Mental health problems and service gaps experienced by pregnant adolescents and young women in Sub-Saharan Africa: A systematic review.
Mental health problems and service gaps experienced by pregnant adolescents and young women in Sub-Saharan Africa: A systematic review.
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DOI：
10.1016/j.eclinm.2022.101289
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发表时间：
2022-03
影响因子：
15.1
通讯作者：
Kumar M
中科院分区：
文献类型：
--
作者：
Mutahi J;Larsen A;Cuijpers P;Peterson SS;Unutzer J;McKay M;John-Stewart G;Jewell T;Kinuthia J;Gohar F;Lai J;Wamalwa D;Gachuno O;Kumar M
怀孕少女和年轻妇女（AGYW，年龄在12-24岁之间）是精神健康问题的高危人群，特别是在撒哈拉以南非洲地区。我们对2007年1月1日至2020年12月31日期间发表在PubMed，Embase，CINAHL，PsycInfo和Global Index Medicus上的SSA妊娠AGYW中的心理健康研究进行了系统回顾，遵循PRISMA指南（PROSPERO：CRD 42021230980）。我们使用Bronfenbrenner的生物生态学模型来构建和综合所纳入研究的结果。我们检索了945篇文章，其中包括18项研究（N = 8定量，N = 9定性，N = 1病例报告）。最常研究的心理健康问题是抑郁症（N = 9项研究）;最常使用的测量工具是爱丁堡产后抑郁量表（N = 3）。研究报告了与心理健康问题相关的生命过程因素、个体、微系统、外系统、宏系统和时间系统水平因素。为怀孕的AGYW提供心理健康服务的差距包括缺乏保密性，判断医疗保健工作者的态度，以及缺乏针对其独特需求的服务。在撒哈拉以南非洲，对怀孕的男女青年妇女的心理健康研究和服务仍存在差距。在学校，社区和医疗保健环境中整合针对怀孕的AGYW的心理健康服务可以加强SSA内的卫生系统。作者的贡献得到了Eunice Kennedy Shriver国家儿童健康和人类发展研究所（F31 HD 101149 to AL）和Fogarty国际中心（K43 TW 010716 to MK）的支持。资助机构在手稿的撰写或提交出版的决定中没有任何作用。项目本身没有资金。
Pregnant adolescent girls and young women (AGYW, aged 12–24 years) are at high risk for mental health problems, particularly in the Sub-Saharan African (SSA) region. We performed a systematic review of mental health studies among pregnant AGYW in SSA published between January 1, 2007 and December 31, 2020 in PubMed, Embase, CINAHL, PsycInfo, and Global Index Medicus following PRISMA guidelines (PROSPERO: CRD42021230980). We used Bronfenbrenner's bioecological model to frame and synthesize results from included studies. Our search yielded 945 articles from which 18 studies were included (N = 8 quantitative, N = 9 qualitative, N = 1 case report). The most frequently studied mental health problem was depression (N = 9 studies); the most frequently utilized measurement tool was the Edinburgh Postnatal Depression Scale (N = 3). Studies reported life course factors, individual, microsystem, exosystem, macrosystem, and chronosystem-level factors associated with mental health problems. Gaps in mental health service delivery for pregnant AGYW included lack of confidentiality, judgmental healthcare worker attitudes, and lack of services tailored to their unique needs. Gaps remain in research and services for mental health among pregnant AGYW in SSA. Integration of mental health services within school, community, and healthcare settings that are tailored to pregnant AGYW could strengthen health systems within SSA. Author contributions were supported by the Eunice Kennedy Shriver National Institute of Child Health and Human Development (F31HD101149 to AL) and the Fogarty International Center (K43TW010716 to MK). The funding agencies had no role in the writing of the manuscript or the decision to submit it for publication. The project itself was not funded.
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影响因子：
3.7
作者：
Jörns-Presentati A;Napp AK;Dessauvagie AS;Stein DJ;Jonker D;Breet E;Charles W;Swart RL;Lahti M;Suliman S;Jansen R;van den Heuvel LL;Seedat S;Groen G
通讯作者：
Groen G
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4.5
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通讯作者：
McKay M
影响因子：
6
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Bhana A;McKay MM;Mellins C;Petersen I;Bell C
通讯作者：
Bell C
影响因子：
3.7
作者：
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通讯作者：
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