Sexual and reproductive health and rights of “last mile” adolescents: a scoping review
Globally, significant progress has been made in the realm of adolescent sexual and reproductive health. We conceptualised “last mile” adolescents as having two or more of the following factors of identity: refugee, Indigenous, 2SLGBTQIA+, out of school, rurally or remotely located, slum dwelling, in...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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Taylor & Francis Group
2022-12-01
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| Series: | Sexual and Reproductive Health Matters |
| Subjects: | |
| Online Access: | https://www.tandfonline.com/doi/10.1080/26410397.2022.2077283 |
| _version_ | 1818539686730137600 |
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| author | Nahela Nowshin Lydia Kapiriri Colleen M. Davison Sheila Harms Betty Kwagala Miriam G. Mutabazi Anne Niec |
| author_facet | Nahela Nowshin Lydia Kapiriri Colleen M. Davison Sheila Harms Betty Kwagala Miriam G. Mutabazi Anne Niec |
| author_sort | Nahela Nowshin |
| collection | DOAJ |
| description | Globally, significant progress has been made in the realm of adolescent sexual and reproductive health. We conceptualised “last mile” adolescents as having two or more of the following factors of identity: refugee, Indigenous, 2SLGBTQIA+, out of school, rurally or remotely located, slum dwelling, incarcerated or previously incarcerated, HIV/AIDS infected, and living with a disability. We conducted a scoping review with an aim to synthesise evidence and identify research gaps in the literature pertaining to the sexual and reproductive health and rights (SRHR) of last mile adolescents. We conducted searches in three databases (Embase, Global Health, and Medline). Fifty-four publications met our inclusion criteria. Our results revealed that the state of evidence on the SRHR of last mile adolescents is poor. Very few studies used qualitative and mixed-method inquiry. The number of studies carried out in North America, Europe, and Oceania were limited. We found insufficient disaggregated data with respect to SRHR-related knowledge, behaviour, and access to services. Adopting an intersectional lens is critical to uncover the multiplicative effects of last mile adolescents’ factors of identity on their SRHR. National data systems should be strengthened to enable the collection of quality disaggregated data which can play a vital role in identifying SRHR inequities affecting last mile adolescents. Research priorities should be realigned to generate data globally on the SRHR of last mile adolescents whose lives are marked by intersecting vulnerabilities. |
| first_indexed | 2024-12-11T21:45:23Z |
| format | Article |
| id | doaj.art-91b10148d4f94fc5a5d5403d9ae055cb |
| institution | Directory Open Access Journal |
| issn | 2641-0397 |
| language | English |
| last_indexed | 2024-12-11T21:45:23Z |
| publishDate | 2022-12-01 |
| publisher | Taylor & Francis Group |
| record_format | Article |
| series | Sexual and Reproductive Health Matters |
| spelling | doaj.art-91b10148d4f94fc5a5d5403d9ae055cb2022-12-22T00:49:39ZengTaylor & Francis GroupSexual and Reproductive Health Matters2641-03972022-12-0130110.1080/26410397.2022.2077283Sexual and reproductive health and rights of “last mile” adolescents: a scoping reviewNahela Nowshin0Lydia Kapiriri1Colleen M. Davison2Sheila Harms3Betty Kwagala4Miriam G. Mutabazi5Anne Niec6PhD Student, Department of Health, Aging and Society, McMaster University, Hamilton, ON, Canada. Correspondence:Associate Professor, Department of Health, Aging and Society, McMaster University, Hamilton, ON, CanadaAssociate Professor, Department of Public Health Sciences, Queen’s University, Kingston, ON, CanadaAssociate Professor, Department of Psychiatry & Behavioural Neurosciences, McMaster University, Hamilton, ON, CanadaAssociate Professor, Department of Population Studies, Makerere University, Kampala, UgandaDirector, Save the Mothers East Africa, Kampala, UgandaProfessor, Department of Pediatrics, McMaster University, Hamilton, ON, CanadaGlobally, significant progress has been made in the realm of adolescent sexual and reproductive health. We conceptualised “last mile” adolescents as having two or more of the following factors of identity: refugee, Indigenous, 2SLGBTQIA+, out of school, rurally or remotely located, slum dwelling, incarcerated or previously incarcerated, HIV/AIDS infected, and living with a disability. We conducted a scoping review with an aim to synthesise evidence and identify research gaps in the literature pertaining to the sexual and reproductive health and rights (SRHR) of last mile adolescents. We conducted searches in three databases (Embase, Global Health, and Medline). Fifty-four publications met our inclusion criteria. Our results revealed that the state of evidence on the SRHR of last mile adolescents is poor. Very few studies used qualitative and mixed-method inquiry. The number of studies carried out in North America, Europe, and Oceania were limited. We found insufficient disaggregated data with respect to SRHR-related knowledge, behaviour, and access to services. Adopting an intersectional lens is critical to uncover the multiplicative effects of last mile adolescents’ factors of identity on their SRHR. National data systems should be strengthened to enable the collection of quality disaggregated data which can play a vital role in identifying SRHR inequities affecting last mile adolescents. Research priorities should be realigned to generate data globally on the SRHR of last mile adolescents whose lives are marked by intersecting vulnerabilities.https://www.tandfonline.com/doi/10.1080/26410397.2022.2077283sexual and reproductive healthlast mile adolescentsintersectionalitylow-resourced settingsgender minoritysexual minority |
| spellingShingle | Nahela Nowshin Lydia Kapiriri Colleen M. Davison Sheila Harms Betty Kwagala Miriam G. Mutabazi Anne Niec Sexual and reproductive health and rights of “last mile” adolescents: a scoping review Sexual and Reproductive Health Matters sexual and reproductive health last mile adolescents intersectionality low-resourced settings gender minority sexual minority |
| title | Sexual and reproductive health and rights of “last mile” adolescents: a scoping review |
| title_full | Sexual and reproductive health and rights of “last mile” adolescents: a scoping review |
| title_fullStr | Sexual and reproductive health and rights of “last mile” adolescents: a scoping review |
| title_full_unstemmed | Sexual and reproductive health and rights of “last mile” adolescents: a scoping review |
| title_short | Sexual and reproductive health and rights of “last mile” adolescents: a scoping review |
| title_sort | sexual and reproductive health and rights of last mile adolescents a scoping review |
| topic | sexual and reproductive health last mile adolescents intersectionality low-resourced settings gender minority sexual minority |
| url | https://www.tandfonline.com/doi/10.1080/26410397.2022.2077283 |
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