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The Role of Community Health Workers in Preventing Adolescent Repeat Pregnancies and Births

Intervention by community health workers (CHWs) is believed to prevent repeated childbearing among teenagers. This review investigated the effectiveness of CHWs in reducing repeated pregnancies and births among adolescents aged

Journal Title: Journal of Adolescent Health October 2016, Vol.59(4), pp.378-390
Main Author: Maravilla, Joemer Calderon
Other Authors: Betts, Kim S , Abajobir, Amanuel Alemu , Couto E Cruz, Camila , Alati, Rosa
Format: Electronic Article Electronic Article
Language: English
Subjects:
ID: ISSN: 1054-139X ; E-ISSN: 1879-1972 ; DOI: 10.1016/j.jadohealth.2016.05.011
Link: https://www.sciencedirect.com/science/article/pii/S1054139X16300830
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title: The Role of Community Health Workers in Preventing Adolescent Repeat Pregnancies and Births
format: Article
creator:
  • Maravilla, Joemer Calderon
  • Betts, Kim S
  • Abajobir, Amanuel Alemu
  • Couto E Cruz, Camila
  • Alati, Rosa
subjects:
  • Community Health Worker
  • Repeated Teenage Pregnancy
  • Repeated Teenage Births
  • Teenage Pregnancy
  • Adolescent
  • Meta-Analysis
  • Medicine
  • Social Welfare & Social Work
ispartof: Journal of Adolescent Health, October 2016, Vol.59(4), pp.378-390
description: Intervention by community health workers (CHWs) is believed to prevent repeated childbearing among teenagers. This review investigated the effectiveness of CHWs in reducing repeated pregnancies and births among adolescents aged
language: eng
source:
identifier: ISSN: 1054-139X ; E-ISSN: 1879-1972 ; DOI: 10.1016/j.jadohealth.2016.05.011
fulltext: fulltext
issn:
  • 1054-139X
  • 1054139X
  • 1879-1972
  • 18791972
url: Link


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titleThe Role of Community Health Workers in Preventing Adolescent Repeat Pregnancies and Births
creatorMaravilla, Joemer Calderon ; Betts, Kim S ; Abajobir, Amanuel Alemu ; Couto E Cruz, Camila ; Alati, Rosa
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subjectCommunity Health Worker ; Repeated Teenage Pregnancy ; Repeated Teenage Births ; Teenage Pregnancy ; Adolescent ; Meta-Analysis ; Medicine ; Social Welfare & Social Work
descriptionIntervention by community health workers (CHWs) is believed to prevent repeated childbearing among teenagers. This review investigated the effectiveness of CHWs in reducing repeated pregnancies and births among adolescents aged <20 years, 2 years after the delivery of their first child. Through electronic database and hand searching, experimental and/or observational studies were screened with their results undergoing systematic review and meta-analyses. Subgroup analyses were performed to further assess how study characteristics affected the pooled estimates and heterogeneity. A total of 11 eligible articles, from January 1980 to May 2015, were included. Seven studies evaluated repeated births and eight measured repeated pregnancies. Studies showed relevant disparities in terms of selected methodological aspects and program characteristics. Although most studies (n = 9) were either of “strong” or of “moderate” quality, only two of five finding a significant reduction exhibited a high level of quality as the other three failed to adjust results for confounders. Random effects modeling revealed an overall 30% decrease in repeated adolescent births (odds ratio = .70, confidence interval = .49–.99) among CHW-visited areas relative to nonvisited sites. On the other hand, no significant association was detected in terms of repeated pregnancies (odds ratio = .96, confidence interval = .70–1.28).
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Intervention by community health workers (CHWs) is believed to prevent repeated childbearing among teenagers. This review investigated the effectiveness of CHWs in reducing repeated pregnancies and births among adolescents aged <20 years, 2 years after the delivery of their first child. Through electronic database and hand searching, experimental and/or observational studies were screened with their results undergoing systematic review and meta-analyses. Subgroup analyses were performed to further assess how study characteristics affected the pooled estimates and heterogeneity. A total of 11 eligible articles, from January 1980 to May 2015, were included. Seven studies evaluated repeated births and eight measured repeated pregnancies. Studies showed relevant disparities in terms of selected methodological aspects and program characteristics. Although most studies (n = 9) were either of “strong” or of “moderate” quality, only two of five finding a significant reduction exhibited a high level of quality as the other three failed to adjust results for confounders. Random effects modeling revealed an overall 30% decrease in repeated adolescent births (odds ratio = .70, confidence interval = .49–.99) among CHW-visited areas relative to nonvisited sites. On the other hand, no significant association was detected in terms of repeated pregnancies (odds ratio = .96, confidence interval = .70–1.28).

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Intervention by community health workers (CHWs) is believed to prevent repeated childbearing among teenagers. This review investigated the effectiveness of CHWs in reducing repeated pregnancies and births among adolescents aged <20 years, 2 years after the delivery of their first child. Through electronic database and hand searching, experimental and/or observational studies were screened with their results undergoing systematic review and meta-analyses. Subgroup analyses were performed to further assess how study characteristics affected the pooled estimates and heterogeneity. A total of 11 eligible articles, from January 1980 to May 2015, were included. Seven studies evaluated repeated births and eight measured repeated pregnancies. Studies showed relevant disparities in terms of selected methodological aspects and program characteristics. Although most studies (n = 9) were either of “strong” or of “moderate” quality, only two of five finding a significant reduction exhibited a high level of quality as the other three failed to adjust results for confounders. Random effects modeling revealed an overall 30% decrease in repeated adolescent births (odds ratio = .70, confidence interval = .49–.99) among CHW-visited areas relative to nonvisited sites. On the other hand, no significant association was detected in terms of repeated pregnancies (odds ratio = .96, confidence interval = .70–1.28).

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date2016-10