Interacciones sociales y salud sexual y reproductiva de los adolescentes: una revisión sistemática
Resumen
Antecedentes: Los adolescentes enfrentan desafíos en la salud sexual y reproductiva, influenciados por los pares, la familia y la comunidad. Esta revisión sistemática analiza los factores sociales que influyen en su comportamiento sexual y sus implicaciones para la salud sexual y reproductiva.
Métodos: Se siguieron las directrices PRISMA y se realizó una búsqueda en CINAHL, Medline, Cochrane Library, PubMed y ProQuest. Se incluyeron estudios cuantitativos, cualitativos y mixtos sobre interacciones sociales y comportamiento sexual en adolescentes y adultos jóvenes. La calidad se evaluó con CASP y ROBINS-E.
Resultados: De 1.888 artículos, 35 estudios fueron incluidos. La influencia de los pares se asoció con la iniciación sexual temprana y conductas de riesgo, mientras que la supervisión parental y la comunicación familiar influyeron positivamente. El estigma social y los factores psicosociales también afectaron el comportamiento sexual adolescente.
Conclusión: Las interacciones sociales influyen de forma significativa en el comportamiento sexual adolescente, lo que subraya la necesidad de intervenciones integrales que fortalezcan la comunicación familiar, la educación sexual comunitaria y la reducción del estigma.
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1. Patton GC, Sawyer SM, Santelli JS, Ross DA, Afifi R, Allen NB, et al. Our future: a Lancet commission on adolescent health and wellbeing. Lancet. 2016;387:2423-78.
2. Baird S, Ezeh A, Azzopardi P, Choonara S, Kleinert S, Sawyer S, et al. Realising transformative change in adolescent health and wellbeing: a second Lancet Commission. Lancet. 2022;400:545-7.
3. World Health Organization. Adolescent health [Internet]. Geneva: WHO; 2024 [citado 15 feb 2026]. Disponible en: https://www.who.int/health-topics/adolescent-health#tab=tab_1
4. World Health Organization. Adolescent sexual and reproductive health and rights [Internet]. Geneva: WHO; 2024.
5. Janighorban M, Boroumandfar Z, Pourkazemi R, Mostafavi F. Barriers to vulnerable adolescent girls’ access to sexual and reproductive health. BMC Public Health. 2022;22:2212.
6. Ouedraogo L, Nkurunziza T, Muriithi A, John TK, Asmani C, Elamin H, et al. The WHO African Region: research priorities on sexual and reproductive health and rights. Adv Reprod Sci. 2020;9:13.
7. Beninger C. Reproductive Rights, UN Sustainable Development Goals and International Human Rights Law. In: Gender Equality. 2021. p.1013-25.
8. Hegde A, Chandran S, Pattnaik JI. Understanding adolescent sexuality: A developmental perspective. J Psychosex Health. 2022;4:237-42.
9. Ritchwood TD, Ford H, DeCoster J, Sutton M, Lochman JE. Risky sexual behavior and substance use among adolescents: A meta-analysis. Child Youth Serv Rev. 2015;52:74-88.
10. Ikobo LCO, Mandilou SVM, Matsielo MJ, Ngamo LT, Nika ER, Babela JRM. Sexual Behaviour of Congolese Teenagers. Open J Pediatr. 2021;11:656-68.
11. Lee RLT, Yuen Loke A, Hung TTM, Sobel H. A systematic review on identifying risk factors associated with early sexual debut and coerced sex among adolescents and young people in communities. J Clin Nurs. 2018;27:478-501.
12. Lin WH, Liu CH, Yi CC. Exposure to sexually explicit media in early adolescence is related to risky sexual behavior in emerging adulthood. PLoS One. 2020;15:e0230242.
13. Malhotra S. Impact of the sexual revolution: consequences of risky sexual behaviors. J Am Physicians Surg. 2008;13:88.
14. Chambers BD, Erausquin JT. The promise of intersectional stigma to understand the complexities of adolescent pregnancy and motherhood. J Child Adolesc Behav. 2015;3:249.
15. Wu X, Zhou X, Chen Y, Lin YF, Li Y, Fu L, et al. Global, regional, and national burdens of HIV/AIDS acquired through sexual transmission 1990-2019: an observational study. Sex Health. 2024;21.
