School of Nursing, Midwifery and Social Work, University of Manchester, Room 5.322, 5th Floor, University Place, Jean McFarlane Building, Oxford Road, Manchester, M13 9PL, UK.
Health Educ Res. 2011 Oct;26(5):808-33. doi: 10.1093/her/cyr019. Epub 2011 Apr 7.
Limited evidence exists about the effectiveness of parent/family-based interventions for preventing poor sexual health outcomes, thus a systematic review was conducted as part of a wider review of community-based sex and relationships and alcohol education. Method guidance from the UK's National Institute for Health and Clinical Excellence was adhered to. Overall, 18 databases were searched. In total, 12 108 references were identified, of which 440 were retrieved and screened. Overall, 17 studies met the inclusion criteria. Findings showed that parent-based interventions were inconsistently effective at reducing young people's sexual risk behaviours. Parent-based interventions had greater impact on parent/child communication than family-based interventions, which showed no evidence of effectiveness. However, increasing parent/child communication showed no effect on sexual risk behaviours. Preliminary evidence suggests that effectiveness was greater in those studies aiming to affect multiple risk behaviours. However, this may be due to longer programme delivery and follow-up times; further evidence is required. Sexual health communication was sensitive to intervention. Studies addressing multiple risk behaviours may be as effective as targeted interventions at affecting sexual risk behaviours. Longitudinal controlled studies, examining broader sexual activity outcomes, are needed in countries such as the United Kingdom to inform the evidence base, which is primarily US based, and contribute to related policies and practices.
关于父母/家庭为基础的干预措施预防不良性健康结果的有效性的证据有限，因此作为更广泛的社区性和关系以及酒精教育审查的一部分，进行了系统评价。遵循了英国国家卫生与临床优化研究所的方法指南。总体而言，搜索了 18 个数据库。总共确定了 12108 个参考文献，其中有 440 个被检索和筛选。总体而言，有 17 项研究符合纳入标准。研究结果表明，父母为基础的干预措施在减少年轻人的性风险行为方面效果不一致。父母为基础的干预措施在增强父母/子女沟通方面比家庭为基础的干预措施更有效，后者则没有显示出有效性的证据。然而，增加父母/子女沟通对性风险行为没有影响。初步证据表明，那些旨在影响多种风险行为的研究效果更大。然而，这可能是由于更长的方案实施和随访时间；需要进一步的证据。性健康沟通对干预措施很敏感。针对多种风险行为的研究可能与针对特定行为的干预措施一样有效，能影响性风险行为。需要在英国等国家进行纵向对照研究，以检验更广泛的性活动结果，为主要基于美国的证据基础提供信息，并为相关政策和实践做出贡献。
