred Angie Abia, Richard Fomboh, Aurélie Mambap Kognoudjui, Eucharia A Abia

Objectives: This paper explores the importance of education for children and communities in promoting One Health (OH) principles and fostering a holistic understanding of the interdependencies between humans, animals, ecosystems, and climate change (CC).

Methods: Literature on education's role in promoting One Health and climate awareness amongst children was screened.

Results: It highlights the role of networking and system reform in creating an enabling environment for OH education, ensuring collaboration among diverse stakeholders including educators, healthcare professionals, environmentalists, and policymakers. Furthermore, it examines the impact of CC and need for OH approach with emphasis to educate children about the consequences of environmental degradation and climate-related health risks. Through interactive and interdisciplinary educational approaches, children can become accountable to environment and become advocates for sustainable CC mitigation practices. Integrating OH principles into educational curricula equips children to address complex global challenges effectively.

Conclusion: This paper advocates for a comprehensive OH education approach encompassing formal, informal learning, community engagement, and policy support. Empowering children and the public with OH knowledge supports a healthier, more sustainable planetary future.

目的:本文探讨了儿童和社区教育在促进“同一个健康”(OH)原则和培养对人类、动物、生态系统和气候变化(CC)之间相互依存关系的整体理解方面的重要性。方法:筛选有关教育在促进儿童“一个健康”和气候意识方面作用的文献。结果:它强调了网络和系统改革在为OH教育创造有利环境方面的作用,确保教育者、医疗保健专业人员、环保主义者和政策制定者等不同利益相关者之间的合作。此外,本报告还审查了环境保护的影响和卫生保健方法的必要性,重点是教育儿童了解环境退化的后果和与气候有关的健康风险。通过互动和跨学科的教育方法,儿童可以对环境负责,并成为可持续减少碳污染做法的倡导者。将OH原则纳入教育课程,使儿童能够有效地应对复杂的全球挑战。结论:本文提倡全面的职业健康教育方法,包括正式学习、非正式学习、社区参与和政策支持。向儿童和公众传授健康知识,有助于实现更健康、更可持续的地球未来。
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引用次数: 0
Prevalence of Anemia Among Adolescent Girls in Sub-Saharan Africa: Systematic Review and Meta-Analysis. 撒哈拉以南非洲少女贫血患病率:系统回顾和荟萃分析。
IF 4.1 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2025-11-12 eCollection Date: 2025-01-01 DOI: 10.3389/phrs.2025.1608303
Mequanente Dagnaw, Daniel Gashaneh Belay, Tsega Degu, Dessie Abebaw Angaw, Tsheten Tsheten

Objectives: To estimate the prevalence of anemia among adolescent girls in Sub-Saharan Africa through a systematic review and meta-analysis.

Methods: A systematic review and meta-analysis of both published and unpublished studies conducted in Sub-Saharan Africa were employed in this study. Using pertinent search terms, all research found in Google Scholar, HINARI, Cochrane Library, and PubMed was located. Following the evaluation of the evidence with the Joanna Briggs Institute methodology for cross-sectional studies, data were extracted.

Results: Thirty studies met the inclusion criteria, comprising a total sample of 12,295 adolescent girls. The pooled prevalence of anemia among adolescent girls in Sub-Saharan Africa was 30% [95% CI: 29%-32%], with significant heterogeneity observed (I2 = 99.2%, p < 0.001).

Conclusion: The high pooled prevalence of anemia among adolescent girls in Sub-Saharan Africa indicates a substantial public health concern. This review provides up-to-date epidemiological data that can support health policymakers. Strengthening anemia prevention and control strategies, along with establishing targeted interventions at local health system levels, is crucial.

