Adolescent Girls Research Articles

Effectiveness of giving dragon fruit and ambon banana to increase hemoglobin levels in anemic adolescent girls

Background: Anaemia is a common health problem among adolescent girls, especially in areas with limited access to nutritious food. One of the efforts to overcome anaemia is to increase the consumption of iron-rich fruits, such as dragon fruit and ambon banana. Objective: to evaluate the effectiveness of dragon fruit and ambon banana administration in increasing haemoglobin levels in anaemic adolescent girls Method: Qualitative research combines observational and interventional approaches. The research sample amounted to 2 adolescent female respondents. Instrument of treatment activities using a checklist sheet on elevated haemoglobin levels. Results: An increase in haemoglobin levels was obtained in adolescents given dragon fruit juice, where the first week was 10.1 g / dl, the second week was 11.2 g / dl, and the fourth week was 12.3 g / dl. There was a slightly slower increase in haemoglobin levels in adolescents who were given Ambonese bananas in the first week of 10.2 g / dl, the second week of 10.8 g / dl, and the fourth week of 11.3 g / dl. Conclusion: Respondents who consume dragon fruit increase haemoglobin levels faster than bananas. It is expected to be used as an alternative midwifery care for the midwife profession by giving dragon fruit juice to increase haemoglobin levels. Teenagers are advised to maintain a balanced diet by consuming fruits rich in iron and nutrients, such as dragon fruit, ambon, bananas, and other essential nutrients. By maintaining a balanced diet and increasing the consumption of iron-rich fruits, adolescents can improve their haemoglobin levels and maintain overall body health.

Knowledge and personal hygiene behavior during menstruation among adolescent girls in various regions: A literature review

Personal hygiene is still a public health issue in Indonesia. Menstrual hygiene is the management of hygiene and health when women experience menstruation as part of a personal hygiene care routine with the concept of clean. Personal hygiene during menstruation plays an important role in a person's health status in avoiding functional disorders of the reproductive organs. Knowledge in Indonesia states that poor personal hygiene behavior during menstruation of adolescent girls is a major concern because it has a health impact. The method used was literature review by searching articles through Google Scholar and Pubmed databases. Selection stages were carried out to obtain articles that met the inclusion and exclusion criteria, and 6 articles were obtained that could be analyzed. The results showed that knowledge has a significant role in determining menstrual hygiene behavior in adolescent girls, there are also differences in knowledge and behavior when performing personal hygiene behavior during menstruation in urban and rural areas. To improve knowledge and behavior of personal hygiene during menstruation, especially in various regions, it can be done with various strategies such as promotion, education, collaboration, improving service quality, and increasing accessibility.

A healthy habitual score for dietary intake is associated with primary dysmenorrhea among adolescent school girls

Background: Primary dysmenorrhea is one of the most common gynecological complaints among adolescent and young females in their reproductive age that affects their daily activities and social life. Nutritional habits are considered as risk factor for primary dysmenorrhea. ‘Thus the aim of our study was to assess the relation between healthy habits score for dietary intake and prevalence of primary dysmenorrhea. Methods: The present study was conducted on 432 adolescent school girls (218 girls with nil to mild dysmenorrhea and 214 girls with moderate to severe dysmenorrhea). Healthy habitual scores (HHS) was calculated from 5 modifiable dietary intake habits considering high risk habit as ‘0’ and low risk habit as ‘1’ giving a composite score ranging from 0 to 5. We classified the healthy life style score into three category: 0-2 as low; 3 as medium and 4-5 as high. Correlation between HHS and its components with incident of primary dysmenorrhea were evaluated. HHS and risk of primary dysmenorrhea were evaluated using logistic regression analysis. The significance level of the all the tests were considered at a level of 0.05. Results: Significant correlation was obtained between incident of primary dysmenorrhea and all tested habits. Magnitude of correlation was higher for HHS than individual habit. Among tested habitual factors sugar intake, skipping breakfast and frequency of junk food intake was positively correlated where as negative correlation was obtained between primary dysmenorrhea and dietary intake of vit-E and calcium. Considering low HHS as reference group odd ratio significantly low in medium and high HHS groups. Thus risk of primary dysmenorrhea was more among adolescent girls those led unhealthy dietary habits like take more sugar, frequently take junk foods and skipping breakfast and take vit-E and calcium below recommended amount. Conclusion: Avoiding of Junk food, skipping breakfast and intaking of vit-E and calcium as per recommended amount and restricting sugar intake is recommended as a healthy dietary habit to minimize the risk of primary dysmenorrhea.

