Urberg K A
Adolescence. 1982 Fall;17(67):527-40.
This paper presents a theoretical framework for viewing adolescent contraceptive usage. Young adolescents are beginning to come to terms with their changed bodies, with their increased interest in members of the opposite sex and with their new reproductive capacity. At the same time, their cognitive and social skills are far from fully developed. Further, they may have limited access to the information they need for informed decision making. These immaturities may make the young, sexually active, adolescent, male or female, particularly likely to experience an unintended conception. The problem-solving process is used as a framework for examining developmentally the competencies that must be present for effective contraceptive use. The five major aspects of problems in this area are: problem recognition, motivation, generation of alternatives, decision making and implementation. Each of the aspects is seen as necessary but not sufficient for effective contraceptive use. Each aspect is discussed with respect to developmental changes, male/female differences and previous research.
本文提出了一个用于审视青少年避孕行为的理论框架。青少年正开始接受自身身体的变化、对异性兴趣的增加以及新的生殖能力。与此同时，他们的认知和社交技能远未完全发展成熟。此外，他们获取做出明智决策所需信息的途径可能有限。这些不成熟因素可能使年轻的、有性行为的青少年，无论男女，特别容易意外怀孕。解决问题的过程被用作一个框架，从发展的角度审视有效使用避孕措施所必须具备的能力。该领域问题的五个主要方面是：问题识别、动机、备选方案的产生、决策和实施。每个方面对于有效使用避孕措施而言都是必要的，但并非充分条件。针对发展变化、男女差异以及先前的研究对每个方面进行了讨论。