16. Maguena RJK, Alves Jorge SA, Ngoungou EB, Van den Broucke S. Determinants of Adolescent Sexual Behavior in Sub-Saharan Africa: A Systematic Review of In-School and Out-of-School Adolescents. Public Health Rev. 2025;46. https://doi.org/10.3389/phrs.2025.1608357
17. Short SE, Mollborn S. Social determinants and health behaviors: conceptual frames and empirical advances. Curr Opin Psychol. 2015;5:78-84.
18. Merdović B, Počuča M, Dragojlović J. Parental supervision and control as a predictive factor of juvenile delinquency. Int J Cogn Res Sci Eng Educ. 2024;12:239-50.
19. Biney A, Ofori C. Adults’ Qualitative Accounts of Adolescent Sexual Activity in A Resource-Constrained Urban Setting: What Role Does Social Disorganization Play? Ghana J Geogr. 2024;16:119-27.
20. Bae SH, Jeong J, Yang Y. Socially Disadvantaged Community Structures and Conditions Negatively Influence Risky Sexual Behavior in Adolescents and Young Adults: A Systematic Review. Int J Public Health. 2022;67:1604488. https://doi.org/10.3389/ijph.2022.1604488
21. Goodrum NM, Armistead LP, Tully EC, Cook SL, Skinner D. Parenting and youth sexual risk in context: The role of community factors. J Adolesc. 2017;57:1-12. https://doi.org/10.1016/j.adolescence.2017.02.013
22. Therriault D, Lemelin J, Toupin J, Martin-Storey A, Déry M. Associations between externalizing behavior problems and risky sexual behaviors in adolescence: Attachment as a mediator. J Adolesc. 2024;96:394-410.
23. World Health Organization. Adolescents in a changing world: the case for urgent investment. Geneva: WHO; 2024.
24. Finger A. Claiming All Of Our Bodies: Reproductive Rights And Disability. In: Test-Tube Women. Routledge; 2024. p.281-97.
25. Page MJ, McKenzie JE, Bossuyt PM, Boutron I, Hoffmann TC, Mulrow CD, et al. The PRISMA 2020 statement: An updated guideline for reporting systematic reviews. BMJ. 2021;372:n71. https://doi.org/10.1136/bmj.n71
26. Critical Appraisal Skills Programme. CASP checklist for descriptive/cross-sectional studies [Internet]. 2024 [citado 5 may 2026]. Disponible en: https://casp-uk.net/casp-checklists/CASP-checklist-cross-sectional-study-2024.pdf
27. Critical Appraisal Skills Programme. CASP checklist for qualitative research [Internet]. 2024 [citado 5 may 2026]. Disponible en: https://casp-uk.net/casp-checklists/CASP-checklist-qualitative-2024.pdf
28. Higgins JPT, Morgan RL, Rooney AA, Taylor KW, Thayer KA, Silva RA, et al. A tool to assess risk of bias in non-randomized follow-up studies of exposure effects (ROBINS-E). Environ Int. 2024;186:108602. https://doi.org/10.1016/j.envint.2024.108602
29. Abiodun O, Sodeinde K, Jagun O, Ladele A, Adepoju A, Ohiaogu F, et al. Influence of Perception of Family Support and Functioning on Adolescent High-Risk Sexual Behavior. Am J Trop Med Hyg. 2021;104:1153-63. https://doi.org/10.4269/ajtmh.20-0732
30. Akers AY, Gold MA, Bost JE, Adimora AA, Orr DP, Fortenberry JD. Variation in Sexual Behaviors in a Cohort of Adolescent Females: The Role of Personal, Perceived Peer, and Perceived Family Attitudes. J Adolesc Health. 2011;48:87-93. https://doi.org/10.1016/j.jadohealth.2010.05.004
31. Anatale K, Kelly S. Factors Influencing Adolescent Girls’ Sexual Behavior: A Secondary Analysis of the 2011 Youth Risk Behavior Survey. Issues Ment Health Nurs. 2015;36:217-21. https://doi.org/10.3109/01612840.2014.963902
32. Baumgartner SE, Valkenburg PM, Peter J. Assessing Causality in the Relationship Between Adolescents’ Risky Sexual Online Behavior and Their Perceptions of this Behavior. J Youth Adolesc. 2010;39:1226-39. https://doi.org/10.1007/s10964-010-9512-y
