Panisch Lisa S, Faulkner Monica, Fernandez Sofia B, Fava Nicole M
The University of Texas at Austin, Austin, TX, USA.
Florida International University, Miami, FL, USA.
Health Educ Behav. 2020 Dec;47(6):880-893. doi: 10.1177/1090198120954398. Epub 2020 Sep 8.
Traumatic experiences are common among adolescents and can negatively affect learning and increase the risk of early pregnancy, parenthood, and sexually transmitted infections. Little is known about how current sexual health interventions address trauma. A scoping review was conducted to gain insight into how trauma is addressed in adolescent sexual health interventions. Peer-reviewed studies from the United States published between 2008 and 2018 describing a sexual health intervention for youth were considered. Studies were analyzed to determine if and how trauma was addressed in the interventions. Out of 169 articles initially screened, 29 met inclusion criteria and 23% ( = 6) addressed trauma. Four interventions addressed trauma in the intervention content, while two studies evaluated trauma in outcome measures. Educators can broaden this reach by developing trauma-informed content that is compatible with existing curricula. Ongoing study is recommended to evaluate the impact of trauma-informed content on the sexual knowledge, attitudes, and behaviors of youth.
创伤经历在青少年中很常见,会对学习产生负面影响,并增加早孕、成为父母和感染性传播疾病的风险。目前对于性健康干预措施如何应对创伤知之甚少。开展了一项范围综述,以深入了解青少年性健康干预措施中如何应对创伤。纳入了2008年至2018年间美国发表的、描述针对青少年的性健康干预措施的同行评审研究。对这些研究进行分析,以确定干预措施中是否以及如何应对创伤。在最初筛选的169篇文章中,29篇符合纳入标准,其中23%(=6篇)涉及创伤问题。四项干预措施在干预内容中涉及创伤,而两项研究在结果测量中评估了创伤。教育工作者可以通过开发与现有课程兼容的、了解创伤情况的内容来扩大覆盖范围。建议持续开展研究,以评估了解创伤情况的内容对青少年性知识、态度和行为的影响。