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The Impact of Childhood Trauma on Adolescent Sexual Health: A Scoping Review Fitriya, Yuni; Rokhanawati, Dewi; Askuri
Journal of Epidemiology and Public Health Vol. 10 No. 3 (2025)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/jepublichealth.2025.10.03.05

Abstract

Background: Violence against children is a serious global problem. The United Nations reports that more than one billion children experience violence every year. Childhood trauma resulting from such violence has a significant impact on adolescent sexual health, increasing the risk of early sexual initiation and sexually transmitted infections. This study aimed to identify the nature and scope of available research literature on the impact of childhood trauma on adolescent sexual health.Subjects and Method: This was a scoping review within the Arkey and O'Maley approach. The framework used in this study employed PCC (population, concept, and context). The population includes adolescents with childhood trauma, the concept focuses on adolescent sexual health, and the context is childhood trauma. The inclusion criteria in this study were primary research articles using English or Indonesian published in the last 10 years (2015 to 2025), full-text articles, and free. Article selection used Rayyan described in the PRISMA Flowchart, and the Critical Appraisal article assessment used Joanna Briggs Institute (JBI).Results: The results of the study, which included a total of 9 articles, stated that childhood trauma in children can be caused by various forms of violence against children, including physical violence, sexual violence, verbal violence, parental divorce, domestic violence, and neglect. All types of childhood trauma are significantly associated with risky health outcomes such as early sex, unmarital sex, teenage pregnancy, being a teenage parent, consuming illegal drugs and alcohol, and early puberty. Each increase in the type of childhood trauma experiences significantly increases risky sexual health.Conclusion: Adolescents who have childhood trauma are more at risk of various types of high-risk health behaviors such as early sexual intercourse, casual sex, teenage pregnancy, becoming teenage parents, at risk of Sexually Transmitted Infections (STIs), early puberty, consuming illegal drugs and alcohol, and committing violence.
The Impact of Childhood Trauma on Adolescent Sexual Health: A Scoping Review Fitriya, Yuni; Rokhanawati, Dewi; Askuri
Journal of Epidemiology and Public Health Vol. 10 No. 3 (2025)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/jepublichealth.2025.10.03.05

Abstract

Background: Violence against children is a serious global problem. The United Nations reports that more than one billion children experience violence every year. Childhood trauma resulting from such violence has a significant impact on adolescent sexual health, increasing the risk of early sexual initiation and sexually transmitted infections. This study aimed to identify the nature and scope of available research literature on the impact of childhood trauma on adolescent sexual health.Subjects and Method: This was a scoping review within the Arkey and O'Maley approach. The framework used in this study employed PCC (population, concept, and context). The population includes adolescents with childhood trauma, the concept focuses on adolescent sexual health, and the context is childhood trauma. The inclusion criteria in this study were primary research articles using English or Indonesian published in the last 10 years (2015 to 2025), full-text articles, and free. Article selection used Rayyan described in the PRISMA Flowchart, and the Critical Appraisal article assessment used Joanna Briggs Institute (JBI).Results: The results of the study, which included a total of 9 articles, stated that childhood trauma in children can be caused by various forms of violence against children, including physical violence, sexual violence, verbal violence, parental divorce, domestic violence, and neglect. All types of childhood trauma are significantly associated with risky health outcomes such as early sex, unmarital sex, teenage pregnancy, being a teenage parent, consuming illegal drugs and alcohol, and early puberty. Each increase in the type of childhood trauma experiences significantly increases risky sexual health.Conclusion: Adolescents who have childhood trauma are more at risk of various types of high-risk health behaviors such as early sexual intercourse, casual sex, teenage pregnancy, becoming teenage parents, at risk of Sexually Transmitted Infections (STIs), early puberty, consuming illegal drugs and alcohol, and committing violence.
Cost-effectiveness of long-acting versus short-acting contraception in adolescents: A systematic review Fitriya, Yuni; Rizqi Aulia Purnamasari, Arryan; Amalia, Fiki; Wuri Astuti, Andari; Binti Mohd Arifin, Siti Roshaidai Binti Mohd Arifin; Viska Icanervilia, Ajeng
Journal of Health Technology Assessment in Midwifery Vol. 8 No. 2 (2025): November
Publisher : Universitas Aisyiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31101/jhtam.4586

Abstract

Background: Child marriage remains a global reproductive health concern, placing adolescents at high risk of early pregnancy and obstetric complications. The selection of effective and cost-efficient contraceptive methods is essential to prevent unintended pregnancies. This study aimed to identify and compare scientific evidence on the cost-effectiveness of long-acting reversible contraception (LARC) versus short-acting reversible contraception (SARC) among married adolescents. Subjects and Method: This study was a systematic review guided by the PRISMA 2020 statement, employing the PICO framework. The population comprised married adolescents aged 10–19 years; the intervention included long-acting reversible contraceptives (IUDs and implants); the comparison involved short-acting reversible contraceptives (oral pills, injectables, and condoms); and the outcome focused on economic evaluation in health care. Literature searches were conducted in PubMed, ScienceDirect, and Google Scholar using MeSH-based keywords and Boolean operators. Articles meeting the inclusion criteria were screened using Rayyan, and their quality was assessed using the Consolidated Health Economic Evaluation Reporting Standards (CHEERS) checklist. Data were narratively synthesized based on parameters of cost-effectiveness, cost-utility, cost-benefit, Incremental Cost-Effectiveness Ratio (ICER), Average Cost-Effectiveness Ratio (ACER), and Quality-Adjusted Life Years (QALY). Results: Of the 471 articles identified, six met the inclusion criteria. Most studies employed Markov or decision tree models. The findings consistently indicated that LARC methods were more cost-saving compared to SARC. In Indonesia, IUDs had an ICER of USD 0.84 per pregnancy averted, compared to USD 3.76 for oral pills and USD 5.18 for injectables. In India, the etonogestrel implant achieved an Incremental Cost-Utility Ratio (ICUR) of USD 232 per QALY, well below the national willingness-to-pay threshold. In Kenya, the lowest cost per couple-year of protection was reported for IUDs at USD 4.87. Overall, LARC was shown to prevent more unintended pregnancies at a lower cost compared to SARC. Conclusion: Long-acting reversible contraceptives are more cost-effective than short-acting methods among married adolescents, supporting their prioritization in family planning policies to improve access and utilization.