1 Närhälsan Knowledge Centre for Sexual Health, Region Västra Götaland, Sweden.
2 Division of Community Medicine, Department of Medical and Health science, Linköping, University, Sweden.
Scand J Public Health. 2018 Dec;46(8):817-834. doi: 10.1177/1403494818783077. Epub 2018 Jun 29.
To describe evaluated sexual health interventions for young people in state care and provide an assessment of the quality of and evidence for these interventions.
A systematic review of sexual health interventions for young people in state care was conducted. Randomised controlled trials and quasi-experimental designs were eligible, 2051 records were screened, 412 full-text studies retrieved, and 12 publications with low-to-moderate risk of bias included.
Due to substantial heterogeneity in study populations, settings, intervention approaches, outcomes and measures, standard summary measures for intervention outcomes was not used. Instead, data were synthesised across studies and presented narratively.
Without making recommendations, the result suggests that group-based educational interventions in general increase knowledge, attitudes and behaviour compared with standard care. However, these findings need to be further investigated, with a special emphasis on cultural context and the involvement of young people.
描述针对国家照顾的年轻人的评估性健康干预措施，并对这些干预措施的质量和证据进行评估。
对国家照顾的年轻人的性健康干预措施进行了系统评价。合格的研究设计包括随机对照试验和准实验设计，共筛选了 2051 条记录，获取了 412 篇全文研究，并纳入了 12 项低到中度偏倚风险的出版物。
由于研究人群、环境、干预方法、结果和测量指标的高度异质性，没有使用干预结果的标准汇总指标。相反，数据在研究之间进行了综合，并以叙述的方式呈现。
虽然没有提出建议，但结果表明，与标准护理相比，一般基于群体的教育干预措施确实可以增加知识、态度和行为。然而，这些发现需要进一步研究，特别强调文化背景和年轻人的参与。
