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The age of opportunity: Prevalence of key risk factors among adolescents 10–19 years of age in nine communities in sub‐Saharan Africa

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dc.creator Berhane, Y.
dc.creator Canavan, C. R.
dc.creator Darling, A. M.
dc.creator Sudfeld, C. R.
dc.creator Vuai, S.
dc.creator Adanu, R.
dc.creator Bärnighausen, T.
dc.creator Dessie, Y.
dc.creator Bukenya, J. N.
dc.date 2020-03-23T09:32:36Z
dc.date 2020-03-23T09:32:36Z
dc.date 2020
dc.date.accessioned 2022-10-20T13:09:16Z
dc.date.available 2022-10-20T13:09:16Z
dc.identifier Berhane, Y., Canavan, C. R., Darling, A. M., Sudfeld, C. R., Vuai, S., Adanu, R., ... & Killewo, J. (2020). The age of opportunity: prevalence of key risk factors among adolescents 10–19 years of age in nine communities in sub‐Saharan Africa. Tropical Medicine & International Health, 25(1), 15-32.
dc.identifier https://doi.org/10.1111/tmi.13339
dc.identifier http://hdl.handle.net/20.500.12661/2292
dc.identifier.uri http://hdl.handle.net/20.500.12661/2292
dc.description Full Text Article. Also available at: https://doi.org/10.1111/tmi.13339
dc.description To measure health-related behaviours and risk factors among sub-Saharan African adolescents. Cross-sectional study in nine communities in Burkina Faso, Ethiopia, Eswatini, Ghana, Nigeria, Tanzania and Uganda between 2015 and 2017. Community-representative samples of males and females 10–19 years of age were selected. All communities used a uniform questionnaire that was adapted from the WHO Global School-based Student Health Survey. Weighted prevalence estimates and 95% confidence intervals were calculated for each indicator and stratified by age and sex using SAS version 9.4. All prevalence estimates were pooled across communities through random-effects meta-analyses in Stata version 14.resultsA total of 8075 adolescents participated in the study. We observed a high prevalence of inadequate fruit consumption (57–63%) and low physical activity (82–90%); a moderate prevalence of inadequate vegetable consumption (21–31%), unprotected last sex (38–45%), age at first sex<15 years(21–28%) and bullying and physical fighting (12–35%); and a low prevalence of mental health risk factors (1–11%) and alcohol and substance use risk factors (0–6%). We observed a moderate to high prevalence of daily soft drink consumption (21–31%) for all adolescents. Among sexually active adolescents 15–19 years, 37% of females reported ever being pregnant and 8% of males reported to have ever made someone pregnant. Bullying (23%) and physical fighting (35%) were more common among younger male adolescents. The prevalence of low mood was generally higher among older (15–19 years) than younger adolescents (10–14 years). The proportion of adolescents reporting alcohol, drug or cigarette use was very small, with the exception of khat use in Ethiopia. Overall, diet and physical activity, violence, sexual and reproductive health, and depression are important risk factors for these sub-Saharan African communities. These findings suggest that more evidence is needed including novel efforts for the collection of sensitive information, as well as a need to move towards community-tailored interventions to reach adolescent populations with varying needs.
dc.language en
dc.publisher Wiley Online
dc.subject Adolescent health
dc.subject SRH
dc.subject Nutrition
dc.subject Mental health
dc.subject African adolescents
dc.subject Health-related behaviours
dc.subject Adolescents
dc.title The age of opportunity: Prevalence of key risk factors among adolescents 10–19 years of age in nine communities in sub‐Saharan Africa
dc.type Article


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