应用统一行为理论加强美国医疗服务提供者和年轻患者之间的性健康讨论

Application of the unified theory of behavior to strengthen sexual health discussions between providers and young patients in the United States

——原载《性与生殖健康展望》2024年第56卷第1期——

<Perspective on Sexual and Reproductive Health >, 2024, 56 (1)

【摘要】背景：医疗保健提供者与青少年和年轻成年患者之间的性健康讨论是解决和改善性健康的重要策略。然而，医疗保健提供者在常规临床就诊期间通常不会与年轻患者进行全面的性健康讨论。方法：我们建议使用概念模型—统一行为理论（UTB）作为工具，帮助医疗保健提供者促进与年轻患者进行更全面的性健康对话。结果：我们提出了关于医疗保健提供者如何在对患者进行例行临床就诊期间将UTB与现有性健康评估结合使用的临床方案。结论：使用UTB可能是一种有效的工具，可以帮助医疗保健提供者在常规临床就诊以及以性健康和生殖健康为重点的就诊期间发起性健康讨论，并促进与青少年和年轻成年患者进行更全面的性健康对话。

[Abstract] Context: Sexual health discussions between healthcare providers and adolescent and young adult patients are an important strategy for addressing and improving sexual health. However, healthcare providers often do not engage in comprehensive sexual health discussions with young patients during routine clinical visits. Methods: We propose the use of a conceptual model, the Unified Theory of Behavior (UTB), as a tool that can aid healthcare providers in facilitating more comprehensive sexual health conversations with young patients. Results: We present clinical scenarios on how healthcare providers can use the UTB with existing sexual health assessments during routine, clinical visits with their patients. Conclusions: Using the UTB may be one effective tool to aid healthcare providers in initiating sexual health discussions and facilitating more comprehensive sexual health conversations with adolescent and young adult patients during routine clinical visits and sexual and reproductive health-focused visits.

论文原文：Yzette Lanier, Dennis Rivera-Cash, Claudine Lavarin, Alena Goldstein, Luke Cantu, Baomi Phung, Vincent Guilamo-Ramos, Madeline Sutton (2024). Application of the unified theory of behavior to strengthen sexual health discussions between providers and young patients in the United States. Perspective on Sexual and Reproductive Health, Volume 56, Issue 1, Pages 4-15, March 9, 2024.

https://doi.org/10.1111/psrh.12253

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