Hematocolpos- variations: Case report

Hemato/hydrocolpos is an obstruction of the menstrual flow due to an anomaly of the genital tract, with imperforate hymen being the most common one, which is found in neonatal, infant, and adolescent girls. Diagnosis is often missed or delayed due to its rare incidence and nonspecific symptoms (usually misdiagnosed as constipation. In case of late diagnosis/ misdiagnosis and/or delay in treatment, late complications such as tubal adhesion, pelvic endometriosis, and infertility may develop. This article aimed to review the diagnosis and treatment of these urogenital anomalies by describing embryology, clinical presentation, imaging findings, surgical management, and postoperative outcomes.

On the Page and Off the Page: Adolescents’ Collaborative Writing in an After-School Spoken-Word Poetry Team

Using case study methodology, this article analyzes the collaborative writing of three adolescent girls, one Latina and two Black, composing a group poem in an after-school spoken word poetry team. Drawing from literature on distributed cognition and embodiment, we found that participants utilized a system of writing techniques “on the page,” as well as a variety of embodied and social practices “off the page” in their team meetings to collaboratively compose this poem. We argue that focusing on the intersection of distributed cognition and embodiment in collaborative writing allows writing researchers to more fully attend to the collaborative sociality of all writing and allows teachers to support youth writers in recognizing and gaining collaborative writing skills for professional and creative writing contexts.

Feasibility of an After-School Physical Activity Intervention for Adolescent Girls

ABSTRACT Background Adolescent girls are at an increased risk of low physical activity and the associated health consequences. Girls Can Move!, an after-school intervention guided by social cognitive theory, was designed to increase physical activity. Purpose To examine the feasibility and initial effectiveness of Girls Can Move! Methods The 8-week pre-post intervention provided low-active adolescent female participants with a variety of physical activities led by active female role models. Attendance, weekly process evaluations, and a post-intervention focus group were used to assess satisfaction and feasibility. At pre- and post-intervention, participants wore an accelerometer for 7 days to measure physical activity. Results Of the 17 enrolled participants, 13 (11.7 ± .7 years, 82% Black/African American or multiracial) completed the intervention. The average attendance rate was 82%. On a scale from 1 to 5, participants reported the sessions were fun (4.5 ± .6) and increased their confidence (4.1±.5) and physical activity (4.1±.5). There were moderate-to-large increases in objectively measured physical activity (d = .71). Discussion Girls Can Move! is feasible and should be tested using a randomized controlled trial design. Translation to Health Education Practice Girls Can Move! can be implemented in after-school settings with the support of university and community partners to promote physical activity among adolescent girls.

Fitspiration—Inspiration or threat for adolescent girls? A qualitative investigation on fitness‐related social media content and physical education

AbstractSeveral quantitative studies have shown a negative relationship between fitspiration content (appearance‐idealized pictures related to a fit and healthy lifestyle) in social media and mental health. The current study aimed to gain a deeper understanding of fitspiration users by qualitatively assessing their perception of fitspiration content and how it affects their health‐related behaviour and well‐being. A further research question was whether fitspiration as a form of public pedagogy was addressed in participants' physical education (PE) in schools. Thirteen female students from Austria who follow fitspiration content (14–19 years) were interviewed using semi‐structured interviews. Positive effects in health behaviour, such as a higher reported physical activity, exercise motivation and conscious eating (e.g., reducing junk food) were reported. However, participants further described potentially negative consequences on mental and physical health resulting from social comparisons with influencers. As none of the students reported addressing social media fitness content in PE, including or adapting a critical media pedagogy in PE should be considered to enhance awareness of the negative effects of social media but use the positive influence on health behaviour.

