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印度青年性教育项目设计与实施的可行方法:范围综述。

Promising practices for the design and implementation of sexuality education programmes for youth in India: a scoping review.

机构信息

Medical Student, Faculty of Health Sciences, School of Medicine, Queen's University, Kingston, ON, Canada.

Assistant Professor, Department of Family Medicine, Queen's University, Kingston, ON, Canada.

出版信息

Sex Reprod Health Matters. 2023 Dec;31(1):2244268. doi: 10.1080/26410397.2023.2244268.

Abstract

Sexual violence and HIV/AIDS are major public health concerns in India. By promoting bodily autonomy, wellbeing, and dignity through knowledge and skills, comprehensive sexuality education for young people can help prevent adverse sexual and reproductive health outcomes. While there is increased recognition globally regarding young people's need for sexuality education, translating this recognition into accepted programmes in India has been challenging. This scoping review aims to examine recommendations for promising practices for the design and implementation of sexuality education programmes and resources aimed at youth in India. A systematic search and review of the literature was conducted from June to August 2020. Of the total 5312 citations identified and screened, 622 advanced to full-text screening, and 39 were included in the final analysis. Promising practices include the need to: tailor content to serve the needs of the specific youth population being targeted; use engaging and participatory methods to teach sexual health content; work in partnership and collaboration with local experts and organisations; address potential barriers to participation and work to mitigate those barriers for marginalised youth; be youth friendly, flexible and convenient; and to be developmentally and culturally appropriate for the Indian youth context. Sexuality education programmes should integrate into existing community services and link with local reproductive health services to help provide youth with access to the services they may need. Continued work and efforts are required to address the interrelated and broad structural factors, including political, financial, social, and cultural factors that affect youth sexual health and wellbeing.

摘要

性暴力和艾滋病是印度主要的公共卫生关注点。通过知识和技能促进身体自主性、幸福感和尊严,可以帮助预防不良的性和生殖健康结果。虽然全球范围内越来越认识到年轻人需要性教育,但将这种认识转化为印度可接受的方案一直具有挑战性。本范围综述旨在研究针对印度青年的性教育方案和资源的设计和实施的有前途的实践建议。从 2020 年 6 月至 8 月,对文献进行了系统的搜索和审查。在总共确定和筛选的 5312 条引文,有 622 条进入全文筛选,最终有 39 条被纳入最终分析。有前途的实践包括需要:根据目标特定青年群体的需求调整内容;使用引人入胜和参与性的方法教授性健康内容;与当地专家和组织合作和协作;解决潜在的参与障碍,并努力减轻边缘化青年的这些障碍;对青年友好、灵活和方便;以及针对印度青年的背景具有发展和文化适宜性。性教育方案应融入现有的社区服务,并与当地生殖健康服务联系起来,以帮助青年获得他们可能需要的服务。需要继续努力解决相互关联的广泛结构因素,包括影响青年性健康和幸福感的政治、金融、社会和文化因素。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d2a0/10506433/8dcffac3d7d9/ZRHM_A_2244268_F0001_OC.jpg

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