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Treatment Model for Young Patients with Psychogenic Erectile Dysfunction and Resultant Infertility

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Adolescent Mental Health, Contraceptive Knowledge, and Teen Pregnancy Risk: A Systematic Review.

Denisa Hinoveanu^1,2, Ileana Enatescu³, Catalin Dumitru¹

¹Department of Obstetrics and Gynecology, "Victor Babes" University of Medicine and Pharmacy Timisoara, 300041 Timisoara, Romania.

Healthcare (Basel, Switzerland)

|November 13, 2025

Summary

Adolescent mental health issues are linked to challenges with contraception access and use, potentially increasing teen pregnancy risk. Integrated approaches are needed to address these connections.

Keywords:

adolescent anxiety contraceptive knowledge delayed contraception depression misinformation teenage pregnancy

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A Novel Method for Involving Women of Color at High Risk for Preterm Birth in Research Priority Setting

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Published on: January 12, 2018

Area of Science:

Public Health
Adolescent Health
Mental Health Research

Background:

Adolescent mental health conditions, including depression and anxiety, can impair crucial skills for timely contraception.
Uneven quality of online health information presents challenges for adolescents seeking reproductive health resources.

Purpose of the Study:

To synthesize existing evidence on the relationship between adolescent mental health, contraceptive knowledge and access, and teen pregnancy risk.
To identify indirect pathways through which mental health symptoms may influence pregnancy outcomes in adolescents.

Main Methods:

Systematic literature search of PubMed, Embase, and Scopus databases up to July 2025, adhering to PRISMA-2020 guidelines.
Inclusion of primary studies measuring validated mental health symptoms or psychiatric settings in adolescents, alongside contraceptive outcomes or teen pregnancy.
Data extraction and risk of bias assessment using Newcastle-Ottawa Scale and ROBINS-I, followed by narrative synthesis due to study heterogeneity.

Main Results:

Six U.S. studies were included, with sample sizes ranging from 143 to over 29,000 adolescents.
Depressive symptoms were associated with reduced contraception access (aOR 1.58), and anxiety/stress showed similar risks (aOR 1.46).
A first depressive episode coinciding with sexual debut increased teen pregnancy risk (aHR 2.70); mental health indicators correlated with contraception non-use (ORs 1.78-2.71).

Conclusions:

Direct evidence linking adolescent mental health symptoms to teen pregnancy is scarce, but associations with contraceptive knowledge/access and use are evident.
These findings suggest indirect pathways from mental health issues to increased teen pregnancy risk.
The results underscore the need for hypothesis-generating, integrated interventions and further research focusing on teen pregnancy endpoints.