目的:通过系统回顾和荟萃分析估计撒哈拉以南非洲少女贫血的患病率。方法:本研究对在撒哈拉以南非洲进行的已发表和未发表的研究进行了系统回顾和荟萃分析。使用相关搜索词,找到b谷歌Scholar, HINARI, Cochrane Library和PubMed中的所有研究。根据乔安娜布里格斯研究所的横截面研究方法对证据进行评估后,提取数据。结果:30项研究符合纳入标准,包括12295名少女的总样本。撒哈拉以南非洲地区少女贫血的总患病率为30% [95% CI: 29%-32%],存在显著异质性(I2 = 99.2%, p < 0.001)。结论:撒哈拉以南非洲地区少女贫血的高综合患病率表明了一个重大的公共卫生问题。本综述提供了最新的流行病学数据,可为卫生政策制定者提供支持。加强贫血预防和控制战略,以及在地方卫生系统层面制定有针对性的干预措施至关重要。
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引用次数: 0
Biological Mechanisms Linking Social Adversity and Cognition. 社会逆境与认知的生物学机制。
IF 4.1 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2025-11-05 eCollection Date: 2025-01-01 DOI: 10.3389/phrs.2025.1608740
Aileen Liang, Emma Watt, Noha Gomaa

Objectives: Various studies have shown that social adversity, such as loneliness or low SES, are linked with worse cognitive outcomes, though underlying biological mechanisms remain unclear. This scoping review aims to summarize existing evidence on biological processes that may serve as mediators underlying this association.

Methods: Following PRISMA-ScR guidelines, studies measuring social adversity, cognition, and at least one biological mechanism were included. Results were summarized narratively and in tabular formats.

Results: Twelve studies (n = 12) examined links between social adversity, cognition, and biological mechanisms. Inflammation, allostatic load, genetics and genetic aging markers were the three main biological mechanisms identified as potential mediators.

Conclusion: Several studies suggest that these biological mechanisms may mediate the link between social adversity and cognitive decline. However, further research is needed to clarify these complex relationships, which are crucial for developing targeted interventions, especially for socially disadvantaged populations.

目的:各种研究表明,社会逆境,如孤独或低社会地位,与较差的认知结果有关,尽管潜在的生物学机制尚不清楚。本综述旨在总结可能作为这种关联的介质的生物过程的现有证据。方法:遵循PRISMA-ScR指南,包括测量社会逆境、认知和至少一种生物机制的研究。结果以叙述和表格形式总结。结果:12项研究(n = 12)考察了社会逆境、认知和生物机制之间的联系。炎症、适应负荷、遗传和遗传衰老标记是被确定为潜在介质的三种主要生物学机制。结论:多项研究表明,这些生物学机制可能介导了社会逆境与认知能力下降之间的联系。然而,需要进一步的研究来澄清这些复杂的关系,这对于制定有针对性的干预措施至关重要,特别是针对社会弱势群体。
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引用次数: 0
Letter to the Editor Regarding "Devastating 'DANA' Floods in Valencia: Insights on Resilience, Challenges, and Strategies Addressing Future Disasters". 致编辑关于“瓦伦西亚毁灭性的‘DANA’洪水:对应对未来灾害的韧性、挑战和战略的见解”的信。
IF 4.1 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2025-10-28 eCollection Date: 2025-01-01 DOI: 10.3389/phrs.2025.1609115
María García-García, Alicia Castro-Fernández, Amparo Ortega-Yago, Alessandro Thione, Víctor García-Bustos
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引用次数: 0
The Paradox of Care: Burnout Among Healthcare Workers. 护理的悖论:医护人员的职业倦怠。
IF 4.1 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2025-10-23 eCollection Date: 2025-01-01 DOI: 10.3389/phrs.2025.1609096
Shevaun M Teo, Sonja Moore, Shweta Rao
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引用次数: 0
Exploring Associations Between WaSH-Related Health Outcomes and Terrorist Activities in the Sahel: A Scoping Review. 探讨与wash有关的健康结果与萨赫勒地区恐怖主义活动之间的关系:范围审查。
IF 4.1 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2025-10-23 eCollection Date: 2025-01-01 DOI: 10.3389/phrs.2025.1608490
Linda Christina Beck, Branwen Nia Owen, Emma Scott, Mirko S Winkler, Anaïs Galli

Objectives: The G5 Sahel countries have faced political instability and terrorist activities for over a decade. With the regional lack of water, sanitation and hygiene (WaSH), there is an increased risk of adverse health outcomes. This scoping review aims to document WaSH-related health outcomes associated with terrorist activities, identify gaps in the humanitarian and political response and propose actionable recommendations to address them.

