Reflections on two decades of research on teen sexual behavior and pregnancy

Reflections on two decades of research on teen sexual behavior and pregnancy
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DOI:
10.1111/j.1746-1561.1999.tb07214.x
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发表时间:
1999-03-01
影响因子:
2.2
通讯作者:
Kirby, D
Kirby, D
中科院分区:
医学4区
文献类型:
--
作者:
Kirby, D

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在过去的20年里,研究人员和项目开发人员在减少青少年无保护性行为和预防青少年怀孕方面取得了很大进展。研究现在更可能采用随机分配的实验设计,以获得具有足够统计功效的大样本量,测量实际的性行为和避孕行为,测量长期效果,采用适当的统计方法,并以公正的方式报告结果。由于这项研究,我们对以下问题的理解有了很大的进步:1)少女怀孕的发生率及其后果; 2)提高青少年知识的效果,增加避孕的机会,改善父母/子女的沟通; 3)有效方案的特点。对性教育和艾滋病教育项目的错误评估,加上项目开发者的创造力和毅力,导致了两组有效的项目--减少性冒险行为的性教育和艾滋病教育项目,以及减少青少年怀孕和生育的青年发展项目。
During the past 20 years, both researchers and program developers made great progress in their efforts to reduce adolescent unprotected sex and prevent teen pregnancy. Research studies are now more likely to employ experimental designs with random assignment to have large sample sizes with adequate statistical power, to measure actual sexual and contraceptive behaviors, to measure longer term effects, to employ proper statistical methods, and to report results in an unbiased manner. As a result of this this body of research, large advances have occurred in our understanding of: 1)the incidence of teen pregnancy and its consequences; 2) the effects of improving adolescent knowledge, increasing access to contraception and improving parent/child communication; and 3) the characteristics of effective programs. The err-going evaluation of sex and HN education programs coupled with creativity and perseverance on the part of program developers led to two groups of effective programs - sex and HIV education programs that reduce sexual risk-taking behavior, and youth development programs that reduce teen-age pregnancy and childbearing.