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Instituto Nacional de Salud Pública

2024, Number 4

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salud publica mex 2024; 66 (4)

Adolescent sexual and reproductive health services

Villalobos A, Suárez-López L, de la Vara-Salazar E, Hubert C, Hernández B, Varela-Chávez Y, Torres-Chaires MM, Ávila-Burgos L

Language: Spanish
References: 31
Page: 479-487
PDF size: 298.66 Kb.


ABSTRACT

Objective. To describe care and information seeking, and the prevalence of use of sexual and reproductive health (SRH) services among sexually initiated adolescents aged 12-19 years. Materials and methods. We analyzed information from sexually initiated adolescents using the Encuesta Nacional de Salud y Nutrición 2023 (Ensanut 2023). We described the search for and use of SRH services according to sociodemographic characteristics. Results. One in three adolescents sought information or care; 94.6% of those who sought information or care received it. Females were more likely to use SRH services. Care was mainly provided at health days or health fairs (70%). The main reasons for seeking care were sexual orientation and contraceptive counseling. Conclusions. There is an urgent need to implement interinstitutional interventions that promote adolescents’ access to health services, including strengthening knowledge of the wide range of services and spaces they can access.


REFERENCES

  1. United Nations. Sustainable Development Goals. Knowledge platform.UN, 2022 [citado febrero 17, 2024]. Disponible en: https://sustainabledevelopment.un.org/topics/sustainabledevelopmentgoals

  2. Chandra-Mouli V, Akwara E. Improving access to and use of contraceptionby adolescents: What progress has been made, what lessonshave been learnt an what are the implications for action? Best PractRes Clin Obstet Gynaecol. 2020;66:107-18. https://doi.org/10.1016/j.bpobgyn.2020.04.003

  3. Consejo Nacional de Población, Sistema de Indicadores para Monitoreoy Seguimiento de la Estrategia Nacional para la Prevención del Embarazoen Adolescentes. Informe de principales resultados 2023. México: Conapo,2023 [citado abril 2, 2024]. Disponible en: http://indicadores.conapo.gob.mx/ENAPEA.html

  4. Hubert C, Suárez-López L, de la Vara-Salazar E, Villalobos-HernándezA. Salud sexual y reproductiva en población adolescente y adulta enMéxico, 2022. Salud Publica Mex. 2023;65(supl 1):S84-95. https://doi.org/10.21149/14795

  5. Organización Mundial de la Salud. El embarazo en la adolescencia. Datosy cifras. Ginebra: OMS, 2018 [citado febrero 17, 2024]. Disponible en:http://www.who.int/es/news-room/fact-sheets/detail/adolescent-pregnancy

  6. Nove A, Matthews Z, Neal S, Camacho AV. Maternal mortality in adolescentscompared with women of other ages: evidence from 144 countries.Lancet Glob Health. 2014;2(3):e155-64. https://doi.org/10.1016/S2214-109X(13)70179-7

  7. Fondo de Población de Naciones Unidas. Consecuencias socioeconómicasdel embarazo adolescente en México. Washington, DC: UNFPA,2020 [citado febrero 18, 2024]. Disponible en: https://mexico.unfpa.org/es/publications/consecuencias-socioecon%C3%B3micas-del-embarazo-enadolescentes-en-m%C3%A9xico

  8. Organización Panamericana de la Salud, Fondo de Población de las NacionesUnidas, Fondo de las Naciones Unidas para la Infancia. Acelerar elprogreso hacia la reducción del embarazo en la adolescencia en AméricaLatina y el Caribe. Washington DC: OPS, UNFPA, Unicef, 2018 [citadofebrero 24, 2024]. Disponible en: https://www.unicef.org/lac/media/1336/file/PDF_Acelerar_el_progreso_hacia_la_reducci%C3%B3n_del_embarazo_en_la_adolescen.pdf

  9. Organización Mundial de la Salud. Prevenir el embarazo precoz ylos resultados reproductivos adversos en adolescentes en los paísesen desarrollo: las evidencias. Ginebra: OMS, 2012 [citado febrero20 2024]. Disponible en: https://www.who.int/es/publications/i/item/9789241502214

  10. Gobierno de México. Programa de Acción Específico. Salud sexualy reproductiva para los adolescentes 2013-2018. México: Secretaría deSalud, 2014 [citado febrero 22, 2024]. Disponible en: https://www.gob.mx/salud/cnegsr/documentos/programa-de-accion-especifico-salud-sexual-yreproductiva-para-adolescentes-2013-2018-134133

  11. Gobierno de México. Estrategia nacional para la prevención delembarazo en adolescentes. México: Consejo Nacional de Población, 2019[citado febrero 22, 2024]. Disponible en: https://www.gob.mx/inmujeres/acciones-y-programas/estrategia-nacional-para-la-prevencion-del-embarazo-en-adolescentes-33454

  12. Patton GC, Sawyer SM, Santelli JS, Ross DA, Afifi R, Allen NB, et al.Our future: a Lancet commission on adolescent health and wellbeing.Lancet 2016;387(10036):2423-78. https://doi.org/10.1016/S0140-6736(16)00579-1

  13. World Health Organization. Handbook for conducting an adolescenthealth services barriers assessment (AHdBA) with focus on disadvantagedadolescents. Ginebra: WHO, 2019 [citado marzo 15 2024]. Disponible en:https://www.who.int/publications/i/item /9789241515078

  14. Romero-Martínez M, Cuevas-Nasu L, Gaona-Pineda EB, Shamah-Levy T. Nota técnica de la Encuesta Nacional de Salud y NutriciónContinua 2023: Resultados del trabajo de campo. Salud Publica Mex.2024;66(3):304-6. https://doi.org/10.21149/15604

