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关注男孩健康:知识差距、预防不足及促进青少年男性福祉的策略

[Focus on boys' health: knowledge gaps, prevention deficits, and strategies to promote adolescent male wellbeing].

作者信息

Grundl Sebastian, Nagler Julian, Saar Matthias, Kranz Jennifer

机构信息

Klinik für Urologie und Kinderurologie, Uniklinik RWTH Aachen, Pauwelsstr. 30, 52074, Aachen, Deutschland.

CIO-A, Centrum für Integrierte Onkologie, Uniklinik RWTH Aachen, Aachen, Deutschland.

出版信息

Urologie. 2025 May 26. doi: 10.1007/s00120-025-02598-2.

DOI:10.1007/s00120-025-02598-2
PMID:40418324
Abstract

Adolescent boys make significantly less use of sexual health services and educational resources than their female peers. This article analyses current knowledge, behavioral patterns, and prevention deficits in young males based on recent German studies. Major findings include limited awareness of sexually transmitted infections (STIs), low human papillomavirus (HPV) vaccination uptake, and insufficient understanding of testicular cancer risks. Although health check-ups (J1, J2) and school-based sex education are available, gender-specific barriers hinder effective access and implementation. This article discusses practical solutions, from establishing dedicated urology-based adolescent consultations (Jungensprechstunde) and implementing school-based HPV vaccination programs to using digital media for targeted communication. Physicians, especially urologists, play a crucial role as trusted health educators. Promoting early awareness, structural integration, and cross-sector collaboration is essential to improving health literacy, preventive behavior, equality, and long-term wellbeing among young men.

摘要

与同龄女性相比,青春期男孩对性健康服务和教育资源的利用要少得多。本文基于德国近期的研究,分析了年轻男性当前的知识水平、行为模式和预防方面的不足。主要研究结果包括对性传播感染(STIs)的认识有限、人乳头瘤病毒(HPV)疫苗接种率低以及对睾丸癌风险的了解不足。尽管有健康检查(J1、J2)和学校性教育,但性别特定的障碍阻碍了有效获取和实施。本文讨论了实际解决方案,从设立专门的基于泌尿外科的青少年咨询门诊(Jungensprechstunde)和实施学校HPV疫苗接种计划到利用数字媒体进行有针对性的宣传。医生,尤其是泌尿科医生,作为值得信赖的健康教育者发挥着关键作用。提高早期认识、进行结构整合和跨部门合作对于提高年轻男性的健康素养、预防行为、平等以及长期健康至关重要。

相似文献

1
[Focus on boys' health: knowledge gaps, prevention deficits, and strategies to promote adolescent male wellbeing].关注男孩健康:知识差距、预防不足及促进青少年男性福祉的策略
Urologie. 2025 May 26. doi: 10.1007/s00120-025-02598-2.
2
[Boys' health from a urologic perspective].[从泌尿学角度看男孩的健康]
Urologie. 2025 Apr 29. doi: 10.1007/s00120-025-02596-4.
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School-based interventions for preventing HIV, sexually transmitted infections, and pregnancy in adolescents.针对青少年预防艾滋病毒、性传播感染和怀孕的校本干预措施。
Cochrane Database Syst Rev. 2016 Nov 8;11(11):CD006417. doi: 10.1002/14651858.CD006417.pub3.
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Behavioral interventions to reduce risk for sexual transmission of HIV among men who have sex with men.降低男男性行为者中艾滋病毒性传播风险的行为干预措施。
Cochrane Database Syst Rev. 2008 Jul 16(3):CD001230. doi: 10.1002/14651858.CD001230.pub2.
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The effectiveness and cost-effectiveness of behavioural interventions for the prevention of sexually transmitted infections in young people aged 13-19: a systematic review and economic evaluation.13-19 岁青少年人群中预防性传播感染的行为干预措施的有效性和成本效益:系统评价和经济评估。
Health Technol Assess. 2010 Feb;14(7):1-206, iii-iv. doi: 10.3310/hta14070.
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Awareness and knowledge of sexually transmitted diseases (STDs) among school-going adolescents in Europe: a systematic review of published literature.欧洲在校青少年对性传播疾病(性病)的认知和了解:已发表文献的系统综述。
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Factors influencing the integration of comprehensive sexuality education into educational systems in low- and middle-income countries: a systematic review.影响中低收入国家将全面性教育纳入教育系统的因素:系统评价。
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School-based interventions for improving contraceptive use in adolescents.以学校为基础的干预措施,用于提高青少年的避孕措施使用率。
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Effectiveness of an online sexual and reproductive health educational program on knowledge, attitudes, and behaviours among senior primary school students: a cluster randomized controlled trial.一项在线性与生殖健康教育项目对小学生高年级学生知识、态度和行为的影响:一项整群随机对照试验
Reprod Health. 2025 Jul 3;22(1):123. doi: 10.1186/s12978-025-02071-5.