Methods: We followed the PRISMA standards, including literature from PubMed and Web of Science. Country-specific timeframes for terrorist activities were used.

Results: Data was extracted from 54 out of 2,320 publications on 22 December 2023. While malnutrition and diarrheal diseases were frequently reported as health outcomes - consistent with inadequate WaSH services - the lack of studies directly linking these outcomes to terrorist activities is notable. Only one article explicitly established a direct link between health outcomes and terrorist activities.

Conclusion: The scarcity of studies directly linking terrorist activities to health outcomes reveals a significant research gap and highlight the need for more focused investigations into the health impacts of political violence in the Sahel region.

目标:十多年来,萨赫勒五国一直面临政治动荡和恐怖活动。由于该地区缺乏水、环境卫生和个人卫生,出现不良健康结果的风险增加了。这次范围审查的目的是记录与恐怖主义活动有关的与wash有关的健康结果,确定人道主义和政治应对方面的差距,并提出解决这些差距的可行建议。方法:我们遵循PRISMA标准,包括PubMed和Web of Science的文献。针对恐怖主义活动使用了具体国家的时间表。结果:数据提取自2023年12月22日2320篇出版物中的54篇。虽然营养不良和腹泻疾病经常被报告为健康结果——这与卫生保健服务不足相一致——但值得注意的是,缺乏将这些结果与恐怖主义活动直接联系起来的研究。只有一篇文章明确确立了健康结果与恐怖主义活动之间的直接联系。结论:直接将恐怖主义活动与健康结果联系起来的研究很少,这表明存在重大的研究缺口,并突出表明需要对萨赫勒地区政治暴力对健康的影响进行更有针对性的调查。
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引用次数: 0
Reconstruction of the Discourse on Influenza During Pandemics Between 1889 and 1980 in the Predecessor Journal of Swiss Medical Weekly - A Narrative Review and Bibliometric Analysis. 1889年至1980年瑞士医学周刊的前身杂志上关于流感大流行期间的话语重建-叙述回顾和文献计量分析。
IF 4.1 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2025-10-21 eCollection Date: 2025-01-01 DOI: 10.3389/phrs.2025.1608522
Natalija Radivojevic, Milo Puhan, Kaspar Staub, Tala Ballouz

Objectives: Understanding how discourse surrounding influenza pandemics evolves over time can reveal shifts in scientific and public health priorities. This study reconstructs such discourse between 1889 and 1981 by identifying and comparing key research themes and trends in articles in predecessor journals of Swiss Medical Weekly (SMW).

Methods: A corpus of articles containing the terms "influenza," "flu," and "epidemic" from five pandemic periods was compiled. We conducted a keyword-based content analysis, categorizing articles into 31 sub-keywords within five broad categories, and comparing their frequencies. Co-occurrence maps were generated using VOSviewer, and relevant articles were closely read.

Results: A total of 352 articles were identified, with the highest number published between 1918 and 1924. Most prevalent themes across all periods were "Epidemiology and disease dynamics," "Complications," and "Acute clinical manifestations and management." A key shift in focus occurred with the introduction of influenza vaccination after the 1940s, as attention increasingly turned towards immunity and the role of vaccinations.

Conclusion: Despite major medical developments, similar themes were seen across the observed pandemic periods in SMW. This study provides an important first step towards constructing such discourses.