Pooled prevalence and associated factors of teenage pregnancy among women aged 15 to 19 years in sub-Saharan Africa: evidence from 2019 to 2022 demographic and health survey data

BackgroundTeenage pregnancy is becoming one of the most common social and public health problems worldwide, with the highest prevalence in sub-Saharan Africa. Health risks and adverse outcomes of pregnancy and childbirth among adolescent girls are the commonest cause of the global burden of maternal morbidity and mortality. This study is intended to determine the pooled prevalence and determinants of teenage pregnancy in sub-Saharan Africa using the most recent demographic and health survey data (2019–2022).MethodsA cross-sectional study was conducted using data from the most recent demographic and health surveys of four countries (Kenya, Tanzania, Gabon, and Cameroon) in sub-Saharan Africa conducted between 2019 and 2022. A total weighted sample of 12,829 teenagers aged 15 to 19 years was included in the study. Data extracted from demographic and health survey data sets were cleaned, recorded, and analyzed using STATA/SE version 14.0 statistical software. Multilevel mixed-effects logistic regression was used to determine the factors associated with the dependent variable. Finally, variables with a p-value ≤ 0.05 and an adjusted odds ratio with a 95% confidence interval were declared statistically significant.ResultsThe pooled prevalence of teenage pregnancy among women aged 15 to 19 years was 18.15% (95% CI: 17.49, 18.83). Teenage pregnancy was positively associated with the respondent’s age [AOR = 2.97; 95% CI (2.55, 3.46)], educational status [AOR = 2.21; 95% CI (1.62, 3.03)] and [AOR = 1.80; 95% CI (1.54, 2.12)], wealth status [AOR = 2.61; 95% CI (2.12, 3.22)] and [AOR = 1.65; 95% CI (1.33, 2.05)], relation to the household head [AOR = 2.09; 95% CI (1.60, 2.72)], and unmet need for contraception [AOR = 14.3; 95% CI (11.5, 17.8)]. On the other hand, it was negatively associated with marital status [AOR = 0.08; 95% (0.07, 0.10)], working status [AOR = 0.75; 95% CI (0.64, 0.88)], age at first sex [AOR = 0.68; 95% CI (0.58, 0.80)], contraceptive use [AOR = 0.25; 95% CI (0.20, 0.30)], contraceptive knowledge [AOR = 0.27; 95% CI (0.19, 0.40)], and community contraceptive utilization [AOR = 0.85; 95% CI (0.73, 0.99)].ConclusionIn the current study, one out of six young women aged 15 to 19 experienced teenage pregnancy. Therefore, addressing unmet needs for family planning, improving women’s educational status, and giving special attention to teenagers with low educational and economic status are recommended.

Preference for novel biomedical HIV pre-exposure prophylaxis methods among adolescent girls and young women in Kampala, Uganda: a mixed methods study

BackgroundNovel HIV pre-exposure prophylaxis (PrEP) methods including a potential future HIV vaccine, will increase prevention options for adolescent girls and young women (AGYW) at high risk of HIV infection in Eastern and Southern Africa, yet data on AGYW’s preferences for various PrEP methods is limited. We investigated preferences for five biomedical PrEP methods (oral, injectable, vaginal ring, implant, HIV vaccine) among 14–24-years-old AGYW in Kampala, Uganda.MethodsFrom January to December 2019, we conducted a mixed methods study including 265 high-risk AGYW. After receiving two education sessions on the five PrEP methods, participants were asked about their “most preferred PrEP method.” Multinomial logistic regression (oral PrEP as reference category) was used to determine participant characteristics associated with method preference. Results are presented as adjusted relative risk ratios (aRRR) with 95% confidence intervals (CI). In-depth interviews were conducted with 20 selected participants to examine reasons influencing PrEP preferences and suggestions for method improvements. Transcripts were analyzed thematically.ResultsParticipants preferred methods were: HIV vaccine (34.7%), oral PrEP (25.7%), injectable PrEP (24.9%), PrEP implant (13.6%), and vaginal ring (1.1%). Preference for injectable PrEP increased with every year of age (aRRR 1.22; 95% CI 1.04–1.44) and among participants with chlamydia or gonorrhoea (aRRR 2.53; 95% CI 1.08–5.90), while it was lower among participants having sexual partner(s) living with HIV or of unknown HIV status (aRRR 0.30; 95% CI 0.10–0.91). Preference for PrEP implants also increased with age (aRRR 1.42; 95% CI 1.14–1.77) and was strong among participants having ≥10 sexual partners in the past 3 months (aRRR 3.14; 95% CI 1.16–8.55), while it was lower among those with sexual partner(s) living with HIV or of unknown HIV status (aRRR 0.25; 95% CI 0.07–0.92). PrEP method preference was influenced by product attributes and prior experiences with similar product forms commonly used in health care.ConclusionAGYW have varied preferences for biomedical PrEP method and those with higher sexual behavioral risk prefer long-acting methods. As we anticipate more available PrEP options, oral PrEP use should be supported among AGYW, especially for those with sexual partners living with HIV or of unknown HIV status.

