Evidence mapPaperPMID 42597243Full record

ArticleFrontiers in public health2026

A multi-level community-based systems dynamic approach to advance equitable adolescent sexual and reproductive health in Chicago.

Whitney R Garney, Kelly Wilson, Meagan Miller, Christi Esquivel, Kobi V Ajayi

Abstract read
In one paragraph

Article in Frontiers in public health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Whitney R GarneyCenter for Community Health and Aging, College Station, TX, United States.
Kelly WilsonCenter for Community Health and Aging, College Station, TX, United States.
Meagan MillerCenter for Community Health and Aging, College Station, TX, United States.
Christi EsquivelCenter for Community Health and Aging, College Station, TX, United States.
Kobi V AjayiCenter for Community Health and Aging, College Station, TX, United States.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Teenage pregnancy in the United States (U.S) continues to be a serious public health concern, despite the significant declines in birth rates documented over the last three decades. Risk factors leading to teen pregnancy go far beyond individual-level behavior, like engaging in risky sexual behaviors, and can be linked to a web of interconnected ecological influences outside of an adolescent's proximal locus of control. Individual behaviors, interpersonal relationships, community environments, and structural conditions interact in complex ways to shape adolescents' sexual and reproductive health (SRH) outcomes. These multi-level influences highlight the need for a systems approach capable of capturing the complexity of teen pregnancy and its associated risk factors. The Chicago Partnerships & Opportunities for Adolescent Health Preparation, Support & Services (POPSS) is a multi-level initiative that aims to improve adolescent sexual and reproductive health, support positive youth development, and advance health equity by expanding the use of medically accurate, age-appropriate, evidence-based teen pregnancy prevention programs. In this report, we describe the POPSS project, which addresses multi-level factors contributing to teen pregnancy in Chicagoland through a systems SRH initiative. Context: This project used community-based systems dynamics (CBSD) to conceptualize the challenges of teenage pregnancy. This was conducted through community listening sessions, annual iterative systems dynamic mapping, and continuous improvement integrated throughout the project to rapidly respond to changes. With an understanding of the system's complexity, the POPSS stakeholders identified diverse implementation settings, such as healthcare, schools, and community settings where adolescents congregate, and evidence-based teen pregnancy prevention programs to ultimately enhance adolescent SRH equity. Conclusion: Increasing equitable access to evidence-based teen pregnancy prevention programs hinges on a systems approach operationalized through strategic partnerships.

Indexed as

Pregnancy in AdolescenceReproductive HealthSexual HealthAdolescentChicagoFemaleHumansPregnancyadolescentscommunity-based system dynamicsevidence-based programshealth equitysexual and reproductive healthsystem thinking

Identifiers

PMID42597243
PMCPMC13467899

What Socratic holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.