Indigenous Youth Peer-Led Health Promotion in Canada, New Zealand, Australia, and the United States: A Systematic Review of the Approaches, Study Designs, and Effectiveness.
Indigenous Youth Peer-Led Health Promotion in Canada, New Zealand, Australia, and the United States: A Systematic Review of the Approaches, Study Designs, and Effectiveness.
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DOI：
10.3389/fpubh.2018.00031
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发表时间：
2018
影响因子：
5.2
通讯作者：
Ward J
中科院分区：
文献类型：
--
作者：
Vujcich D;Thomas J;Crawford K;Ward J
青年同伴主导的干预措施已成为与年轻人分享健康信息的一种流行方式，并且似乎非常适合土著社区环境。然而，尚未发表针对土著青年的系统评论。我们进行了系统审查，以了解已实施的土著青年主导的健康促进项目的范围和特点及其有效性。对 Medline、Embase 和 ProQuest 社会科学数据库进行了系统检索，并辅以灰色文献检索。纳入的研究重点关注年轻土著居民向年龄匹配的同龄人提供健康信息的干预措施。根据 20 项干预措施（9 项来自澳大利亚、4 项加拿大和 7 项来自美国），确定纳入 24 项研究。使用随机对照研究设计仅评估了一项干预措施。大多数评估采取事前事后研究的形式。大多数研究都发现了方法学的局限性。研究成果包括知识、态度和行为的提高。目前，关于同伴主导的健康干预措施对土著年轻人的有效性的高质量证据有限，并且文献主要以澳大利亚的性健康干预措施为主。需要进行更系统的研究来调查同行主导发明的有效性，特别是针对土著居民。为了改善土著青年的健康成果，需要更多地了解同伴提供的健康促进与其他健康促进方法相比更有效的机制和背景。
Youth peer-led interventions have become a popular way of sharing health information with young people and appear well suited to Indigenous community contexts. However, no systematic reviews focusing on Indigenous youth have been published. We conducted a systematic review to understand the range and characteristics of Indigenous youth-led health promotion projects implemented and their effectiveness. A systematic search of Medline, Embase, and ProQuest Social Sciences databases was conducted, supplemented by gray literature searches. Included studies focused on interventions where young Indigenous people delivered health information to age-matched peers. Twenty-four studies were identified for inclusion, based on 20 interventions (9 Australian, 4 Canadian, and 7 from the United States of America). Only one intervention was evaluated using a randomized controlled study design. The majority of evaluations took the form of pre–post studies. Methodological limitations were identified in a majority of studies. Study outcomes included improved knowledge, attitude, and behaviors. Currently, there is limited high quality evidence for the effectiveness of peer-led health interventions with Indigenous young people, and the literature is dominated by Australian-based sexual health interventions. More systematic research investigating the effectiveness of peer-led inventions is required, specifically with Indigenous populations. To improve health outcomes for Indigenous youth, greater knowledge of the mechanisms and context under which peer-delivered health promotion is effective in comparison to other methods of health promotion is needed.
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影响因子：
2
作者：
Bauman, Laurie J.;Sclafane, Jamie Heather;Macklin, Ruth
通讯作者：
Macklin, Ruth
影响因子：
1.8
作者：
Crouch, Alan;Robertson, Heather;Fagan, Patricia
通讯作者：
Fagan, Patricia
DOI：
10.1111/1753-6405.12078
发表时间：
2013-08-01
影响因子：
3.5
作者：
Fagan, Patricia;Cannon, Fiona;Crouch, Alan
通讯作者：
Crouch, Alan
影响因子：
8
作者：
Eskicioglu, Pinar;Halas, Joannie;McGavock, Jonathan M.
通讯作者：
McGavock, Jonathan M.
影响因子：
1.7
作者：
Crooks, Claire V.;Exner-Cortens, Deinera;Chiodo, Debbie
通讯作者：
Chiodo, Debbie