目标:了解围绕流感大流行的论述如何随着时间的推移而演变,可以揭示科学和公共卫生重点的变化。本研究通过确定和比较瑞士医学周刊(SMW)前身期刊文章中的关键研究主题和趋势,重建了1889年至1981年之间的这种话语。方法:汇编了五个大流行时期包含“流感”、“流感”和“流行病”术语的文章语料库。我们进行了基于关键字的内容分析,将文章分为五大类中的31个子关键字,并比较它们的频率。使用VOSviewer生成共现图,并仔细阅读相关文章。结果:共鉴定出352篇论文,其中发表于1918年至1924年的论文数量最多。所有时期最流行的主题是“流行病学和疾病动力学”、“并发症”和“急性临床表现和管理”。20世纪40年代以后,随着人们越来越多地将注意力转向免疫和疫苗接种的作用,流感疫苗接种的重点发生了重大转变。结论:尽管取得了重大的医学进展,但在观察到的SMW大流行期间,也看到了类似的主题。本研究为构建这样的话语提供了重要的第一步。
{"title":"Reconstruction of the Discourse on Influenza During Pandemics Between 1889 and 1980 in the Predecessor Journal of Swiss Medical Weekly - A Narrative Review and Bibliometric Analysis.","authors":"Natalija Radivojevic, Milo Puhan, Kaspar Staub, Tala Ballouz","doi":"10.3389/phrs.2025.1608522","DOIUrl":"10.3389/phrs.2025.1608522","url":null,"abstract":"<p><strong>Objectives: </strong>Understanding how discourse surrounding influenza pandemics evolves over time can reveal shifts in scientific and public health priorities. This study reconstructs such discourse between 1889 and 1981 by identifying and comparing key research themes and trends in articles in predecessor journals of Swiss Medical Weekly (SMW).</p><p><strong>Methods: </strong>A corpus of articles containing the terms \"influenza,\" \"flu,\" and \"epidemic\" from five pandemic periods was compiled. We conducted a keyword-based content analysis, categorizing articles into 31 sub-keywords within five broad categories, and comparing their frequencies. Co-occurrence maps were generated using VOSviewer, and relevant articles were closely read.</p><p><strong>Results: </strong>A total of 352 articles were identified, with the highest number published between 1918 and 1924. Most prevalent themes across all periods were \"Epidemiology and disease dynamics,\" \"Complications,\" and \"Acute clinical manifestations and management.\" A key shift in focus occurred with the introduction of influenza vaccination after the 1940s, as attention increasingly turned towards immunity and the role of vaccinations.</p><p><strong>Conclusion: </strong>Despite major medical developments, similar themes were seen across the observed pandemic periods in SMW. This study provides an important first step towards constructing such discourses.</p>","PeriodicalId":35944,"journal":{"name":"PUBLIC HEALTH REVIEWS","volume":"46 ","pages":"1608522"},"PeriodicalIF":4.1,"publicationDate":"2025-10-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12583112/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145453444","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Associations Between Occupational Exposures to Volatile Organic Compounds (VOCs) and Sleep Problems. 职业性接触挥发性有机化合物(VOCs)与睡眠问题的关系。
IF 4.1 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2025-09-25 eCollection Date: 2025-01-01 DOI: 10.3389/phrs.2025.1608224
Amir Hossein Khoshakhlagh, Saeid Yazdanirad, Christopher Drake, Justin Iqal, Dinh Bui

Objectives: The purpose of this study, as a systematic review and meta-analysis, is to summarize the evidence on the effects of occupational exposure to VOCs on sleep quality.

Methods: We used five electronic bibliographic databases to identify eligible studies. Three groups of keywords were applied in the search strategy. In evaluating the quality of studies and risk of bias, we utilized the Joanna Briggs Institute tools and the Risk of Bias in Non-randomized Studies of Exposures (ROBINS-E) instruments, respectively. The pooled values were also calculated by meta-analysis.

