An overview of prevention of multiple risk behaviour in adolescence and young adulthood
An overview of prevention of multiple risk behaviour in adolescence and young adulthood
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DOI：
10.1093/pubmed/fdr113
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发表时间：
2012-03-01
影响因子：
4.4
通讯作者：
Haw, Sally J.
中科院分区：
文献类型：
--
作者：
Jackson, Caroline A.;Henderson, Marion;Haw, Sally J.
观察到的青年人风险行为的集群和共同的基本决定因素导致了这样一种主张，即干预措施应采取更广泛的办法来预防风险行为。在这篇综述中，我们综合了为政策制定者、从业人员和学者预防多种风险行为（重点是烟草、酒精和非法药物使用以及性风险行为）的证据。我们的目的是确定有前途的干预方案，并给出一个叙述性的概述风险行为的更广泛的影响，以帮助告知未来的干预战略和政策。减少多种风险行为的最有希望的方案办法同时处理多个风险领域和预示风险行为的保护因素。这些方案力求提高复原力，促进父母/家庭的积极影响和/或健康的学校环境，以支持积极的社会和情感发展。然而，还需要通过更广泛的社会政策变革来应对文化、媒体和社会气候等对风险行为的更广泛影响。此外，应在干预方案和更广泛的政策变革中适当考虑到儿童到成人的过渡阶段积极经历的重要性，以减少青年人在过渡阶段的边缘化、社会排斥和脆弱性。
The observed clustering, and shared underlying determinants, of risk behaviours in young people has led to the proposition that interventions should take a broader approach to risk behaviour prevention. In this review we synthesized the evidence on owhat works' to prevent multiple risk behaviour (focusing on tobacco, alcohol and illicit drug use and sexual risk behaviour) for policy-makers, practitioners and academics. We aimed to identify promising intervention programmes and to give a narrative overview of the wider influences on risk behaviour, in order to help inform future intervention strategies and policies. The most promising programme approaches for reducing multiple risk behaviour simultaneously address multiple domains of risk and protective factors predictive of risk behaviour. These programmes seek to increase resilience and promote positive parental/family influences and/or healthy school environments supportive of positive social and emotional development. However, wider influences on risk behaviour, such as culture, media and social climate also need to be addressed through broader social policy change. Furthermore, the importance of positive experiences during transition periods of the childyouthadult phase of the life course should be appropriately addressed within intervention programmes and broader policy change, to reduce marginalization, social exclusion and the vulnerability of young people during transition periods.