本文引用的文献

1
[Knowledge about human papillomaviruses among students in Germany-a cross-sectional study with a need for action].[德国学生对人乳头瘤病毒的认知——一项需采取行动的横断面研究]
Urologie. 2025 Jan;64(1):38-46. doi: 10.1007/s00120-024-02436-x. Epub 2024 Aug 29.
2
Uptake of HPV vaccination among boys after the introduction of gender-neutral HPV vaccination in Germany before and during the COVID-19 pandemic.德国在 COVID-19 大流行之前和期间引入性别中立的 HPV 疫苗接种后,男孩 HPV 疫苗接种率。
Infection. 2023 Oct;51(5):1293-1304. doi: 10.1007/s15010-023-01978-0. Epub 2023 Feb 10.
3
Better Knowledge about Testicular Cancer Might Improve the Rate of Testicular (Self-)Examination: A Survey among 1,025 Medical Students in Germany.
提高对睾丸癌的认识可能会提高睾丸(自我)检查的比率:对德国 1025 名医学生的调查。
Urol Int. 2022;106(10):1056-1060. doi: 10.1159/000525854. Epub 2022 Jul 28.
4
Sexuality education for young people in Germany.Results of the 'Youth Sexuality' representative repeat survey.德国青少年性教育。“青少年性行为”代表性重复调查结果。
J Health Monit. 2022 Jun 29;7(2):21-38. doi: 10.25646/9875. eCollection 2022 Jun.
5
[Not Available].[无可用内容]。
J Dtsch Dermatol Ges. 2022 Feb;20(2):169-176. doi: 10.1111/ddg.14653_g.
6
Exploring novel strategies for social media HPV vaccine information.探索社交媒体 HPV 疫苗信息的新策略。
Hum Vaccin Immunother. 2021 Dec 2;17(12):5397-5401. doi: 10.1080/21645515.2021.1993040. Epub 2021 Nov 4.
7
[Testicular and breast self-examination-a retrospective cohort study of medical students].[睾丸与乳房自我检查——医学生的一项回顾性队列研究]
Urologe A. 2021 Jul;60(7):901-909. doi: 10.1007/s00120-021-01479-8. Epub 2021 Mar 2.
8
Evaluation of Testicular Self Examination and Testicular Partner Examination in Medical versus Non-Medical Students.医学生与非医学生的睾丸自我检查及伴侣睾丸检查评估
Curr Urol. 2020 Jun;14(2):92-97. doi: 10.1159/000499253. Epub 2020 Jun 23.
9
Is Movember synonymous with moustaches or men's health? An examination of internet search activity for prostate and testicular cancer during the campaign.Movember 是否与胡子或男性健康同义?对活动期间前列腺癌和睾丸癌的互联网搜索活动的考察。
Ir J Med Sci. 2020 Aug;189(3):811-815. doi: 10.1007/s11845-019-02142-0. Epub 2019 Dec 14.
10
[Awareness of clinical relevance of malignant testicular cancer among university students : The value of ​prevention campaigns].[大学生对睾丸恶性肿瘤临床相关性的认知:预防活动的价值]
Urologe A. 2019 Jul;58(7):790-794. doi: 10.1007/s00120-019-0936-z.