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社会弱势群体的结构和条件对青少年和年轻人的危险性行为有负面影响:系统评价。

Socially Disadvantaged Community Structures and Conditions Negatively Influence Risky Sexual Behavior in Adolescents and Young Adults: A Systematic Review.

机构信息

College of Nursing, Graduate Program in System Health Science and Engineering, Ewha Womans University, Seoul, South Korea.

Graduate School of Clinical and Public Health Convergence, Ewha Womans University, Seoul, South Korea.

出版信息

Int J Public Health. 2022 Nov 7;67:1604488. doi: 10.3389/ijph.2022.1604488. eCollection 2022.

Abstract

This review aims to examine the association between community-level factors, namely, community structure and condition, and risky sexual behavior (RSB) including early sexual debut, having multiple sex partners, and unprotected sex, in adolescents and young adults. In total, 17 observational studies were identified for review using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Among the 11,216 identified articles, excluded articles comprised 8,361 duplicates, 2,855 articles by title screening, 893 by abstract screening, and 667 by full-text screening. Finally, eight additional articles were added by manual search. The community structural factors included social disadvantage, economic, employment, education status, racial or ethnic composition, residential stability, and physical environment. The current review found that social disadvantage (six studies) and economic status (10 studies) were most frequently examined. Particularly, higher levels of social disadvantage were associated with higher rates of early sexual initiation, inconsistent condom use, and multiple sexual partners. This study highlights that community structure and conditions in terms of social disadvantages should be addressed to prevent RSB in the young population.

摘要

本综述旨在探讨社区层面的因素(即社区结构和状况)与青少年和年轻人的风险性行为(包括初次性行为早、性伴侣多和无保护性行为)之间的关联。本研究共检索到 17 项观察性研究,采用系统评价和荟萃分析的首选报告项目(PRISMA)指南进行综述。在 11216 篇已确定的文章中,排除的文章包括 8361 篇重复文章、2855 篇标题筛选文章、893 篇摘要筛选文章和 667 篇全文筛选文章。最后,通过手动搜索又增加了 8 篇文章。社区结构因素包括社会劣势、经济、就业、教育状况、种族或民族构成、居住稳定性和物理环境。本综述发现,社会劣势(六项研究)和经济状况(十项研究)是最常被研究的因素。特别是,较高的社会劣势程度与较早的性开始、不一致的 condom 使用和多个性伴侣有关。这项研究强调,应该解决社会劣势方面的社区结构和状况问题,以预防年轻人的风险性行为。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7b12/9676224/1c76743fe832/ijph-67-1604488-g001.jpg

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