适应性健康干预的青少年暴露于逆境:可行性研究
Terrinieka Powell1, Bianca D Smith2, Naya Moser3
1Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, United States.
JMIR formative research
|January 6, 2026
概括
这项试点研究发现,适应性干预是可行的,用于招募和吸引面临家庭挑战的黑人青年. 该计划成功增加了性健康知识,显示了减少青少年性风险承担的承诺.
科学领域:
- 公共卫生 公共卫生
- 青少年健康 青少年健康
- 干预科学 干预科学
背景情况:
- 青少年的性探索是规范性的,但当未受保护或处于物质影响下时会带来风险.
- 面对逆境的年轻人特别容易受到青少年的性冒险.
- 考虑到生活经验和当地背景的有针对性的干预措施对这一群体至关重要.
研究的目的:
- 评估参与者招募和保留的可行性.
- 通过调整的干预来评估参与者的参与 (专注于有知情的父母和孩子一起的青年).
- 探索这项干预措施对黑人青年遭受家庭挑战的性健康知识,意图,沟通和行为的影响.
主要方法:
- 通过学校/社区介绍,数字传单和推来招聘.
- 在3个巴尔的摩站点对121名年轻人的查;61名年轻人 (年龄在13-16岁) 随机选择.
- 三次评估 (基线,测试后,三个月后续) 以衡量可行性,参与度和次要结果.
主要成果:
- 高可行性:87%完成了所有评估;80%参加了≥3次会议.
- 干预组的性健康知识显著增加.
- 在性活跃的参与者中,高比例的性行为前戒酒 (100%) 和吸毒 (67%) 被报告.
结论:
- 调整后的"关注青年"干预措施可用于招募,留住和吸引有风险的年轻人.
- 需要进一步的研究来证实干预措施在缓解性风险承担方面的有效性.
- 研究结果将为未来的评估重新设计提供信息,以更好地捕捉影响性健康行为的因素.
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