Protective and risk factors associated with adolescent sexual and reproductive health in the English-speaking Caribbean: A literature review

Nanlesta A. Pilgrim, Robert W Blum

Research output: Contribution to journalArticle

Abstract

To identify risk and protective factors associated with adolescent sexual and reproductive health (ASRH) in the English-speaking Caribbean through a structured literature review. Peer-reviewed articles published between January 1998 and December 2009 focused on the sexual and reproductive health of adolescents, aged 1019 years, were included in this review. Articles were organized according to Bronfenbrenner's ecological systems theory. Research gaps were also identified. A total of 30 studies assessed ASRH. At the individual level, gender, psychosocial well-being, and mental health were key factors associated with ASRH. Within the microsystem, the quality of the parentadolescent relationship, the presence of violence, substance abuse or mental health problems in the family, and peer relationships were important determinants of ASRH. Within the macrosystem, cultural attitudes had an effect on youth's sexual behavior and generally, safer sex practices appear to be increasing. Within the chronosystem, a history of physical and sexual abuse was associated with several ASRH outcomes. A research agenda that incorporates a multisystem approach and advocates for the inclusion of socially marginalized youth is needed to fully understand and adequately address ASRH in the Caribbean.

Original languageEnglish (US)
Pages (from-to)5-23
Number of pages19
JournalJournal of Adolescent Health
Volume50
Issue number1
DOIs
StatePublished - Jan 2012

Fingerprint

Reproductive Health
Protective Factors
Adolescent Health
Mental Health
Safe Sex
Systems Theory
Sex Offenses
Research
Violence
Sexual Behavior
Substance-Related Disorders
Ecosystem

Keywords

  • Adolescents
  • Caribbean region
  • Literature review
  • Pregnancy
  • Sexual behavior
  • Sexually transmitted diseases

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Psychiatry and Mental health
  • Public Health, Environmental and Occupational Health

Cite this

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abstract = "To identify risk and protective factors associated with adolescent sexual and reproductive health (ASRH) in the English-speaking Caribbean through a structured literature review. Peer-reviewed articles published between January 1998 and December 2009 focused on the sexual and reproductive health of adolescents, aged 1019 years, were included in this review. Articles were organized according to Bronfenbrenner's ecological systems theory. Research gaps were also identified. A total of 30 studies assessed ASRH. At the individual level, gender, psychosocial well-being, and mental health were key factors associated with ASRH. Within the microsystem, the quality of the parentadolescent relationship, the presence of violence, substance abuse or mental health problems in the family, and peer relationships were important determinants of ASRH. Within the macrosystem, cultural attitudes had an effect on youth's sexual behavior and generally, safer sex practices appear to be increasing. Within the chronosystem, a history of physical and sexual abuse was associated with several ASRH outcomes. A research agenda that incorporates a multisystem approach and advocates for the inclusion of socially marginalized youth is needed to fully understand and adequately address ASRH in the Caribbean.",
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