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- Rapid qualitative review of ethical issues surrounding healthcare for pregnant women or women of reproductive age in epidemic outbreaks
- Patrik Hummel, Abha Saxena, Corinna Klingler
- Epidemiol Health. 2018;40:e2018003. Published online January 23, 2018
- DOI: https://doi.org/10.4178/epih.e2018003
- 18,898 View
- 246 Download
- 2 Web of Science
- 1 Crossref
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Abstract
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AbstractThis article describes, categorizes, and discusses the results of a rapid literature review aiming to provide an overview of the ethical issues and corresponding solutions surrounding pregnancies in epidemic outbreaks. The review was commissioned by the World Health Organization to inform responses to the Zika outbreak that began in 2015. Due to the urgency of the response efforts that needed to be informed by the literature search, a rapid qualitative review of the literature published in PubMed was conducted. The search and analysis were based on the operationalization of 3 key concepts: ethics, pregnancy, and epidemic outbreak. Ethical issues and solutions were interpreted within a principlist framework. The data were analyzed using qualitative content analysis. The search identified 259 publications, of which the full text of 23 papers was read. Of those, 20 papers contained a substantive part devoted to the topic of interest and were therefore analyzed further. We clustered the ethical issues and solutions around 4 themes: uncertainty, harms, autonomy/liberty, and effectiveness. Recognition of the identified ethical issues and corresponding solutions can inform and improve response efforts, public health planning, policies, and decision-making, as well as the activities of medical staff and counselors who practice before, during, or after an epidemic outbreak that affects pregnant women or those of reproductive age. The rapid review format proved to be useful despite its limited data basis and expedited review process.
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Citations
Citations to this article as recorded by
- How often is the placenta included in human pregnancy research? A rapid systematic review of the literature
Leigh A. Taylor, Kelly Gallagher, Katherine A. Ott, Alison D. Gernand
Gates Open Research.2021; 5: 38. CrossRef
Original Article- Prevalence of factors related to active reproductive health behavior: a cross-sectional study Indonesian adolescent
- Tantut Susanto, Iis Rahmawati, Emi Wuri Wuryaningsih, Ruka Saito, Syahrul, Rumiko Kimura, Akiko Tsuda, Noriko Tabuchi, Junko Sugama
- Epidemiol Health. 2016;38:e2016041. Published online September 30, 2016
- DOI: https://doi.org/10.4178/epih.e2016041
- 26,815 View
- 441 Download
- 14 Crossref
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Abstract
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AbstractOBJECTIVES
Complex and diverse factors are related to reproductive health (RH) behavior among adolescents according to the social and cultural context of each countries. This study examined the prevalence of active RH and factors related to active RH behavior among Indonesian adolescents.METHODSA cross-sectional study was conducted among 1,040 of students who were selected through a multi-stage random sampling technique. A self-administered questionnaire was developed, including the World Health Organization Illustrative Questionnaire for Interview-Surveys with Young People, pubertal development scale, and sexual activity scale, modified in accordance to the Indonesian context. The data were analyzed using descriptive and comparative statistics, as well as logistic regression analyses.RESULTSThe prevalence of active RH behavior were more higher in boys (56.6%; 95% confidence interval [CI], 50.6% to 62.6%) than in girls (43.7%; 95% CI, 37.6% to 49.8%). Negative attitudes towards RH were a factor related to active RH behavior in both boys and girls. Smoking and kind relationship envisioned before marriage (pacaran [courtship] and nikah siri [non-registered marriage]) were factors related to active RH behavior in boys; whereas the absence of access to information on substance abuse was an additional factor in girls. Moreover, an interaction was found between access to information on development and smoking (boys) and attitudes on RH (girls) as independent variables associated with active RH behavior.CONCLUSIONSSex education for adolescents in Indonesia, particularly in the context of a health promotion program, should be developed based on prevalent social, cultural, and religious values to prevent active RH behavior. Such programs should focus on the kind of relationship envisioned before marriage and smoking for boys and access to information on subtance abuse for girls. -
Summary
Citations
Citations to this article as recorded by- Using the behaviour change wheel to examine facilitators and barriers to assertive contraception-use conversations for Indonesian women
Levina Adiputri, Leslie Morrison Gutman
Culture, Health & Sexuality.2024; 26(5): 671. CrossRef - Comparing the effect of LINE-based and WhatsApp-based educational interventions on reproductive health knowledge, attitudes, and behaviors among Triad adolescents: A quasi-experimental study
Cecep Eli Kosasih, Tetti Solehati, Ida Maryati
Belitung Nursing Journal.2024; 10(1): 87. CrossRef - The process of overcoming conflicts among teachers in the implementation of comprehensive sexuality education at ordinary public senior high schools in Mataram City, Indonesia: a qualitative study
Fumiko Shibuya, Dian Puspita Sari, Cut Warnaini, Arina Windri Rivarti, Rie Takeuchi, Tracey Elizabeth Claire Jones-Konneh, Calvin de los Reyes, Hamsu Kadriyan, Jun Kobayashi
Tropical Medicine and Health.2023;[Epub] CrossRef - A cross-sectional analysis in order to validate the translation of FSFI-6 to Bahasa Indonesia
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International Journal of Environmental Research and Public Health.2022; 19(19): 11927. CrossRef - Prevalence and determinants of condom use among male adolescents in Indonesia
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International Journal of Adolescent Medicine and Health .2021;[Epub] CrossRef - Determinants Factors of High-risk Sexual Behavior Pregnancy among Adolescent in Indonesia
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Open Access Macedonian Journal of Medical Sciences.2021; 9(T6): 69. CrossRef - Sexual and Reproductive Health Services Utilization among Wolaita Sodo University Students, Ethiopia: A Mixed Method Approach
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The Scientific World Journal.2021; 2021: 1. CrossRef - Development and Testing of the Family Structure and Family Functions Scale for Parents Providing Adolescent Reproductive Health Based on the Friedman Family Assessment Model
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Journal of Nursing Measurement.2018; 26(2): 217. CrossRef - Peer educator training program for enhancing knowledge on issues in the growth and development of adolescents and risk behavior problems in Indonesian context
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Frontiers of Nursing.2018; 5(3): 185. CrossRef - Sex Education in Children and Adolescents With Disabilities in Yogyakarta, Indonesia From a Teachers’ Gender Perspective
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Asia Pacific Journal of Public Health.2017; 29(4): 328. CrossRef - Structural model of factors relating to the health promotion behavior of reproductive health among Indonesian adolescents
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International Journal of Nursing Sciences.2017; 4(4): 367. CrossRef - A community-based friendly health clinic: An initiative adolescent reproductive health project in the rural and urban areas of Indonesia
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