Trends in the nonmedical misuse of benzodiazepines and Z-hypnotics among school-aged adolescents (2016-2021): gender differences and related factors.

The misuse of psychotropic medication has increased during the past decade, especially among adolescents. The aim of our study was to describe the prevalence and patterns of the nonmedical use of benzodiazepines (BDZ) and Z-hypnotics among school-aged adolescents through the lens of sex. In addition, we sought to analyze the temporal evolution of the nonmedical use of these drugs during the period 2016-2021. The temporal evolution of the nonmedical use of these drugs was analyzed based on survey data collected in 2016, 2018 and 2021, which includes the first years of the COVID-19 pandemic. To assess the possible effect of the COVID-19 pandemic, the year at survey was conducted was introduced as a categorical variable. We used data from the Spanish State Survey on Drug Use in Secondary Education, which covers drug use among students aged 14-18 years. Using multivariate logistic regression models, we estimated the independent effect of different variables (sociodemographic data, use of other psychoactive substances, risk perception and availability) on the nonmedical use of BDZ and Z-hypnotics. In total, survey data from 95,700 adolescents were included in our analysis. The nonmedical use of BDZ and Z-hypnotics increased among adolescents during the study period. The adjusted odds ratio (AOR) from 2016 to 2018 was 1.11 (95% CI 0.94-1.31) and from 2018 to 2021 the AOR was 1.26 (95% CI 1.08-1.46), using 2016 and 2018, respectively, as reference years. The nonmedical use of BDZ and Z-hypnotics was more likely in adolescent girls than boys (AOR = 2.11). The nonmedical use of prescription opioids (AOR = 3.44), novel psychoactive substances and other illicit psychoactive drugs (AOR = 4.10) were risk factors for the nonmedical use of BDZ and Z-hypnotics in both sexes. Use of cannabis (AOR = 1.38) was a predictor of nonmedical use in female adolescents only. This study shows that the trend of the nonmedical use of BDZ and Z-hypnotics among school-aged adolescents in Spain increased between 2016 and 2021. Among adolescents aged 14 to 18, the probability of nonmedical use of these psychoactive substances was twice as high for female adolescents as for male adolescents.

The Interactive Effects of Rejection and Rumination on Diurnal Cortisol among Adolescent Girls: A Preliminary Daily Diary Study

The Interactive Effects of Rejection and Rumination on Diurnal Cortisol among Adolescent Girls: A Preliminary Daily Diary Study

The associations between plant-based dietary indices with depression and quality of life and insomnia among Iranian adolescent girls in 2015

Although previous research has explored the link between plant-based diets and mental health outcomes, there has been limited study on the quality levels of plant foods in this context. This study was conducted on 733 adolescent girls from cities in northeastern Iran. The validated Iranian version of the Insomnia Severity Index, SF-12v2 questionnaire and Persian version of the Beck Depression Inventory used to assess insomnia and poor quality of life (QoL) and depression, respectively. Dietary intakes assessed using a valid and reliable food frequency questionnaire. The association of scores of plant based dietary index (PDI) and poor QoL, depression and insomnia explored by binary logistic regression. The unadjusted model showed subjects in the highest quartile of healthy PDI had lower chances of insomnia than those in the lowest quartile (OR: 0.50; 95% CI 0.27–0.91, P = 0.024). The association persisted across various adjusted models. Subjects in the highest quartile of unhealthy PDI (uPDI) had higher chances of depression than those in the lowest quartile (OR: 1.83; 95% CI 1.09–3.08, P = 0.022). The significance of the association was maintained after adjusting for other confounders. A healthy plant-based dietary index is associated with a lower odds of insomnia. An unhealthy plant-based dietary index was associated to an increased chance of depression. Findings need to be confirmed by future studies.

