Unveiling barriers to reproductive health awareness among rural adolescents: a systematic review

IntroductionSexual and reproductive health (SRH) among adolescents is a critical aspect of global health. Rural adolescents often encounter significant barriers to reproductive health awareness, elevating their risks for unintended pregnancies, sexually transmitted infections (STIs), and other repro...

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Main Authors: Sri Wahyuningsih, Sri Widati, Sarva Mangala Praveena, Mohammad Wavy Azkiya
Format: Article
Language:English
Published: Frontiers Media S.A. 2024-11-01
Series:Frontiers in Reproductive Health
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/frph.2024.1444111/full
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author Sri Wahyuningsih
Sri Widati
Sarva Mangala Praveena
Mohammad Wavy Azkiya
author_facet Sri Wahyuningsih
Sri Widati
Sarva Mangala Praveena
Mohammad Wavy Azkiya
author_sort Sri Wahyuningsih
collection DOAJ
description IntroductionSexual and reproductive health (SRH) among adolescents is a critical aspect of global health. Rural adolescents often encounter significant barriers to reproductive health awareness, elevating their risks for unintended pregnancies, sexually transmitted infections (STIs), and other reproductive health issues. This systematic review seeks to identify and analyze the barriers hindering reproductive health awareness among rural adolescents.MethodsThis review followed PRISMA guidelines. Literature searches were conducted in PubMed, ScienceDirect, Google Scholar, and Taylor & Francis, focusing on studies published from 2019 to 2024. Keywords included “Adolescent,” “Rural,” “Reproductive Health,” “Awareness,” and “Barriers.” Studies were screened based on eligibility criteria, and data were extracted and analyzed to identify key barriers at the individual, interpersonal, social/community, and health services levels.ResultsOut of 669 records, 20 studies met the inclusion criteria. Identified barriers at the individual level included lack of knowledge, myths, misconceptions, and feelings of shame and fear. Interpersonal barriers were related to poor communication between parents and adolescents and misinformation from peers. Social and community barriers encompassed rigid social norms, stigma, and discrimination. Health services barriers included limited access and negative experiences with reproductive health services.DiscussionRural adolescents face complex barriers to reproductive health awareness driven by factors at the individual, interpersonal, social, and health services levels. Comprehensive interventions, such as educational campaigns, training for healthcare providers, and improved access via mobile or online platforms, are essential to enhance reproductive health awareness and outcomes.Systematic Review Registrationhttps://www.crd.york.ac.uk/, PROSPERO (CRD42024554439).
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spelling doaj-art-def43b65c3f343bfb846b9fa76d5e29b2024-12-10T13:45:51ZengFrontiers Media S.A.Frontiers in Reproductive Health2673-31532024-11-01610.3389/frph.2024.14441111444111Unveiling barriers to reproductive health awareness among rural adolescents: a systematic reviewSri Wahyuningsih0Sri Widati1Sarva Mangala Praveena2Mohammad Wavy Azkiya3Doctoral Program of Public Health, Faculty of Public Health, Universitas Airlangga, Surabaya, IndonesiaFaculty of Public Health, Universitas Airlangga, Surabaya, IndonesiaDepartment of Environmental and Occupational Health, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, UPM Serdang, Selangor Darul Ehsan, MalaysiaFaculty of Nursing, Universitas Jember, Jember, IndonesiaIntroductionSexual and reproductive health (SRH) among adolescents is a critical aspect of global health. Rural adolescents often encounter significant barriers to reproductive health awareness, elevating their risks for unintended pregnancies, sexually transmitted infections (STIs), and other reproductive health issues. This systematic review seeks to identify and analyze the barriers hindering reproductive health awareness among rural adolescents.MethodsThis review followed PRISMA guidelines. Literature searches were conducted in PubMed, ScienceDirect, Google Scholar, and Taylor & Francis, focusing on studies published from 2019 to 2024. Keywords included “Adolescent,” “Rural,” “Reproductive Health,” “Awareness,” and “Barriers.” Studies were screened based on eligibility criteria, and data were extracted and analyzed to identify key barriers at the individual, interpersonal, social/community, and health services levels.ResultsOut of 669 records, 20 studies met the inclusion criteria. Identified barriers at the individual level included lack of knowledge, myths, misconceptions, and feelings of shame and fear. Interpersonal barriers were related to poor communication between parents and adolescents and misinformation from peers. Social and community barriers encompassed rigid social norms, stigma, and discrimination. Health services barriers included limited access and negative experiences with reproductive health services.DiscussionRural adolescents face complex barriers to reproductive health awareness driven by factors at the individual, interpersonal, social, and health services levels. Comprehensive interventions, such as educational campaigns, training for healthcare providers, and improved access via mobile or online platforms, are essential to enhance reproductive health awareness and outcomes.Systematic Review Registrationhttps://www.crd.york.ac.uk/, PROSPERO (CRD42024554439).https://www.frontiersin.org/articles/10.3389/frph.2024.1444111/fulladolescentruralreproductive healthbarriersawarenessknowledge
spellingShingle Sri Wahyuningsih
Sri Widati
Sarva Mangala Praveena
Mohammad Wavy Azkiya
Unveiling barriers to reproductive health awareness among rural adolescents: a systematic review
Frontiers in Reproductive Health
adolescent
rural
reproductive health
barriers
awareness
knowledge
title Unveiling barriers to reproductive health awareness among rural adolescents: a systematic review
title_full Unveiling barriers to reproductive health awareness among rural adolescents: a systematic review
title_fullStr Unveiling barriers to reproductive health awareness among rural adolescents: a systematic review
title_full_unstemmed Unveiling barriers to reproductive health awareness among rural adolescents: a systematic review
title_short Unveiling barriers to reproductive health awareness among rural adolescents: a systematic review
title_sort unveiling barriers to reproductive health awareness among rural adolescents a systematic review
topic adolescent
rural
reproductive health
barriers
awareness
knowledge
url https://www.frontiersin.org/articles/10.3389/frph.2024.1444111/full
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