Mental health outcomes beyond the post-partum period among adolescent mothers: a systematic review and meta-analysis.

Autor: Abdul Rahim K; Internal Medicine, Aga Khan University Hospital, Karachi, Pakistan.; Dean's Office, Medical College, Aga Khan University, Karachi, Pakistan.; Community Health Sciences, Aga Khan University, Karachi, Pakistan., Egglestone NJ; Adelaide Medical School, The University of Adelaide, Adelaide, Australia., Tsagareli IG; Adelaide Medical School, The University of Adelaide, Adelaide, Australia., Usmani W; Public Health Information Development Unit, Torrens University Australia, Adelaide, Australia., Meherali S; Faculty of Nursing, University of Alberta, Edmonton, Canada., Lassi ZS; Adelaide Medical School, Robinsons Research Institute University of Adelaide, Adelaide, Australia.; Faculty of Health and Medical Sciences, School of Public Health, University of Adelaide, Adelaide, Australia.
Jazyk: angličtina
Zdroj: Health psychology and behavioral medicine [Health Psychol Behav Med] 2024 Jan 31; Vol. 12 (1), pp. 2305741. Date of Electronic Publication: 2024 Jan 31 (Print Publication: 2024).
DOI: 10.1080/21642850.2024.2305741
Abstrakt: Background: Adolescence is the most crucial part of life. The vulnerability of adolescent mothers is even more pronounced and can affect various health aspects. While they suffer from social and emotional stresses shortly after giving birth, the long-term effect after the post-partum period of adolescent pregnancy on the mental outcomes holds prime importance. Thus, this systematic review aims to ascertain the association between adolescent pregnancy on mental health outcomes.
Methods: The search strategy was run in June 2023 on databases including PubMed, CINAHL, Scopus, Psych Info, and Embase . Quality assessment of the studies was done using the National Institute of Health (NIH)'s National Heart, Lung and Blood Institute (NHLBI) tool for observational studies. For studies that measured similar outcomes, a meta-analysis was conducted.
Findings: The search strategy yielded 21 results from all databases and cross-referencing. Of these, all except for one (case-control) were cross-sectional and cohort studies. The pooled analysis found a significant association between adolescent pregnancy and depression (RR 1.34; 95% CI 1.05, 1.72, 6 studies, heterogeneity: Chi 2 P 0.01; I 2  = 60%); however, no association was found in anxiety (RR 1.05; 95% CI 0.26, 4.14, 2 studies; heterogeneity: Chi² P  = 0.0003; I 2  = 93%) and suicidal ideation (RR 3.21; 95% CI 0.17, 59.33; 3 studies; heterogeneity: Chi 2 P  < 0.00001; I 2  = 98%).
Implication: These findings suggest that the mental health needs of adolescent mothers must be addressed and innovative and effective interventions that support and address the mental health needs of adolescent mothers are needed to improve their mental health.
Competing Interests: No potential conflict of interest was reported by the author(s).
(© 2024 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group.)
Databáze: MEDLINE