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Research Article| Volume 34, ISSUE 4, P491-503, August 2021

A Rapid Review of Interventions to Prevent First Pregnancy among Adolescents and Its Applicability to Latin America

Published:February 05, 2021DOI:https://doi.org/10.1016/j.jpag.2021.01.022
A Rapid Review of Interventions to Prevent First Pregnancy among Adolescents and Its Applicability to Latin America
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      ABSTRACT

      Study Objective: To summarize recent literature on the effectiveness of interventions to prevent adolescent pregnancy and to explore the applicability of these interventions to Latin America (LA).
      Design, Setting, Participants, Interventions, and Main Outcome Measures: We carried out a rapid review of the literature (2005-2019). Studies were included if: they evaluated interventions targeting adolescents and prevention of pregnancy; they used a randomized controlled design; and pregnancy was measured as an outcome. Applicability of the interventions to LA was assessed using the following information: target population; intervention design and resources; type, skills, and training of providers; system arrangements; and acceptability and social context.
      Results: Nine studies were included, 5 described interventions in African countries, 2 in the United Kingdom, and 2 in the United States. Interventions were rated as highly applicable to LA in the context of target population, profile of the providers, and design; however, variations arose when assessing system arrangements and social context. Incentive-based interventions showed significant effects in the prevention of adolescent pregnancy and were rated as highly applicable.
      Conclusion: This review provides professionals, policymakers, researchers, and educators potential criteria to consider when adapting successful evidence-based interventions to prevent adolescent pregnancy in LA.

      Keywords

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      Article info

      Publication history

      Published online: February 05, 2021
      Accepted: January 27, 2021
      Received in revised form: January 23, 2021
      Received: November 23, 2020

      Footnotes

      The authors indicate no conflicts of interest.

      Identification

      DOI: https://doi.org/10.1016/j.jpag.2021.01.022

      Copyright

      © 2021 North American Society for Pediatric and Adolescent Gynecology. Published by Elsevier Inc. All rights reserved.

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