Child Trends, Inc., Bethesda, MD, USA.
Promundo, Washington, DC, USA.
Am J Mens Health. 2022 May-Jun;16(3):15579883221104895. doi: 10.1177/15579883221104895.
One promising though understudied approach to addressing race/ethnic disparities in teen pregnancy rates is through sexual and reproductive health (SRH) programming for young men. This pilot study assessed the feasibility, quality, and preliminary efficacy of Manhood 2.0-a group-based, after-school SRH program for young Black and Latino men, which examines gender norms. This mixed-methods study describes program attendance and quality; participant experiences and engagement in the program; and changes in participant gender norms, knowledge, attitudes, self-efficacy, and social support. Quantitative data from baseline and post-intervention surveys ( = 51) were analyzed using paired -tests and McNemar's tests. Qualitative data from five post-intervention focus groups ( = 27) were transcribed, coded, and analyzed for themes. At baseline, participants were ages 15 to18 years ( = 16.4 years), 30% were Latino, 66% were Black, 34% ever had sex, and 44% of sexually active participants had sex without any contraceptive method or condom. Quality ratings by program observers were high. The majority of participants (61%) attended at least 75% of sessions, and 96% rated Manhood 2.0 as "very good" or "excellent." Pre-post comparisons showed increases in receipt of SRH information; contraception knowledge; positive attitudes about supporting partners in pregnancy prevention; self-efficacy in partner communication about sex; discussing program content with friends and family; and social competence and support. Focus group participants described benefits from the Manhood 2.0 content (i.e., full range of contraceptive methods, sexual consent, gender norms) and delivery (i.e., reflective discussion, nonjudgmental facilitators). Findings suggest that Manhood 2.0 is a promising SRH program for young men.
有一种有前景但研究不足的方法可以解决青少年怀孕率的种族/民族差异,那就是为年轻男性提供性健康和生殖健康(SRH)计划。这项试点研究评估了 Manhood 2.0 的可行性、质量和初步效果,这是一个针对年轻黑人和拉丁裔男性的基于小组的课后 SRH 计划,该计划检查了性别规范。这项混合方法研究描述了计划的出勤率和质量;参与者在计划中的经验和参与度;以及参与者的性别规范、知识、态度、自我效能感和社会支持的变化。基线和干预后调查的定量数据(n=51)使用配对检验和 McNemar 检验进行分析。从五个干预后焦点小组(n=27)转录、编码和分析定性数据以确定主题。在基线时,参与者的年龄为 15 至 18 岁(平均年龄为 16.4 岁),30%是拉丁裔,66%是黑人,34%曾经发生过性行为,44%有过性行为的参与者在没有任何避孕方法或避孕套的情况下发生性行为。项目观察员的质量评分很高。大多数参与者(61%)至少参加了 75%的课程,96%的人将 Manhood 2.0 评为“非常好”或“优秀”。前后比较显示,获得 SRH 信息、避孕知识、对支持伴侣预防怀孕的积极态度、与伴侣就性问题进行沟通的自我效能感、与朋友和家人讨论项目内容以及社交能力和支持方面都有所增加。焦点小组参与者描述了 Manhood 2.0 内容(即全面的避孕方法、性同意、性别规范)和交付(即反思性讨论、非评判性的促进者)的好处。研究结果表明,Manhood 2.0 是一个很有前途的年轻男性 SRH 计划。