Addressing sexual health behaviour during emerging adulthood: a critical review of the literature.
Addressing sexual health behaviour during emerging adulthood: a critical review of the literature.
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解决新兴成年期间的性健康行为：对文献的批判性评论。
DOI：
10.1111/jocn.12640
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发表时间：
2015-01
影响因子：
4.2
通讯作者：
D'Antonio P
中科院分区：
文献类型：
--
作者：
Alexander KA;Jemmott LS;Teitelman AM;D'Antonio P
在这篇重要文献综述中，我们研究了针对 18 至 25 岁新兴成年女性性行为的循证干预措施。护士和临床医生为感染艾滋病毒/艾滋病和性传播感染风险较高的年轻女性实施理论驱动的研究项目。美国疾病控制与预防中心等公共卫生机构严格评估和推广减少艾滋病毒和性传播感染传播的策略。尽管许多干预措施显示性危险行为和感染传播的情况有所减少，但几乎没有证据表明它们可以培养可持续的技能和行为。计划可能不会关注对性行为改变的背景和情感影响。议论文。我们对疾病控制和预防中心的最佳证据和良好证据的艾滋病毒行为干预措施进行了基于概念的文献回顾和批判性分析。在这篇综述中，我们研究了对新兴成年女性性健康的三种背景和情感影响：（1）发育年龄，（2）生育和怀孕愿望，以及（3）伴随关系经历的性安全或情绪反应。我们的分析显示，干预计划很少关注年龄、怀孕愿望或情绪因素影响性决定的方式。一些项目包括 18 至 25 岁的人，但他们只占样本的一小部分，并且没有关注独特的新兴成人体验。其次，对感染预防的主要关注掩盖了参与者对怀孕的渴望。第三，很少有干预措施考虑源自涉及性决策的关系经历的情绪机制。越来越多的证据表明，如果加强性健康干预措施以关注对关系风险和决策的背景和情感影响，性健康干预措施可能会更有效。修改目前接受的策略可能会增强性健康促进行为的可持续性。
In this critical literature review, we examine evidence-based interventions that target sexual behaviours of 18- to 25-year-old emerging adult women. Nurses and clinicians implement theory-driven research programmes for young women with increased risk of HIV/AIDS and sexually transmitted infections. Strategies to decrease transmission of HIV and sexually transmitted infections are rigorously evaluated and promoted by public health agencies such as the United States Centers for Disease Control and Prevention. While many interventions demonstrate episodic reductions in sexual risk behaviours and infection transmission, there is little evidence they build sustainable skills and behaviours. Programmes may not attend to contextual and affective influences on sexual behaviour change. Discursive paper. We conducted a conceptually based literature review and critical analysis of the Centers for Disease Control and Prevention’s best-evidence and good-evidence HIV behavioural interventions. In this review, we examined three contextual and affective influences on the sexual health of emerging adult women: (1) developmental age, (2) reproduction and pregnancy desires and (3) sexual security or emotional responses accompanying relationship experiences. Our analyses revealed intervention programmes paid little attention to ways age, desires for pregnancy or emotional factors influence sexual decisions. Some programmes included 18- to 25-year-olds, but they made up small percentages of the sample and did not attend to unique emerging adult experiences. Second, primary focus on infection prevention overshadowed participant desires for pregnancy. Third, few interventions considered emotional mechanisms derived from relationship experiences involved in sexual decision-making. Growing evidence demonstrates sexual health interventions may be more effective if augmented to attend to contextual and affective influences on relationship risks and decision-making. Modifying currently accepted strategies may enhance sustainability of sexual health-promoting behaviours.
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影响因子：
12.7
作者：
Choi, Kyung-Hee;Hoff, Colleen;Gregorich, Steven E.;Grinstead, Olga;Gomez, Cynthia;Hussey, Wendy
通讯作者：
Hussey, Wendy
影响因子：
2
作者：
Ariely, D;Loewenstein, G
通讯作者：
Loewenstein, G
影响因子：
7.6
作者：
Galinsky, Adena M.;Sonenstein, Freya L.
通讯作者：
Sonenstein, Freya L.
影响因子：
5.8
作者：
Finer, Larence B.;Henshaw, Stanley K.
通讯作者：
Henshaw, Stanley K.
影响因子：
3.3
作者：
Boyce, P;Huang Soo Lee, M;Aggleton, P
通讯作者：
Aggleton, P