33. Browning CR, Leventhal T, Brooks-Gunn J. Neighborhood context and racial differences in early adolescent sexual activity. Demography. 2004;41:697-720. https://doi.org/10.1353/dem.2004.0029
34. Chiao C, Yi CC. Adolescent premarital sex and health outcomes among Taiwanese youth: Perception of best friends’ sexual behavior and the contextual effect. AIDS Care. 2011;23:1083-92. https://doi.org/10.1080/09540121.2011.555737
35. Cubbin C, Santelli J, Brindis CD, Braveman P. Neighborhood Context and Sexual Behaviors Among Adolescents. Perspect Sex Reprod Health. 2005;37:125-34. https://doi.org/10.1363/3712505
36. Dessie Y, Berhane Y, Worku A. Parent-adolescent sexual and reproductive health communication is very limited and associated with adolescent poor behavioral beliefs and subjective norms. PLoS One. 2015;10. https://doi.org/10.1371/journal.pone.0129941
37. Iqbal S, Zakar R, Zakar MZ, Fischer F. Perceptions of adolescents’ sexual and reproductive health and rights. BMC Int Health Hum Rights. 2017;17. https://doi.org/10.1186/s12914-017-0113-7
38. Kerpelman JL, McElwain AD, Pittman JF, Adler-Baeder FM. Engagement in Risky Sexual Behavior: Adolescents’ Perceptions of Self and the Parent–Child Relationship Matter. Youth Soc. 2016;48:101-25. https://doi.org/10.1177/0044118X13479614
39. Lohman BJ, Billings A. Protective and risk factors associated with adolescent boys’ early sexual debut and risky sexual behaviors. J Youth Adolesc. 2008;37:723-35. https://doi.org/10.1007/s10964-008-9283-x
40. Martino SC, Collins RL, Kanouse DE, Elliott M, Berry SH. Social cognitive processes mediating the relationship between exposure to television’s sexual content and adolescents’ sexual behavior. J Pers Soc Psychol. 2005;89:914-24. https://doi.org/10.1037/0022-3514.89.6.914
41. Negeri EL. Assessment of risky sexual behaviors and risk perception among youths in Western Ethiopia. BMC Public Health. 2014;14. https://doi.org/10.1186/1471-2458-14-301
42. Paudel DP, Paudel L. Perceived behavior and practices of adolescents on sexual and reproductive health. Muller J Med Sci Res. 2014;5:106-12. https://doi.org/10.4103/0975-9727.135736
43. Prinstein MJ, Meade CS, Cohen GL. Adolescent Oral Sex, Peer Popularity, and Perceptions of Best Friends’ Sexual Behavior. J Pediatr Psychol. 2003;28:243-9.
44. Rink E, Tricker R, Harvey SM. Onset of Sexual Intercourse among Female Adolescents. J Adolesc Health. 2007;41:398-406. https://doi.org/10.1016/j.jadohealth.2007.04.017
45. Reininger BM, Pérez A, Aguirre Flores MI, Chen Z, Rahbar MH. Perceptions of social support, empowerment and youth risk behaviors. J Prim Prev. 2012;33:33-46. https://doi.org/10.1007/s10935-012-0260-5
46. Sanchez D, Whittaker TA, Hamilton E. Perceived Discrimination, Peer Influence and Sexual Behaviors in Mexican American Preadolescents. J Youth Adolesc. 2016;45:928-44. https://doi.org/10.1007/s10964-016-0420-7
47. Udigwe IB, Adogu PO, Nwabueze AS, Adinma ED, Ubajaka CF, Onwasigwe C. Factors Influencing Sexual Behavior among Female Adolescents in Onitsha, Nigeria. Open J Obstet Gynecol. 2014;4:987-95. https://doi.org/10.4236/ojog.2014.416139
48. Warner TD. Adolescent Sexual Risk Taking: The Distribution of Youth Behaviors and Perceived Peer Attitudes Across Neighborhood Contexts. J Adolesc Health. 2018;62:226-33. https://doi.org/10.1016/j.jadohealth.2017.09.007