Typologies and Correlates of Caregiver-adolescent Sexual Health Communication among Adolescent Girls in Southwestern Uganda

Typologies and Correlates of Caregiver-adolescent Sexual Health Communication among Adolescent Girls in Southwestern Uganda

Smartphone use and well-being of adolescent girls: a population-based study

Background and objectivesRecent studies have reported an increasing incidence of anxiety among adolescent girls, and associated this with self-reported social media use. This study aimed to measure smartphone and social...

Feasibility, acceptability and preliminary effect of a community-led HIV self-testing model among adolescent girls and young women in Rural Northern Uganda: a quasi-experimental study protocol

BackgroundAdolescent girls and young women (AGYW) in sub-Saharan Africa face a disproportionately higher HIV/AIDS burden despite the global decline in incidence. Existing interventions often fail to adequately address their unique social, economic, and cultural challenges, limiting access to essential HIV/AIDS services, including HIV testing. Emerging evidence indicates that HIV self-testing, a user-friendly and confidential method, enhances HIV diagnosis and linkage to care by targeting these barriers. This study aims to assess the feasibility, acceptability, and preliminary impact of a peer-delivered, community-health worker (CHW)-facilitated HIV self-testing intervention for AGYW in Northern Uganda.MethodsThis mixed-methods quasi-experimental implementation science study will employ a three-fold approach. Firstly, we will conduct baseline formative qualitative research with 50 AGYW, 50 parents/partners to AGYW, 30 CHWs, 15 community leaders, and the district health office to inform the design of a peer-delivered CHW-facilitated HIV self-testing intervention tailored to AGYW’s needs in Northern Uganda. Secondly, we will implement a mixed-methods pilot study to assess the intervention’s feasibility and acceptability, involving 415 AGYW, 30 AGYW peer leaders, and 10 CHWs in selected parishes and villages in Omoro district, Northern Uganda. Lastly, we will evaluate the implementation outcomes and preliminary impact of the intervention on HIV self-testing rates and linkage to care by collecting and analyzing quantitative data pre- and post-intervention, laying the groundwork for a future robust randomized controlled trial.DiscussionOur intervention combines CHWs and peer-led strategies to address the unique challenges of AGYW in Northern Uganda, leveraging community resilience and peer influence. Successful completion of this project will provide a scalable model to be evaluated in a randomized trial and replicated in similar contexts.Trial registration numberPACTR202404851907736. Registered with the Pan-African Clinical Trials Registry on April 22, 2024.

Relationships Between Eating Disorders, Depression and Suicidal Tendencies Among Adolescent Girls from Arab Society

This study aimed to find the possible links between eating disorders among adolescents and the dimensions of depression and suicidal tendencies, as reported by them. The sample consisted of 200 adolescents from Arab society in the north of Israel. The research tools included a socio-demographic questionnaire; the Eating Attitudes and Behaviors Questionnaire; the Beck Depression Inventory; and the Multidimensional Suicidal Tendencies Questionnaire for Adolescents. Findings suggest a positive relationship between eating disorders and depression and suicidal dimensions among female adolescents, and a significant relationship between eating disorders and the attraction and repulsion toward life. In addition, female adolescents reported very high levels of attraction to life and repulsion to death; namely, participants reported very low levels of attraction to death and medium-scale repulsion to life. A positive relationship was also found between the dimensions of depression and suicidal tendencies among the participants. Additional findings indicate that underachiever adolescents reported lower levels of depression and higher levels of attraction to life, compared with the average achievement teenagers. The obvious conclusion is that, since depression is the main predictor of suicidal tendencies among teenagers, rather than focusing on the consequences of depression, we should focus on the causes of depression and treat them.

What We Can Learn When Impacts Fail to Replicate: Lessons From an Empowerment Programme for Young Women in Tanzania

We evaluate the Empowerment and Livelihood for Adolescents programme that combines life and livelihood skills trainings with a safe space where young women can network and learn. The same multifaceted intervention was highly effective in raising adolescent girls’ economic and social empowerment when implemented in Uganda. In contrast, this randomised evaluation, using panel data on more than 3100 adolescents, finds no programme impact on any economic, health, or social outcomes in Tanzania. We propose implementation quality as one plausible explanation of why the programme’s effectiveness could not be successfully replicated in Tanzania.

