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评估以减少犯罪行为和/或受害情况为结果的青少年约会暴力预防项目的随机对照试验:一项荟萃分析。

Randomized controlled trials evaluating adolescent dating violence prevention programs with an outcome of reduced perpetration and/or victimization: A meta-analysis.

作者信息

Russell Katie N, Voith Laura A, Lee Hyunjune

机构信息

Jack, Joseph, and Morton Mandel School of Applied Social Sciences at Case Western Reserve University, Cleveland, OH, USA.

Jack, Joseph, and Morton Mandel School of Applied Social Sciences at Case Western Reserve University, Cleveland, OH, USA.

出版信息

J Adolesc. 2021 Feb;87:6-14. doi: 10.1016/j.adolescence.2020.12.009. Epub 2021 Jan 9.

DOI:10.1016/j.adolescence.2020.12.009
PMID:33429133
Abstract

INTRODUCTION

Adolescent dating violence (ADV), including psychological, physical, threatening, and/or sexual abuse between adolescent romantic partners, is an epidemic in the United States, with youth report rates ranging from 15 to 77% for perpetration and 14-73% for victimization. ADV victimization is associated with multiple adverse outcomes in both adolescence and adulthood (e.g., suicidal ideation, substance use, bullying), as is ADV perpetration (e.g., sexually transmitted infections, intimate partner violence in adulthood). Given the high prevalence and profound impact of ADV on youth in the US, many prevention efforts have emerged in the past 20 years. Previous reviews of these efforts have focused primarily on school-based interventions or have broadly reviewed programs including all research design types and outcomes. This review is the first to provide a comprehensive, quantitative synthesis of all existing ADV prevention programs tested using randomized controlled trial designs with a control group, specifically measuring ADV perpetration and/or victimization as outcomes.

METHODS

Employing a systematic literature search and screening protocol, nine studies were identified for meta-analysis.

RESULTS

Results indicate that ADV prevention programs may decrease the risk of emotional, physical, and sexual perpetration, as well as emotional and physical victimization.

CONCLUSIONS

This is the first review to uncover significant intervention effects on the actual occurrence of ADV, with previous reviews only finding effects on outcomes such as ADV knowledge and attitude. Findings suggest that ADV prevention programs are promising and may warrant implementation more broadly with youth, and this review provides methodological suggestions for future research evaluating new ADV prevention programs.

摘要

引言

青少年恋爱暴力(ADV),包括青少年恋爱伴侣之间的心理、身体、威胁和/或性虐待,在美国是一种普遍现象,青少年报告的施暴率在15%至77%之间,受害率在14%至73%之间。ADV受害与青少年期和成年期的多种不良后果相关(如自杀意念、物质使用、欺凌),ADV施暴也是如此(如性传播感染、成年期亲密伴侣暴力)。鉴于ADV在美国青少年中的高发生率及其深远影响,在过去20年中出现了许多预防措施。此前对这些措施的综述主要集中在基于学校的干预措施上,或者广泛地综述了包括所有研究设计类型和结果的项目。本综述首次对所有使用随机对照试验设计并设有对照组进行测试的现有ADV预防项目进行了全面的定量综合分析,特别将ADV施暴和/或受害作为结果进行测量。

方法

采用系统的文献检索和筛选方案,确定了9项研究进行荟萃分析。

结果

结果表明,ADV预防项目可能会降低情感、身体和性施暴以及情感和身体受害的风险。

结论

这是首次揭示对ADV实际发生率有显著干预效果的综述,此前的综述仅发现对ADV知识和态度等结果有影响。研究结果表明,ADV预防项目很有前景,可能值得更广泛地在青少年中实施,本综述为未来评估新的ADV预防项目的研究提供了方法学建议。

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