Results: 37 articles were included in the study. There was a consistent finding that exposure to volatile organic compounds (VOCs) adversely affected sleep in workers across various professions. The pooled value of the odds ratio of sleep problems because of exposure to VOCs was 1.60 [95% CI (1.01, 2.19)].

Conclusion: Most studies indicated that occupational exposure to VOCs can significantly influence the sleep of workers in various professions. The exposure can be associated with a variety of sleep problems.

目的:本研究通过系统综述和荟萃分析,总结职业接触挥发性有机化合物对睡眠质量影响的证据。方法:我们使用5个电子书目数据库来筛选符合条件的研究。在搜索策略中应用了三组关键词。在评估研究质量和偏倚风险时,我们分别使用了乔安娜布里格斯研究所的工具和非随机暴露研究的偏倚风险(ROBINS-E)工具。合并值也通过荟萃分析计算。结果:共纳入37篇文献。一项一致的发现是,接触挥发性有机化合物(VOCs)会对各行各业的工人的睡眠产生不利影响。暴露于挥发性有机化合物导致睡眠问题的优势比合并值为1.60 [95% CI(1.01, 2.19)]。结论:多数研究表明,职业性接触挥发性有机化合物对不同职业工人的睡眠有显著影响。这种暴露可能与各种睡眠问题有关。
{"title":"Associations Between Occupational Exposures to Volatile Organic Compounds (VOCs) and Sleep Problems.","authors":"Amir Hossein Khoshakhlagh, Saeid Yazdanirad, Christopher Drake, Justin Iqal, Dinh Bui","doi":"10.3389/phrs.2025.1608224","DOIUrl":"10.3389/phrs.2025.1608224","url":null,"abstract":"<p><strong>Objectives: </strong>The purpose of this study, as a systematic review and meta-analysis, is to summarize the evidence on the effects of occupational exposure to VOCs on sleep quality.</p><p><strong>Methods: </strong>We used five electronic bibliographic databases to identify eligible studies. Three groups of keywords were applied in the search strategy. In evaluating the quality of studies and risk of bias, we utilized the Joanna Briggs Institute tools and the Risk of Bias in Non-randomized Studies of Exposures (ROBINS-E) instruments, respectively. The pooled values were also calculated by meta-analysis.</p><p><strong>Results: </strong>37 articles were included in the study. There was a consistent finding that exposure to volatile organic compounds (VOCs) adversely affected sleep in workers across various professions. The pooled value of the odds ratio of sleep problems because of exposure to VOCs was 1.60 [95% CI (1.01, 2.19)].</p><p><strong>Conclusion: </strong>Most studies indicated that occupational exposure to VOCs can significantly influence the sleep of workers in various professions. The exposure can be associated with a variety of sleep problems.</p>","PeriodicalId":35944,"journal":{"name":"PUBLIC HEALTH REVIEWS","volume":"46 ","pages":"1608224"},"PeriodicalIF":4.1,"publicationDate":"2025-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12507706/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145281364","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Systematic Review of Financing Functions for Universal Health Coverage in Low- and Middle-Income Countries: Reforms, Challenges, and Lessons Learned. 低收入和中等收入国家全民健康覆盖筹资职能的系统审查:改革、挑战和经验教训。
IF 4.1 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2025-09-23 eCollection Date: 2025-01-01 DOI: 10.3389/phrs.2025.1607745
Othmane Hajji, Bouchra El Abbadi, El Houcine Akhnif

Objective: The systematic review reveals a lack of research on financing universal health coverage (UHC) in low- and middle-income countries (LMICs). This study aims to examine the financing mechanisms used, identify the main challenges faced, and gather insights from successful experiences to inform future reforms in LMICs.

Methods: We conducted a literature search across seven academic databases, limiting our systematic review to studies published in English and French between 2010 and 2022, which were then included in our qualitative analysis.

Results: A total of 45 studies met the inclusion criteria-most used qualitative (n = 23) or documentary (n = 15) approaches. The majority (n = 37) were published between 2015 and 2022. Using Kutzin's framework, we analyzed health financing functions in LMICs. Key challenges and lessons learned were summarized to improve understanding of ongoing financing issues and opportunities for reform.

