Effective approaches to reducing adolescent unprotected sex, pregnancy, and childbearing

Effective approaches to reducing adolescent unprotected sex, pregnancy, and childbearing
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DOI:
10.1080/00224490209552120
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发表时间:
2002-02-01
影响因子:
3.6
通讯作者:
Kirby, D
Kirby, D
中科院分区:
心理学2区
文献类型:
--
作者:
Kirby, D

文献摘要

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在美国,有许多不同的方法来减少青少年的性风险、意外怀孕、生育和性传播疾病,包括艾滋病毒。虽然这些方法中的许多方法对某些结果有一些积极的影响(例如更多的知识),但只有其中一些方案实际上推迟了性行为的开始,增加了避孕套或避孕措施的使用,并减少了年轻人中无保护的性行为。这篇文章总结了73项研究及其各自的计划,并描述了四组有相当有力证据的计划,这些计划可以推迟性行为,增加避孕套或避孕用具的使用,或减少青少年怀孕或生育。这四组方案包括:(A)具有特定特点的性和艾滋病毒教育课程;(B)具有一些共同特点的卫生环境中的一对一临床医生-病人协议;(C)服务学习方案;以及(D)具有多个组成部分的特别强化青年发展方案。
In the United States, there exist a multitude of different approaches to reducing adolescent sexual risk-taking, unintended pregnancy, childbearing, and sexually, transmitted disease, including HIV While many of these approaches have some positive effects upon some outcomes (such as greater knowledge), only some of these programs actually delay the initiation of sex, increase condom or contraceptive use, and reduce unprotected sex among youth. This article summarizes a review of 73 studies and their respective programs, and describes four groups of programs which have reasonably strong evidence that they delay sex, increase condom or contraceptive use, or reduce teen pregnancy, or childbearing. These four groups of programs include (a) sex and HIV education curricula with specified characteristics, (b) one-on-one clinician-patient protocols in health settings with some common qualities, (c) service learning programs, and (d) a particular intensive youth development program with multiple components.