J Adolesc Health. 2018 Nov;63(5):657-661. doi: 10.1016/j.jadohealth.2018.08.007.
There is a critical need to improve the sexual and reproductive health (SRH) education and care of adolescent and young adult (AYA) males around the globe, as SRH is a basic human right for all AYAs. This special attention toward the SRH of AYA males is warranted given the fact that they often have difficulty accessing SRH services and education relative to their female counterparts and have higher rates of sexual risk behaviors than females. To promote AYA males' SRH and the health of their sexual partners and children, the Society for Adolescent Health and Medicine (SAHM) recommends that leaders in research, policy, public health, and clinical practice develop and implement evidence-based, comprehensive SRH education that supports AYA males at school, within communities and families, and through healthcare services that are developmentally appropriate, gender affirming, inclusive of, and informed by AYA males. Additionally, SAHM recommends that healthcare systems and healthcare professionals (HCPs) across disciplines establish and implement competencies for SRH education and skills preparation to meet the unique needs of AYA males across diverse healthcare and community settings. This statement examines multilevel barriers that AYA males face in accessing comprehensive SRH education and services and makes recommendations aligned with the World Health Organization's 2030 Sustainable Development Goals to address such barriers, improve AYA male SRH, and promote overall gender equity in SRH services.
全球范围内，青少年和年轻男性（AYA）的性与生殖健康（SRH）教育和保健存在巨大的改进需求，因为 SRH 是所有 AYA 的一项基本人权。鉴于 AYA 男性在获得 SRH 服务和教育方面往往比女性更困难，并且性行为风险比女性更高，因此需要特别关注他们的 SRH。为了促进 AYA 男性的 SRH 以及他们性伴侣和孩子的健康，青少年健康与医学学会（SAHM）建议，研究、政策、公共卫生和临床实践领域的领导者应制定和实施基于证据的综合性 SRH 教育，在学校、社区和家庭中为 AYA 男性提供支持，并通过发展适当、性别认同、包容并由 AYA 男性参与的医疗保健服务来提供支持。此外，SAHM 建议医疗保健系统和跨学科的医疗保健专业人员（HCP）建立和实施 SRH 教育和技能准备方面的能力，以满足不同医疗保健和社区环境中 AYA 男性的独特需求。本声明审查了 AYA 男性在获得全面 SRH 教育和服务方面面临的多层次障碍，并提出了与世界卫生组织 2030 年可持续发展目标相一致的建议，以解决这些障碍，改善 AYA 男性的 SRH，并促进 SRH 服务中的整体性别平等。
