A COSMIN Systematic Review of Sexual Health Literacy Self-Report Measures for Adolescents.

IF 2.9 2区 社会学 Q1 PSYCHOLOGY, CLINICAL
Marlene Muehlmann, Katja Nieradt, Samuel Tomczyk
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Abstract

Sexual health literacy (SHL) is crucial for adolescent health. Measurement consistency aids in comparing studies and informing interventions. This systematic review identifies available self-report outcome measurement instruments (OMI) assessing SHL in adolescents, explores the aspects of SHL they cover, and assess their psychometric quality. Guided by the COSMIN guidelines, a systematic search of 9 databases was conducted, focusing on studies between 2002 and 18 April 2023. Inclusion criteria encompassed studies developing and validating OMIs assessing SHL in adolescents aged 10-19 years, with a focus on self-report OMIs developed since 2002-the year the World Health Organization (WHO, 2006) defined sexual health as it is defined today (WHO, 2006). A narrative synthesis assessed the conceptual fit of identified instruments with SHL dimensions. The quality of the development studies was evaluated using COSMIN criteria. The review was preregistered in PROSPERO (ID: CRD42022303682). Out of 18,637 records, 83 studies examining 68 different OMIs were included. OMIs varied in their coverage of SHL dimensions, with appraisal and application of sexual health information most frequently addressed. The quality of OMI development was generally inadequate or doubtful, with deficiencies noted in involvement of the target population and piloting processes. Findings underscore the need for standardized, well-developed OMIs to measure SHL in adolescents. Despite availability, OMIs' quality and alignment with SHL are insufficient. There is a clear need for improvement in OMI development processes, including greater involvement of the target population and more rigorous piloting procedures. Additionally, developing a comprehensive SHL measure will enhance comparability and promote adolescent sexual health understanding and interventions.

青少年性健康素养自我报告措施的COSMIN系统综述。
性健康素养(SHL)对青少年健康至关重要。测量一致性有助于比较研究和告知干预措施。本系统综述确定了评估青少年SHL的现有自我报告结果测量工具(OMI),探讨了它们所涵盖的SHL方面,并评估了它们的心理测量质量。在COSMIN指南的指导下,对9个数据库进行了系统检索,重点是2002年至2023年4月18日之间的研究。纳入标准包括制定和验证评估10-19岁青少年性性健康行为的OMIs的研究,重点是自2002年以来制定的自我报告OMIs,即世界卫生组织(世卫组织,2006年)定义性健康的年份(世卫组织,2006年)。叙述性综合评估了确定的工具与SHL维度的概念契合度。使用COSMIN标准评价发展研究的质量。该综述在PROSPERO进行了预注册(ID: CRD42022303682)。在18,637份记录中,包括了83项研究,检查了68种不同的omi。OMIs在性健康和健康方面的覆盖范围各不相同,其中最常涉及性健康信息的评价和应用。OMI发展的质量一般不足或令人怀疑,在目标人口的参与和试点过程方面存在缺陷。研究结果强调需要标准化、完善的OMIs来测量青少年的SHL。尽管有可用性,但是OMIs的质量和与SHL的一致性是不够的。显然需要改进OMI的发展进程,包括使目标人口更多地参与和更严格的试验程序。此外,制定一项全面的性健康行为措施将加强可比性,并促进对青少年性健康的理解和干预。
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来源期刊
CiteScore
5.60
自引率
13.20%
发文量
299
期刊介绍: The official publication of the International Academy of Sex Research, the journal is dedicated to the dissemination of information in the field of sexual science, broadly defined. Contributions consist of empirical research (both quantitative and qualitative), theoretical reviews and essays, clinical case reports, letters to the editor, and book reviews.
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