An Investigation into the Efficacy of Structured Education Program on the Prevention of Sexual Abuse among Adolescent Girls in Certain Schools in Mysuru

The dark issue of child sexual abuse (CSA) must start at home and spread to all levels of society if reform is to be achieved. It is awkward for parents to discuss sexuality and sexual abuse with their children because Indian society has traditionally ingrained conservative beliefs about these topics in its youth. The majority of homes completely avoid having these conversations, which understates the potential of harm, particularly in cases of rare and underreported sexual abuse. Quasi experimental pre-test post-test design, a convenience sampling technique was used to select the samples (N=60). Tool was administered to assess the current knowledge, a structured teaching programme (STP) was conducted later post test was administered and data was analysed using descriptive and inferential statistics. The post-test knowledge score mean percentage (86.68%) was higher than the mean percentile of pre-test knowledge score (46.6%). The calculated paired ‘t’ value is greater than the table value (0.05 44df) = 2.01 It showed a significant difference between mean pre and post-test knowledge scores. Calculated Chi-square values are showed significant association between socio demographic data of respondents with their pre-test knowledge scores. The study findings showed that knowledge on CSA was less before STP. The results indicated that STP is helpful in increasing their knowledge effectively.

Assessment of the Trends and Factors Associated With Unintended Pregnancy Among Women of Reproductive Age: An Analysis of the Nigerian Demographic Health Survey Between 2008 to 2018

Background Unintended pregnancy is a global public health issue with significant adverse effects which include health and economic consequences. Globally, there were 121 million unintended pregnancies annually between 2015 and 2019 among women of reproductive age between 15 and 49 mainly due to the non-uptake of modern contraceptives, harmful norms, stigma and lack of sexual and reproductive health care and information. Methods We extracted information from the Nigeria Demographic Health Survey conducted in 2008, 2013, and 2018 to assess the trends and factors associated with unintended pregnancies among women of reproductive-aged 15–49. The descriptive summaries were presented using percentages and binomial logistic regressions for the inferential analysis. All analyses were computed using Stata 15.0 at a 5% level of significance and accounted for the complex survey nature as well as the population size. Results The study included a total of 63,040 women of reproductive age. The prevalence of unintended pregnancy was highest among adolescents aged 15–19 years (15.1%, 95% CI: 13.9–16.5) and decreased with increasing age. The pooled adjusted model revealed that women had 11% lower odds of reporting unintended pregnancies in 2013 compared to 2008. Adolescent girls (aOR 2.48; 95%CI: 2.14–2.89) and young adults (aOR 1.86; 95%CI: 1.69–2.04) have higher odds of reporting unintended pregnancies compared to older women. Also, unmarried women had 9.8 times higher odds of reporting unintended pregnancies compared to ever-married women. Conclusions The findings from this study highlight the need for further family planning educational programs and initiatives that support the uptake of effective contraceptive methods to reduce the likelihood of unintended pregnancy and improve women’s sexual and reproductive health while considering regional variations within the country to ensure tailored interventions that address specific needs within each region.

The Development and Validation of a Tool to Evaluate the Determinants of Iron-Rich Food Intake among Adolescent Girls of Senegal

To reduce anemia among adolescent girls, factors that influence the consumption of iron-rich foods/IRF have not been investigated, and neither has a tool been developed to assess its determinants. Using the extended version of the theory of planned behaviour/eTPB, this study aims to develop and validate a questionnaire assessing individual and environmental factors that could influence IRF intake among Senegalese adolescent girls aged 10–19 years old. First, eight focus group discussions (FGDs) were held in different regions to identify salient beliefs related to each of the four constructs of the eTPB. Information from FGDs was used to develop a questionnaire that was administered to the first group (n = 200) of girls. Principal component and exploratory factorial analyses were then performed to identify latent factors for each construct. A modified version of the tool was administered to the second sample of girls (n = 400), and confirmatory factorial analyses were conducted. Hancock and Muller’s H reliability index was computed on the final model. Most metrics for fit indices were respected, and the H value was satisfactory. This study proposes a tool that could be used to explore determinants of the consumption of IRF among adolescent girls.