Conclusion: This study emphasizes key financing strategies and ongoing challenges in LMICs and provides specific recommendations for countries to prioritize reforms and address health financing gaps. The goal is to speed up progress toward UHC.

目的:系统评价揭示了在低收入和中等收入国家(LMICs)全民健康覆盖(UHC)融资方面缺乏研究。本研究旨在审查所使用的融资机制,确定面临的主要挑战,并从成功经验中收集见解,为中低收入国家未来的改革提供信息。方法:我们在七个学术数据库中进行了文献检索,将我们的系统综述限制在2010年至2022年期间用英语和法语发表的研究,然后将其纳入我们的定性分析。结果:共有45项研究符合纳入标准,其中大多数采用定性方法(n = 23)或文献方法(n = 15)。大多数(n = 37)发表于2015年至2022年之间。利用Kutzin的框架,我们分析了中低收入国家的卫生筹资功能。总结了主要挑战和吸取的经验教训,以增进对当前融资问题和改革机会的了解。结论:本研究强调了中低收入国家的关键融资战略和面临的挑战,并为各国优先改革和解决卫生融资缺口提供了具体建议。目标是加快实现全民健康覆盖的进展。
{"title":"Systematic Review of Financing Functions for Universal Health Coverage in Low- and Middle-Income Countries: Reforms, Challenges, and Lessons Learned.","authors":"Othmane Hajji, Bouchra El Abbadi, El Houcine Akhnif","doi":"10.3389/phrs.2025.1607745","DOIUrl":"10.3389/phrs.2025.1607745","url":null,"abstract":"<p><strong>Objective: </strong>The systematic review reveals a lack of research on financing universal health coverage (UHC) in low- and middle-income countries (LMICs). This study aims to examine the financing mechanisms used, identify the main challenges faced, and gather insights from successful experiences to inform future reforms in LMICs.</p><p><strong>Methods: </strong>We conducted a literature search across seven academic databases, limiting our systematic review to studies published in English and French between 2010 and 2022, which were then included in our qualitative analysis.</p><p><strong>Results: </strong>A total of 45 studies met the inclusion criteria-most used qualitative (n = 23) or documentary (n = 15) approaches. The majority (n = 37) were published between 2015 and 2022. Using Kutzin's framework, we analyzed health financing functions in LMICs. Key challenges and lessons learned were summarized to improve understanding of ongoing financing issues and opportunities for reform.</p><p><strong>Conclusion: </strong>This study emphasizes key financing strategies and ongoing challenges in LMICs and provides specific recommendations for countries to prioritize reforms and address health financing gaps. The goal is to speed up progress toward UHC.</p>","PeriodicalId":35944,"journal":{"name":"PUBLIC HEALTH REVIEWS","volume":"46 ","pages":"1607745"},"PeriodicalIF":4.1,"publicationDate":"2025-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12501465/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145252998","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Determinants of Adolescent Sexual Behavior in Sub-Saharan Africa: A Systematic Review of In-School and Out-of-School Adolescents. 撒哈拉以南非洲青少年性行为的决定因素:对在校和校外青少年的系统回顾。
IF 4.1 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2025-09-23 eCollection Date: 2025-01-01 DOI: 10.3389/phrs.2025.1608357
Ruth-Janet Koumba Maguena, Sara Alves Jorge, Edgard Brice Ngoungou, Stephan Van den Broucke

Objectives: This review aims to identify the main determinants of various sexual behaviors among in-school and out-of-school adolescents in sub-Saharan Africa, using Bronfenbrenner's ecological system theory as a framework.

Methods: A systematic review with narrative synthesis was performed of empirical studies about the determinants of sexual behavior among in-school and out-of-school adolescents aged 10 to 19 in sub-Saharan Africa, using quantitative data from Embase, PubMed, PsycInfo, SCOPUS, AJOL, and Google Scholar.

