London School of Hygiene and Tropical Medicine, Keppel Street, London WC1E 7HT, United Kingdom.
Stud Fam Plann. 2012 Dec;43(4):239-54. doi: 10.1111/j.1728-4465.2012.00324.x.
This study presents findings from a systematic review of the evidence regarding the effectiveness of youth centers in increasing use of sexual and reproductive health (SRH) services in lower- and middle-income countries. Evidence from peer-reviewed and gray literature between 1990 and 2010 was reviewed. After the screening of 3,769 citations, 21 studies reporting on 17 youth center programs were included, and were ranked by strength of evidence. Considerable consistency in findings across studies was observed. Youth centers generally served a relatively small proportion of young people living nearby. The main users were young men attending school or college, with a significant proportion older than the target age. Users of the on-site SRH services were predominantly young women, with a significant proportion older than the target age group. Uptake of services was generally low. Despite widespread emphasis on youth centers as a strategy for encouraging young people to access SRH services, results from these studies have not been encouraging, and cost-effectiveness for these purposes is likely to be low.
本研究对有关青年中心在增加中低收入国家青少年性与生殖健康（SRH）服务使用方面有效性的证据进行了系统评价。对 1990 年至 2010 年间的同行评议文献和灰色文献进行了审查。在筛选了 3769 条引文后，纳入了 21 项报告 17 个青年中心方案的研究，并按证据强度进行了排名。研究结果具有相当大的一致性。青年中心通常只为附近居住的少数青少年提供服务。主要使用者是在校上学的年轻男性，其中相当一部分人的年龄超过了目标年龄。现场使用生殖健康服务的主要是年轻女性，其中相当一部分人的年龄超过了目标年龄组。服务利用率普遍较低。尽管普遍强调青年中心是鼓励年轻人获得生殖健康服务的一种策略，但这些研究的结果并不令人鼓舞，而且从这些目的来看，其成本效益可能较低。