  15. Romero-Martínez M, Barrientos-Gutiérrez T, Cuevas-Nasu L, Bautista-Arredondo S, Colchero MA, Gaona-Pineda EB, et al. Metodología de laEncuesta Nacional de Salud y Nutrición 2022 y planeación y diseño de laEnsanut Continua 2020-2024. Salud Publica Mex. 2022;64(5):522-9. https://doi.org/10.21149/14186

  16. Bautista-Arredondo S, Serván-Mori E, Colchero MA, Ramírez-RodríguezB, Sosa-Rubí SG. Análisis del uso de servicios ambulatorios curativos en elcontexto de la reforma para la protección universal en salud en México. SaludPublica Mex. 2014;56(1):18-31. https://doi.org/10.21149/spm.v56i1.7319

  17. Colchero-Aragones MA, Gómez-Cifuentes R, Bautista-Arredondo S.Caracterización de la “cascada de atención” en servicios públicos en Méxicoen localidades de menos de 100 000 habitantes. Salud Publica Mex.2019;61(6):734-41. https://doi.org/10.21149/10570

  18. Ávila-Burgos L, Montañez-Hernández JC, Cerecer-Ortiz N, HubertC, Heredia-Pi I, Suárez-López L, et al. Adolescent use of outpatient healthservices in Mexico: their health needs and associated factors. Salud PublicaMex. 2024;66(1):25-36. https://doi.org/10.21149/14904

  19. Stierman EK, Kalbarczyk A, Oo HNL, Koller TS, PetersDH.Assessing barriers to effective coverage of health services foradolescents in low- and middle-income countries: a scoping review. JAdolesc Health. 2021;69(4):541-8. https://doi.org/10.1016/j.jadohealth.

  20. 2020.12.13520. Othman S, Kong SZ, Mohd-Mydin FH, Ng CJ. Knowledge, utilizationand barriers to primary care services for sexual and reproductive healthamong adolescents in secondary schools in Selangor, Malaysia. Malays FamPhysician. 2019;14(1):10-7 [citado febrero 24, 2024]. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6612277/

  21. Tilahun T, Bekuma TT, Getachew M, Seme A. Assessment of accessand utilization of adolescent and youth sexual and reproductive healthservices in western Ethiopia. Reprod Health. 2021;18(1):85. https://doi.org/10.1186/s12978-021-01136-5

  22. Abdurahman C, Oljira L, Hailu S, Mengesha MM. Sexual and reproductivehealth services utilization and associated factors among adolescentsattending secondary schools. Reprod Health. 2022;19(1):161. https://doi.org/10.1186/s12978-022-01468-w

  23. Wakjira DB, Habedi D. Barriers to access and utilisation of sexual andreproductive health services among adolescents in Ethiopia: a sequentialmixed-methods study. BMJ Open. 2022;12(11):e063294. https://doi.org/10.1136/bmjopen-2022-063294

  24. Consejo Nacional de Evaluación de la Política de Desarrollo Social. Elembarazo en la adolescencia y el acceso a educación y servicios de saludsexual y reproductiva: un estudio exploratorio. Ciudad de México: Coneval,2022 [citado marzo 18, 2024]. Disponible en: https://www.coneval.org.mx/InformesPublicaciones/Documents/Estudio_Exploratorio_embarazo_adolescencia.pdf

  25. Starrs AM, Ezeh AC, Barker G, Basu A, Bertrand JT, Blum R, et al. Accelerateprogress-sexual and reproductive health and rights for all: report ofthe Guttmacher-Lancet Commission. Lancet. 2018;391(10140):2642-92.https://doi.org/10.1016/S0140-6736(18)30293-9

  26. Hall KS, Morhe E, Manu A, Harris LH, Ela E, Loll D, et al. Factors associatedwith sexual and reproductive health stigma among adolescent girlsin Ghana. PLoS One. 2018;13(4):e0195163. https://doi.org/10.1371/journal.pone.0195163

  27. De Jonge CJ, Barratt CLR, Pacey AA. Counting the hidden costs ofmale reproductive health. World J Mens Health. 2022;40(2):344-5. https://doi.org/10.5534/wjmh.210181

  28. Boerma T, Hosseinpoor AR, Verdes E, Chatterji S. A global assessmentof the gender gap in self-reported health with survey data from 59 countries.BMC Public Health. 2016;16:675. https://doi.org/10.1186/s12889-016-3352-y

  29. de Castro F, Rojas-Martínez R, Villalobos-Hernández A, Allen-LeighB, Breverman-Bronstein A, Billings DL, Uribe-Zúñiga P. Sexual andreproductive health outcomes are positively associated with comprehensivesexual education exposure in Mexican high-school students.PLoS One. 2018;13(3):e0193780. https://doi.org/10.1371/journal.pone.0193780

  30. Tylee A, Haller DM, Graham T, Churchill R, Sanci LA. Youth-friendlyprimary-care services: how are we doing and what more needs to bedone? Lancet. 2007;369(9572):1565-73. https://doi.org/10.1016/S0140-6736(07)60371-7

  31. García-Bello LA, Heredia-Pi IB, Zavala-Arciniega L, Paz-Ballesteros W,Velázquez-Viamonte A, Serván-Mori E. Care friendliness in adolescent sexualand reproductive health services in Mexico and a characterisation oftheir clients. Int J Health Plann Manage. 2022;37(Suppl 1):204-19. https://doi.org/10.1002/hpm.3512




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