改善青少年性健康和生殖健康相关知识和态度的干预措施：范围审查

Interventions to Improve Sexual and Reproductive Health Related Knowledge and Attitudes Among the Adolescents: Scoping Review

《风险管理和医疗保健政策》2025年，第18卷，第1期

<Risk Management and Healthcare Policy> Volume 18, Issue 1, 2025

      【摘要】人们已经研究了许多干预措施来提高性与生殖健康 (SRH) 知识和态度。这些干预措施旨在防止青少年感染性传播感染 (STI)、意外怀孕和流产。缺乏全面的性教育导致青少年对SRH的理解有限。本研究旨在描述旨在预防青少年RH三联征（性传播感染、意外怀孕和流产）的生殖健康教育干预措施。本研究采用了范围界定审查方法。从三个数据库搜索文章：CINAHL、PubMed 和Scopus。使用的关键词是：生殖健康、性教育、青少年、知识、行为、干预。纳入标准包括定量干预研究、准实验或随机对照试验；涉及10-19岁的青少年；描述至少一种干预措施来提高生殖健康知识、态度或意识；并以英文或印尼语发表于2019–2024年。数据是手动提取的，并使用定性方法进行描述性分析。根据搜索结果，我们发现了13篇文章，讨论了改善青少年生殖健康知识和态度的干预措施。干预类型包括基于智能手机、基于学校、基于游戏、基于教育和基于家庭的干预措施。干预持续时间从几次到几个月不等。活动包括观看视频、通过应用程序访问教育材料、参加学校的讨论和演示、玩教育游戏以及参与互动家庭会议。这些干预措施通常旨在通过各种方法和持续时间来提高青少年对生殖健康的知识和态度。需要进一步研究以探索和制定针对不同青少年群体的更全面和更具情境性的干预措施。

      【关键词】青少年，态度，干预，知识，生殖健康

         [Abstract] Many interventions have been studied to improve sexual and reproductive health (SRH) knowledge and attitudes. These interventions aim to prevent adolescents from the risk of sexually transmitted infections (STIs), unwanted pregnancy, and abortion. The lack of comprehensive sex education contributes to adolescents’ limited understanding of SRH. This study aims to describe reproductive health educational interventions aimed at preventing the RH triad (STIs, unintended pregnancies, and abortions) in adolescents. This study employed a scoping review method. Articles were searched from three databases: CINAHL, PubMed, and Scopus. The keywords used were: reproductive health, sex education, adolescent, knowledge, behavior, intervention. Inclusion criteria included quantitative intervention research, quasi-experimental, or randomized controlled trials; involving adolescents aged 10–19 years; describing at least one intervention to improve knowledge, attitudes, or awareness about reproductive health; and published in English or Indonesian between 2019–2024. Data were manually extracted and analyzed descriptively using qualitative methods. Based on the search results, 13 articles were identified that discussed interventions to improve adolescents’ knowledge and attitudes towards reproductive health. The types of interventions included smartphone-based, school-based, game-based, educational, and family-based interventions. The duration of interventions varied from a few sessions to several months. Activities included watching videos, accessing educational materials through apps, participating in discussions and demonstrations at school, playing educational games, and engaging in interactive family sessions. These interventions generally aim to enhance adolescents’ knowledge and attitudes towards reproductive health through various methods and durations. Further studies are needed to explore and develop more comprehensive and contextual interventions for diverse adolescent groups.

      [Key words] adolescents, attitude, intervention, knowledge, reproductive health

      论文原文：Yayu Handayani Syaidar Putri,Ida Maryati & Tetti Solehati (2025). Interventions to Improve Sexual and Reproductive Health Related Knowledge and Attitudes Among the Adolescents: Scoping Review. Risk Management and Healthcare Policy, Volume 18, Issue 1, Pages 105-116.

https://doi.org/10.2147/RMHP.S490395

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