在低收入和中等收入国家,性别转型干预如何减少青少年怀孕:一个现实的综合
Shruti Shukla1,2, Aishwarya Kharade3, Ines Böhret1,4
1School of Social Sciences and Technology, Technical University of Munich, Munich, Germany.
Journal of global health
|April 4, 2025
概括
性别转型干预措施 (GTI) 通过培养支持性环境和赋予青年权力,有效地减少了青少年怀孕. 这些计划在低收入和中等收入国家增加了避孕药的使用,并推迟了婚姻.
科学领域:
- 公共卫生 公共卫生
- 青少年健康 青少年健康
- 性别研究是性别研究.
背景情况:
- 青少年怀孕是低收入和中等收入国家的主要健康问题.
- 性别转型干预 (GTI) 旨在解决这一问题,但其机制尚不清楚.
- 在了解GTIs如何成功减少青少年怀孕方面存在研究差距.
研究的目的:
- 系统地研究GTIs有效减少青少年怀孕的机制.
- 确定成功实施GTI的背景和目标群体.
- 开发基于证据的方案理论,以有效预防青少年怀孕.
主要方法:
- 一个五步的现实主义审查出版和灰色文学.
- 包括低收入或中等收入国家的10-19岁青少年的干预措施.
- 使用叙事综合和现实主义分析开发上下文-机制-结果配置.
主要成果:
- 分析了28份涵盖14项干预和8个方案理论的文件.
- 关键策略包括支持性的学校环境,全面的性教育和赋予男孩权力.
- 卫生设施干预的重点是安全获得服务和数字健康工具;社区干预赋予了女孩和参与社区成员的权力.
结论:
- 为成功的GTIs提出了八种细微的程序理论.
- 调查结果为开发和改进未来青少年怀孕预防计划提供了洞察力.
- 有效的策略取决于背景,需要针对不同社会文化环境量身定制的方法.
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