Agricultural Commodity Price Volatility and Adolescent Reproductive Health in Developing Economies: Pathways, Controversies, and Policy Priorities.

Agricultural commodity markets remain central to household survival across many developing economies, yet their volatility is rarely framed as an adolescent sexual and reproductive health problem. This mini review uses a structured narrative approach anchored in a screened evidence map of 1065 records, from which 50 papers were retained and 16 studies were prioritized for full synthesis. We define adolescent reproductive health holistically, including sexual agency, contraceptive information and use, pregnancy intention, antenatal and obstetric care, protection from coercion, and maternal and neonatal outcomes. The review provides a concrete answer to the primary question: agricultural commodity price volatility is a distal, context-conditioned determinant of adolescent reproductive health, not a uniform direct cause. Its effects operate mainly through food security, household income, labor allocation, school continuity, gendered bargaining power, and service access. Negative shocks more consistently erode nutrition, schooling, transport to care, and access to adolescent-friendly services, especially among rural girls in households with weak shock buffers. Positive shocks may increase births or union formation when income effects dominate, but they may also harm health when higher labor demand raises the opportunity cost of caregiving and service use. Direct adolescent-specific causal evidence remains limited; therefore, adjacent evidence on fertility, child health, schooling, and maternal or neonatal outcomes is interpreted through an explicit evidence hierarchy rather than treated as equivalent to direct adolescent evidence. Policy priorities include shock-responsive social protection, school retention, contraceptive supply continuity, adolescent-friendly care, and early warning systems that trigger health and education responses during commodity instability.