aDivision of Adolescent Medicine, Children's Hospital of Pittsburgh of UPMC bDepartment of Pediatrics, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA.
Curr Opin Obstet Gynecol. 2013 Oct;25(5):364-9. doi: 10.1097/GCO.0b013e328364ecab.
Adolescent relationship abuse (ARA) involves a range of coercive and violent behaviours in romantic or consensual relationships. ARA is prevalent and is associated with multiple poor reproductive and sexual health outcomes, especially for adolescent girls.
Recent studies and reviews of ARA research point to the prevalence of ARA, health consequences of ARA and the contribution of social and cultural norms to ARA perpetration, all of which can inform how to address ARA more effectively with adolescents. Emerging research on reproductive and sexual coercion among adolescents and technology-based abuse is directly relevant to the reproductive and sexual healthcare of adolescents.
Current findings underscore the extent to which young, reproductive-aged women may particularly benefit from more effective methods to address ARA. In line with recent American Congress of Obstetricians and Gynecologists recommendations, clinicians should assess for and counsel their adolescent female patients about how ARA and reproductive and sexual coercion may influence adolescent girls' reproductive health. Recent evidence also highlights that ARA manifests in ways that may be less recognizable to clinicians, such as cyber dating abuse. Finally, ARA prevention and intervention efforts should continue to promote gender equity and address the social and cultural norms that shape adolescent girls' experiences of abuse.
目的综述:青少年恋爱关系中的虐待(adolescent relationship abuse,ARA)涉及到在恋爱或双方同意的关系中一系列强制性和暴力行为。ARA 普遍存在,并与多种不良生殖和性健康结果相关,特别是对少女而言。
最新发现:最近对 ARA 研究的研究和综述指出了 ARA 的普遍性、ARA 的健康后果以及社会和文化规范对 ARA 持续存在的影响,所有这些都可以为如何更有效地与青少年解决 ARA 问题提供信息。关于青少年生殖和性胁迫以及基于技术的虐待的新兴研究与青少年的生殖和性保健直接相关。
总结:目前的研究结果强调了年轻的育龄妇女可能特别需要更有效的方法来解决 ARA 问题。与最近的美国妇产科医师大会建议一致,临床医生应该评估并向他们的青少年女性患者提供咨询,了解 ARA 和生殖和性胁迫如何影响少女的生殖健康。最近的证据还强调,ARA 以可能对临床医生来说不太明显的方式表现出来,例如网络约会虐待。最后,ARA 的预防和干预工作应继续促进性别平等,并解决影响少女遭受虐待经历的社会和文化规范。