基于学校的全面性教育预防青少年怀孕:一个范围审查
Su Mon Myat1,2, Porjai Pattanittum3, Jen Sothornwit4
1Department of Public Health, School Health Division, Ministry of Health, Naypyidaw, Myanmar.
BMC women's health
|February 21, 2024
概括
这次审查发现,学校的综合性教育 (CSE) 计划往往缺乏关键组成部分,并且不完全符合国际准则,这表明预防青少年怀孕和改善避孕措施的使用存在差距.
科学领域:
- 公共卫生 公共卫生
- 青少年健康 青少年健康
- 教育政策 教育政策
背景情况:
- 青少年怀孕仍然是一个重大的全球公共卫生挑战.
- 由于CSE干预措施的多样性,现有的综合性教育 (CSE) 审查尚未完全与国际指南保持一致.
- 本范围审查旨在绘制学校CSE的证据,以预防青少年怀孕,重点关注避孕药的使用,意外怀孕和堕胎.
研究的目的:
- 识别和绘制有关学校全面性教育 (CSE) 干预措施的现有证据.
- 评估这些干预措施与国际性教育技术指南 (ITGSE) 的一致性.
- 突出研究中关于青少年使用避孕药,意外怀孕和通过CSE预防堕胎的差距.
主要方法:
- 进行了全面的范围审查,搜索了多个数据库 (PubMed,CENTRAL,Scopus等). 在2023年11月4日之前.
- 包括的研究是针对青少年的学校CSE的随机对照试验 (RCT) 和非RCT,定义为涵盖关键性和生殖健康主题的多会话干预.
- 数据的提取和选择由两个审查员独立执行,第三名审查员解决了差异.
主要成果:
- 包括79项研究 (101份报告),主要来自高收入国家,使用集群RCT和参与方法.
- 虽然大多数研究都涉及性健康和生殖健康,但很少有人报告了避孕药的使用,意外怀孕或堕胎等主要结果,这表明有显著的证据差距.
- 没有一个被确定的CSE干预措施完全遵守ITGSE关于概念,组件,持续时间或提供商的建议方法.
结论:
- 基于学校的CSE实施显示了关于概念,组件,提供商和持续时间的完整性存在相当大的差距.
- 目前的CSE课程往往与ITGSE建议不一致,这表明需要改进课程设计和交付.
- 需要进行进一步的研究,以解决在CSE干预中测量关键结果的证据缺口,例如避孕药的使用,意外怀孕和堕胎.
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