Buhi Eric R, Goodson Patricia
Department of Community and Family Health, University of South Florida, Tampa, Florida 33612, USA.
J Adolesc Health. 2007 Jan;40(1):4-21. doi: 10.1016/j.jadohealth.2006.09.027.
To better understand why adolescents initiate sexual activity at early ages, we conducted a systematic literature review guided by eight key elements outlined in an integrative theoretical framework.
Using the matrix method for literature reviews, we extracted-from 69 published studies-statistically significant and nonsignificant findings (related to the attempted prediction/explanation of adolescents' sexual behavior and intention) and organized them using the various integrative model elements. We also assessed these publications' methodological quality including each study's deployment of theory, appropriate design, and data analytic/reporting techniques.
Three integrative theoretical framework elements-intention, perceived norms, and an environmental constraint variable, time home alone-emerged as stable predictors of sexual behavior outcomes in this body of literature. This analysis revealed, however, a literature that has remained rather stagnant regarding its methodological quality, over time.
Implications for adolescent sexual health promotion practice and research are discussed.
为了更好地理解青少年为何过早开始性行为，我们在一个综合理论框架中概述的八个关键要素的指导下进行了一项系统的文献综述。
我们使用文献综述的矩阵方法，从69项已发表的研究中提取了（与青少年性行为和意图的预测/解释相关的）具有统计学意义和无统计学意义的结果，并使用各种综合模型要素对其进行组织。我们还评估了这些出版物的方法学质量，包括每项研究的理论应用、适当的设计以及数据分析/报告技术。
在这组文献中，综合理论框架的三个要素——意图、感知规范和一个环境约束变量“独自在家的时间”——成为性行为结果的稳定预测因素。然而，随着时间的推移，这一分析显示该文献在方法学质量方面一直相当停滞不前。
讨论了对青少年性健康促进实践和研究的启示。
