Vargas Gabriela, Borus Joshua, Charlton Brittany M
aDivision of Adolescent/Young Adult Medicine, Boston Children's Hospital bDepartment of Pediatrics, Boston, Massachusetts, USA.
Curr Opin Pediatr. 2017 Aug;29(4):393-398. doi: 10.1097/MOP.0000000000000510.
Although teenage pregnancy is declining in many parts of the world, it remains associated with considerable social, health, and economic outcomes. Pregnancy prevention efforts focus primarily on young women, with minimal attention to young men. This review highlights recent literature pertaining to the role of young men in pregnancy prevention.
Young men have varying views on contraception as well as which partner(s) should be responsible for its use. Limited contraception knowledge reduces young men's sexual health communication as well as their contraception use. Healthcare providers play a major role as one of the main sources of sexual health information for young men, but there are gaps in young men's sexual health care so new guidelines have emerged.
Recent literature highlights young men's range of views on contraception as well as their low sexual health knowledge and sexual health communication. To address teenage pregnancy and improve young men's overall wellness, healthcare providers should routinely address sexual health. Healthcare providers may use our newly proposed acronym, HIS BESTT, (Hello. Initiate. Sexual health assessment. Both condoms and female dependent methods. Examine genitals. STI screening. Talking to partner(s). Talking to parent(s) or guardians), to incorporate current clinical recommendations.
尽管世界许多地区青少年怀孕率在下降，但它仍与相当多的社会、健康和经济后果相关。预防怀孕的努力主要集中在年轻女性身上，而对年轻男性关注极少。本综述重点介绍了近期有关年轻男性在预防怀孕中作用的文献。
年轻男性对避孕以及应由哪一方伴侣负责使用避孕措施有不同看法。避孕知识有限会减少年轻男性的性健康交流以及他们对避孕措施的使用。医疗服务提供者作为年轻男性性健康信息的主要来源之一发挥着重要作用，但年轻男性的性健康护理存在差距，因此出现了新的指导方针。
近期文献突出了年轻男性对避孕的各种看法以及他们性健康知识和性健康交流水平较低的情况。为解决青少年怀孕问题并改善年轻男性的整体健康状况，医疗服务提供者应常规性地关注性健康。医疗服务提供者可使用我们新提出的首字母缩写词HIS BESTT（打招呼。开启话题。进行性健康评估。同时使用避孕套和女性依赖型避孕方法。检查生殖器。进行性传播感染筛查。与伴侣交流。与父母或监护人交流）来纳入当前的临床建议。