49. Achen S, Rwabukwali CB, Atekyereza P. Socio-cultural perceptions of sexuality influencing the sexual and reproductive health of pastoral adolescent girls in Uganda. Soc Sci Humanit Open. 2021;4. https://doi.org/10.1016/j.ssaho.2021.100191
50. Akers AY, Muhammad MR, Corbie-Smith G. “When you got nothing to do, you do somebody”: A community’s perceptions of neighborhood effects on adolescent sexual behaviors. Soc Sci Med. 2011;72:91-99. https://doi.org/10.1016/j.socscimed.2010.09.035
51. Baraki SG, Thupayagale-Tshweneagae GB. Socio-cultural factors perceived to influence sexual behaviours of adolescents in Ethiopia. Afr J Prim Health Care Fam Med. 2023;15. https://doi.org/10.4102/PHCFM.V15I1.3865
52. Challa S, Manu A, Morhe E, Dalton VK, Loll D, Dozier J, et al. Multiple levels of social influence on adolescent sexual and reproductive health decision-making and behaviors in Ghana. Women Health. 2018;58:434-50. https://doi.org/10.1080/03630242.2017.1306607
53. Dietrich J, Khunwane M, Laher F, de Bruyn G, Sikkema KJ, Gray G. “Group sex” parties and other risk patterns. Vulnerable Child Youth Stud. 2011;6:244-54. https://doi.org/10.1080/17450128.2011.597796
54. Kumsa DM. Factors Affecting the Sexual Behavior of Youth and Adolescent in Jimma Town, Ethiopia. Eur Sci J. 2015;11.
55. Maluleke TX. The youths’ perceptions of sexuality in the Limpopo Province of South Africa. Health SA Gesondheid. 2007;12. https://doi.org/10.4102/hsag.v12i3.260
56. Meena JK, Verma A, Kishore J, Ingle GK. Sexual and Reproductive Health: Knowledge, Attitude, and Perceptions among Young Unmarried Male Residents of Delhi. Int J Reprod Med. 2015;2015:1-6. https://doi.org/10.1155/2015/431460
57. Montoya TA, Coker-Appiah DS, Eng E, Wynn MR, Townsend TG. A Qualitative Exploration of Rural African American Youth Perceptions about the Effect of Dating Violence on Sexual Health. J Child Fam Stud. 2013;22:48-62. https://doi.org/10.1007/s10826-012-9642-9
58. Opiyo GA, Owenga JA, Osir EA. Perception of the Youth Aged 15 to 24 Years on Sexual Debut, Mitigation Strategies, and Associated Health Effects in Homa Bay County, Kenya. East Afr J Health Sci. 2024;7:493-503. https://doi.org/10.37284/eajhs.7.1.2293
59. Potard C, Courtois R, Rusch E. The influence of peers on risky sexual behaviour during adolescence. Eur J Contracept Reprod Health Care. 2008;13:264-70. https://doi.org/10.1080/13625180802273530
60. Vannier SA, Byers ES. A qualitative study of university students’ perceptions of oral sex, intercourse, and intimacy. Arch Sex Behav. 2013;42:1573-81. https://doi.org/10.1007/s10508-013-0130-0
61. Voisin DR, Bird JDP. “You Get More Respect”: Reasons for Sex Among African American High School Youth. J Soc Serv Res. 2012;38:392-401. https://doi.org/10.1080/01488376.2012.667062
62. Waxman AM, Humphries H, Frohlich J, Dlamini S, Ntombela F. Young women’s life experiences and perceptions of sexual and reproductive health in rural KwaZulu-Natal. Cult Health Sex. 2016;18:1122-36. https://doi.org/10.1080/13691058.2016.1182215
63. Zhang H, Stanton B, Li X, Mao R, Sun Z, Kaljee L, et al. Perceptions and Attitudes Regarding Sex and Condom Use Among Chinese College Students. AIDS Behav. 2004;8:105-17. https://doi.org/10.1023/B:AIBE.0000030242.46843.71
64. UNESCO. International technical guidance on sexuality education: An evidence-informed approach [Internet]. Paris: UNESCO; 2024 [citado 21 feb 2026]. Disponible en: https://www.unesco.org/en/articles/international-technical-guidance-sexuality-education-evidence-informed-approach
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