Gamelia Elviera, Widjanarko Bagoes, Shaluhiyah Zahroh
Faculty of Public Health, Universitas Diponegoro, Semarang.
Faculty of Medicine, Universitas Diponegoro, Semarang, Indonesia.
J Public Health Afr. 2023 Dec 1;14(12):2672. doi: 10.4081/jphia.2023.2672. eCollection 2023 Dec 27.
In many countries, there is a high number of teenage pregnancies, Sexually Transmitted Infections (STIs), and unsafe sexual behavior, so there is a need for adolescent health intervention programs to change behavior. The effectiveness of comprehensive interventions in various contexts to reduce teenage pregnancy, STIs, and related sexual risk behaviors is reviewed in this systematic. This study aimed to identify risk sexual behavior, sexually transmitted infections, and adolescent pregnancy prevention interventions. Literature search strategy from January 2008 to December 2022 through electronic databases. Key words 'teenage prenancy' OR 'teen pregnancy' OR 'pregnancy adolescence', AND 'maternal education', AND 'randomised clinical trial', AND 'risk behavior'. Articles that were deemed worthy of following the PRISMA guidelines were 28 articles. Most studies looked at school-based, individual, community, clinic, and family-based care. Most studies were followed up after intervention at intervals from one month to seven years, and the majority of the population and sample were adolescents with ages ranging from 13 to 18 years. Implementation of research in urban, suburban, and rural areas. This program has proven successful in preventing pregnancy, contraceptive use, STI and HIV, sexual behavior, dropping out of school, knowledge about pregnancy, sexuality, attitudes towards sexuality, intention to change risky sexual behavior, self-efficacy, and increasing parent-children. This article describes some basic trends in adolescent pregnancy prevention interventions in several countries that can be used as a reference for health programs. Unproven effectiveness can be implemented in conjunction with other interventions that have a high-quality impact.
在许多国家,青少年怀孕、性传播感染(STIs)和不安全的性行为发生率很高,因此需要开展青少年健康干预项目来改变行为。本系统综述考察了在不同背景下开展的综合干预措施对减少青少年怀孕、性传播感染及相关性风险行为的有效性。本研究旨在确定危险性行为、性传播感染及青少年怀孕预防干预措施。通过电子数据库检索了2008年1月至2022年12月的文献。关键词为“青少年怀孕”或“青少年妊娠”或“青春期怀孕”,以及“孕产妇教育”,以及“随机临床试验”,以及“风险行为”。符合PRISMA指南的文章有28篇。大多数研究关注基于学校、个人、社区、诊所和家庭的护理。大多数研究在干预后进行了为期1个月至7年的随访,大多数研究的人群和样本是年龄在13至18岁之间的青少年。研究在城市、郊区和农村地区开展。该项目已被证明在预防怀孕、避孕措施使用、性传播感染和艾滋病毒、性行为、辍学、怀孕知识、性取向、对性取向的态度、改变危险性行为的意图、自我效能感以及增进亲子关系方面取得了成功。本文介绍了几个国家青少年怀孕预防干预措施的一些基本趋势,可为健康项目提供参考。未经证实的有效性可与其他具有高质量影响的干预措施联合实施。