Plourde Kate F, Ippoliti Nicole B, Nanda Geeta, McCarraher Donna R
Research Utilization, GHPN-Global Health, Population, and Nutrition, FHI 360, Durham, North Carolina.
Research Utilization, GHPN-Global Health, Population, and Nutrition, FHI 360, Durham, North Carolina.
J Adolesc Health. 2017 Aug;61(2):131-139. doi: 10.1016/j.jadohealth.2017.03.002. Epub 2017 May 17.
Adolescent girls and young women (AGYW) are disproportionately affected by HIV and AIDS and other negative reproductive health (RH) outcomes. Emerging evidence suggests that programs to build AGYW's assets can help reduce their vulnerability to poor RH. Mentoring interventions have demonstrated a positive impact on a variety of youth development outcomes, including the protective assets needed to circumvent poor RH outcomes. The purpose of this review was to understand the types of mentoring programs for AGYW that have demonstrated effectiveness in improving protective assets, and/or, RH knowledge, intentions, behaviors, or outcomes themselves. Interventions were identified through an electronic search of the peer-reviewed and the gray literature. Studies were excluded in stages based on reviews of titles, abstracts, and full text. A review of 491 publications yielded a total of 19 articles that were included in the final review. The majority of the publications examined the impact of the one-to-one mentoring model in the United States. However, a good proportion examined the impact of both one-on-one and group-based interventions globally. The few interventions that followed a group-based model demonstrated more promise; evaluations of this model demonstrated a positive impact on RH knowledge and behavior, academic achievement, financial behavior, and social networks, as well as reductions in the experience of violence. Group-based mentoring programs demonstrated the most promise in building AGYW's protective assets and improving their RH outcomes. The most successful interventions consisted of multiple components, including mentoring, that sought to directly improve AGYW's protective assets and met with more frequency over a longer duration. Despite the promising evidence, more research is needed to better understand the relationship between assets and RH; the characteristics of successful mentoring programs; and the influence mentoring alone has on RH outcomes, versus mentoring as part of a larger RH program.
青春期女孩和年轻女性（AGYW）受艾滋病毒和艾滋病以及其他不良生殖健康（RH）结果的影响尤为严重。新出现的证据表明，旨在增强AGYW资产的项目有助于降低她们面临不良生殖健康问题的脆弱性。指导干预已被证明对各种青少年发展成果产生积极影响，包括规避不良生殖健康结果所需的保护性资产。本综述的目的是了解已证明在改善保护性资产和/或生殖健康知识、意图、行为或结果本身方面有效的针对AGYW的指导项目类型。通过对同行评审文献和灰色文献进行电子检索来确定干预措施。根据标题、摘要和全文评审分阶段排除研究。对491篇出版物的综述共产生19篇纳入最终综述的文章。大多数出版物研究了美国一对一指导模式的影响。然而，相当一部分研究了全球一对一和基于小组的干预措施的影响。少数遵循基于小组模式的干预措施显示出更大的前景；对该模式的评估表明，它对生殖健康知识和行为、学业成绩、财务行为和社交网络产生了积极影响，同时减少了暴力经历。基于小组的指导项目在构建AGYW的保护性资产和改善她们的生殖健康结果方面显示出最大的前景。最成功的干预措施包括多个组成部分，包括指导，这些措施旨在直接改善AGYW的保护性资产，并在更长时间内更频繁地进行。尽管有这些有前景的证据，但仍需要更多研究来更好地理解资产与生殖健康之间的关系；成功的指导项目的特点；以及单独的指导对生殖健康结果的影响，与作为更大的生殖健康项目一部分的指导的影响相比。
