Parental Monitoring and Its Associations With Adolescent Sexual Risk Behavior: A Meta-analysis.
Parental Monitoring and Its Associations With Adolescent Sexual Risk Behavior: A Meta-analysis.
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父母的监测及其与青少年性风险行为的关联：一项荟萃分析。
DOI：
10.1542/peds.2015-0305
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发表时间：
2015-12
期刊：
影响因子：
8
通讯作者：
Guilamo-Ramos V
中科院分区：
文献类型：
--
作者：
Dittus PJ;Michael SL;Becasen JS;Gloppen KM;McCarthy K;Guilamo-Ramos V
保健提供者越来越多地采用以父母为对象的办法，努力改善青少年的性健康和生殖健康。需要进行研究，以阐明服务提供者可以有效地针对青少年和父母的领域。父母监控提供了这样一个机会，给予一致的保护协会与青少年性风险行为。然而，对于监测的哪些组成部分最有效和最适合于提供者发起的以家庭为基础的干预措施，人们知之甚少。我们进行了一项荟萃分析，以评估父母监控与青少年性交、安全套使用和避孕药具使用之间的关联程度。我们对Medline、护理和相关健康文献累积索引、PsycInfo、科克伦、教育资源信息中心、社会服务摘要、社会学摘要、Proquest和谷歌学术进行了检索。我们选择了1984年至2014年发表的研究，这些研究以英语撰写，包括青少年，并研究了父母监控和性行为之间的关系。我们使用混合效应模型提取效应量数据来计算合并优势比（OR）。更高的总体监测（合并OR，0.74; 95%置信区间[CI]，0.69-0.80），监测知识（合并OR，0.81; 95% CI，0.73-0.90）和规则执行（合并OR，0.67; 95% CI，0.59-0.75）与延迟性交相关。更高的总体监测（合并OR，1.12; 95%CI，1.01-1.24）和监测知识（合并OR，1.14; 95%CI，1.01-1.31）与更多的安全套使用相关。最后，更高的总体监测与避孕药具使用率增加相关（合并OR，1.42; 95%CI，1.09-1.86），监测知识也是如此（合并OR，2.27; 95%CI，1.42-3.63）。各研究的效应量不一致，大多数研究是横断面的。由提供者发起的以家庭为基础的干预措施，侧重于父母的监测，是加强青少年性健康和生殖健康的一种新机制。
Increasingly, health care providers are using approaches targeting parents in an effort to improve adolescent sexual and reproductive health. Research is needed to elucidate areas in which providers can target adolescents and parents effectively. Parental monitoring offers one such opportunity, given consistent protective associations with adolescent sexual risk behavior. However, less is known about which components of monitoring are most effective and most suitable for provider-initiated family-based interventions. We performed a meta-analysis to assess the magnitude of association between parental monitoring and adolescent sexual intercourse, condom use, and contraceptive use. We conducted searches of Medline, the Cumulative Index to Nursing and Allied Health Literature, PsycInfo, Cochrane, the Education Resources Information Center, Social Services Abstracts, Sociological Abstracts, Proquest, and Google Scholar. We selected studies published from 1984 to 2014 that were written in English, included adolescents, and examined relationships between parental monitoring and sexual behavior. We extracted effect size data to calculate pooled odds ratios (ORs) by using a mixed-effects model. Higher overall monitoring (pooled OR, 0.74; 95% confidence interval [CI], 0.69–0.80), monitoring knowledge (pooled OR, 0.81; 95% CI, 0.73–0.90), and rule enforcement (pooled OR, 0.67; 95% CI, 0.59–0.75) were associated with delayed sexual intercourse. Higher overall monitoring (pooled OR, 1.12; 95% CI, 1.01–1.24) and monitoring knowledge (pooled OR, 1.14; 95% CI, 1.01–1.31) were associated with greater condom use. Finally, higher overall monitoring was associated with increased contraceptive use (pooled OR, 1.42; 95% CI, 1.09–1.86), as was monitoring knowledge (pooled OR, 2.27; 95% CI, 1.42–3.63). Effect sizes were not uniform across studies, and most studies were cross-sectional. Provider-initiated family-based interventions focused on parental monitoring represent a novel mechanism for enhancing adolescent sexual and reproductive health.
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影响因子：
4.6
作者：
Capaldi, DM;Crosby, L;Stoolmiller, M
通讯作者：
Stoolmiller, M
影响因子：
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