Brasileiro Julia, Kotiuga Judith, McCrimmon Jordyn, Aparicio Elizabeth M, Lankster Aaron, Widman Laura
Institute on Digital Health and Innovation, College of Nursing, Florida State University.
Department of Psychology, Université du Québec à Trois-Rivières.
Sex Res Social Policy. 2025 Jun 11. doi: 10.1007/s13178-025-01126-3.
Youth involved with the child welfare system face notably poorer sexual and reproductive health (SRH) outcomes compared to their peers. Several SRH programs have been developed to address these health disparities, yet there is limited consolidated research examining these programs. The purpose of this systematic review was to synthesize quantitative and qualitative research on programs and conceptual models that could improve the SRH of child welfare system-involved youth.
We conducted a systematic search of published articles using , , , and through March 1, 2023, as well as a gray literature search. Study inclusion criteria included: 1) a program or conceptual model designed to promote the SRH of child welfare system -nvolved youth; 2) a U.S.-based sample; and 3) available in English.
We located 29 articles; 24 assessed programs (20 targeting youth and 4 targeting adults) and 5 presented conceptual models. Most youth programs focused on reducing pregnancies or HIV/STIs. Four programs for youth evaluated through RCTs were efficacious in improving SRH outcomes over time. Four programs for foster caregivers and social workers emphasized developing skills for communicating with youth about SRH topics.
This review sheds light on the current effectiveness of existing SRH programs for youth and adults, as well as gaps in available programs and research.
Increased investment is needed in youth programs that emphasize the positive dimensions of sexuality and relationships, alongside adult programs designed to enhance skills for supporting youth SRH. Additionally, funders should prioritize rigorous evaluations of these SRH initiatives to ensure their effectiveness and sustainability.
与儿童福利系统有关联的青少年相比同龄人，其性健康和生殖健康（SRH）状况明显更差。已经制定了若干性健康和生殖健康计划来解决这些健康差异问题，但对这些计划进行综合研究的却很有限。本系统评价的目的是综合关于可改善与儿童福利系统有关联青少年性健康和生殖健康的计划及概念模型的定量和定性研究。
我们通过截至2023年3月1日的[具体数据库名称1]、[具体数据库名称2]、[具体数据库名称3]和[具体数据库名称4]对已发表文章进行了系统检索，同时还进行了灰色文献检索。纳入研究的标准包括：1）旨在促进与儿童福利系统有关联青少年性健康和生殖健康的计划或概念模型；2）基于美国的样本；3）英文资料。
我们找到了29篇文章；24篇评估了计划（20篇针对青少年，4篇针对成年人），5篇介绍了概念模型。大多数青少年计划侧重于减少怀孕或艾滋病毒/性传播感染。通过随机对照试验评估的四项青少年计划随着时间推移在改善性健康和生殖健康结果方面是有效的。四项针对寄养照料者和社会工作者的计划强调培养与青少年就性健康和生殖健康话题进行沟通的技能。
本评价揭示了现有青少年和成人的性健康和生殖健康计划的当前效果，以及现有计划和研究中的差距。
需要增加对强调性和关系积极方面的青少年计划以及旨在提高支持青少年性健康和生殖健康技能的成人计划的投资。此外，资助者应优先对这些性健康和生殖健康举措进行严格评估，以确保其有效性和可持续性。
