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干预大学生与酒精相关的危险性行为:系统评价。

Interventions for alcohol-related risky sexual behaviors among college students: A systematic review.

机构信息

Department of Psychology, University of Wyoming.

出版信息

Psychol Addict Behav. 2017 Dec;31(8):944-950. doi: 10.1037/adb0000294. Epub 2017 Jun 22.

DOI:10.1037/adb0000294
PMID:28639814
Abstract

Alcohol-related risky sexual behaviors are common among college students. Though various interventions targeting these behaviors have been examined, the literature does not currently include a review of these strategies. A comprehensive literature search was conducted, yielding 7 randomized controlled trials. Relevant outcome variables included unprotected sex, alcohol in conjunction with sex, and number of sexual partners. Findings suggested that interventions utilizing reminder cues or motivational interviewing-based techniques were largely found to be effective in increasing condom use behaviors among intoxicated individuals, while support for personalized normative feedback (PNF) for the same outcome was mixed. However, PNF interventions were generally effective in reducing alcohol use in conjunction with sex. Finally, though few studies examined number of sexual partners, there are mixed findings for interventions (i.e., motivational interviewing, PNF) targeting this outcome. Overall, there is promising, albeit mixed, evidence of the effectiveness of interventions targeting various alcohol-related risky sexual behaviors among college students. Strengths, limitations, and implications of the findings of this systematic review for future research are discussed. (PsycINFO Database Record

摘要

大学生中普遍存在与酒精相关的危险性行为。尽管已经针对这些行为进行了各种干预措施的研究,但目前文献中并未对这些策略进行综述。我们进行了全面的文献检索,共纳入了 7 项随机对照试验。相关的结局变量包括无保护性行为、酒精与性行为同时发生以及性伴侣数量。结果表明,利用提醒线索或基于动机访谈的技术的干预措施在很大程度上被发现可有效增加醉酒个体使用避孕套的行为,而个性化规范反馈(PNF)干预措施对同一结局的支持则存在差异。然而,PNF 干预措施通常可有效减少酒精与性行为同时发生。最后,尽管很少有研究检查性伴侣的数量,但针对这一结局的干预措施(即动机访谈、PNF)存在混合结果。总的来说,针对大学生各种与酒精相关的危险性行为的干预措施具有一定的有效性,但证据尚存在差异。本系统评价的发现对未来研究的优势、局限性和意义进行了讨论。

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