Division of Adolescent Medicine, Children's Mercy Kansas City, Kansas City, Missouri.
University of Missouri Kansas City School of Medicine, Kansas City, MO AND University of Kansas Medical Center, Kansas City, KS.
Semin Reprod Med. 2022 Mar;40(1-02):131-145. doi: 10.1055/s-0042-1742347. Epub 2022 Jan 20.
This article provides an overview of the social determinants of adolescents and young adults' (AYAs') sexual and reproductive health (SRH), from a global health perspective. The status of AYAs' SRH constitutes leading health indicators across nations and globally, and reveals the well-being of this population. Throughout the article, AYAs' SRH is approached from a health equity perspective, which includes SRH health rights and reproductive justice. Using this health equity lens, salient topics are presented: sexual abuse/assault among AYAs; immigrant and refugee populations; child, early, and forced marriage; human trafficking; and female genital mutilation. The article also discusses access to SRH services and comprehensive education. Practical implications and resources are offered for healthcare providers for their daily encounters with AYAs, as well as for community, institutional level, and advocacy action. Healthcare providers are well positioned to advance AYAs SRH through mitigating inequities and in so doing, they are assuring the health of the population and future generations.
本文从全球健康的角度概述了青少年和年轻人（AYAs）的性与生殖健康（SRH）的社会决定因素。AYAs 的 SRH 状况构成了各国和全球领先的健康指标，并反映了这一人群的健康状况。在整篇文章中，AYAs 的 SRH 是从健康公平的角度来探讨的，其中包括 SRH 健康权利和生殖公正。利用这一健康公平视角，呈现了一些突出的主题：AYAs 中的性虐待/性侵犯；移民和难民群体；童婚、早婚和强迫婚姻；人口贩运；以及女性生殖器切割。文章还讨论了获得 SRH 服务和全面教育的问题。为医疗保健提供者提供了实用的影响和资源，以帮助他们在日常工作中与 AYAs 接触，以及在社区、机构层面和倡导行动中。医疗保健提供者通过减轻不平等现象，为推进 AYAs 的 SRH 提供了良好的定位，从而确保了人口和后代的健康。