Results: A total of 132 studies were retrieved, identifying determinants of sexual behaviors such as sexual intercourse, sexual initiation at early age, multipartnership, condom use, contraceptive use, sexual abstinence, or sexual violence. Only four of these 132 studies involved out-of-school adolescents. Determinants of adolescent sexual behavior include demographic characteristics, socio-cognitive factors, problem behaviors, experiences, family relations, peers' influence, relationships, school dynamics, education system, health system, information system, sociodemographic characteristics, socio-economic characteristics, religion, and societal values and norms.

Conclusion: To design interventions that address adolescents' sexual and reproductive health needs, public health policymakers must consider the multifaceted and interconnected determinants of sexual behaviors among in-school and out-of-school adolescents.

目的:本综述旨在以Bronfenbrenner的生态系统理论为框架,确定撒哈拉以南非洲地区校内外青少年各种性行为的主要决定因素。方法:利用Embase、PubMed、PsycInfo、SCOPUS、AJOL和谷歌Scholar的定量数据,对撒哈拉以南非洲地区10 - 19岁在校和校外青少年性行为影响因素的实证研究进行系统综述。结果:共检索了132项研究,确定了性行为的决定因素,如性交、早期性行为开始、多伴侣关系、避孕套使用、避孕药具使用、性禁欲或性暴力。在这132项研究中,只有4项涉及校外青少年。青少年性行为的决定因素包括人口特征、社会认知因素、问题行为、经历、家庭关系、同伴影响、人际关系、学校动态、教育系统、卫生系统、信息系统、社会人口特征、社会经济特征、宗教、社会价值观和规范。结论:为了设计解决青少年性健康和生殖健康需求的干预措施,公共卫生决策者必须考虑校内和校外青少年性行为的多方面和相互关联的决定因素。
{"title":"Determinants of Adolescent Sexual Behavior in Sub-Saharan Africa: A Systematic Review of In-School and Out-of-School Adolescents.","authors":"Ruth-Janet Koumba Maguena, Sara Alves Jorge, Edgard Brice Ngoungou, Stephan Van den Broucke","doi":"10.3389/phrs.2025.1608357","DOIUrl":"10.3389/phrs.2025.1608357","url":null,"abstract":"<p><strong>Objectives: </strong>This review aims to identify the main determinants of various sexual behaviors among in-school and out-of-school adolescents in sub-Saharan Africa, using Bronfenbrenner's ecological system theory as a framework.</p><p><strong>Methods: </strong>A systematic review with narrative synthesis was performed of empirical studies about the determinants of sexual behavior among in-school and out-of-school adolescents aged 10 to 19 in sub-Saharan Africa, using quantitative data from Embase, PubMed, PsycInfo, SCOPUS, AJOL, and Google Scholar.</p><p><strong>Results: </strong>A total of 132 studies were retrieved, identifying determinants of sexual behaviors such as sexual intercourse, sexual initiation at early age, multipartnership, condom use, contraceptive use, sexual abstinence, or sexual violence. Only four of these 132 studies involved out-of-school adolescents. Determinants of adolescent sexual behavior include demographic characteristics, socio-cognitive factors, problem behaviors, experiences, family relations, peers' influence, relationships, school dynamics, education system, health system, information system, sociodemographic characteristics, socio-economic characteristics, religion, and societal values and norms.</p><p><strong>Conclusion: </strong>To design interventions that address adolescents' sexual and reproductive health needs, public health policymakers must consider the multifaceted and interconnected determinants of sexual behaviors among in-school and out-of-school adolescents.</p>","PeriodicalId":35944,"journal":{"name":"PUBLIC HEALTH REVIEWS","volume":"46 ","pages":"1608357"},"PeriodicalIF":4.1,"publicationDate":"2025-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12501466/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145253065","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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PUBLIC HEALTH REVIEWS
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