Julia Brasileiro, Judith Kotiuga, Jordyn McCrimmon, Elizabeth M Aparicio, Aaron Lankster, Laura Widman
{"title":"改善参与儿童福利制度的青少年性健康和生殖健康的策略：系统回顾。","authors":"Julia Brasileiro, Judith Kotiuga, Jordyn McCrimmon, Elizabeth M Aparicio, Aaron Lankster, Laura Widman","doi":"10.1007/s13178-025-01126-3","DOIUrl":null,"url":null,"abstract":"<p><strong>Introduction: </strong>Youth involved with the child welfare system face notably poorer sexual and reproductive health (SRH) outcomes compared to their peers. Several SRH programs have been developed to address these health disparities, yet there is limited consolidated research examining these programs. The purpose of this systematic review was to synthesize quantitative and qualitative research on programs and conceptual models that could improve the SRH of child welfare system-involved youth.</p><p><strong>Methods: </strong>We conducted a systematic search of published articles using <i>PsychINFO</i>, <i>Medline</i>, <i>CINAHL</i>, and <i>Communication Source</i> through March 1, 2023, as well as a gray literature search. Study inclusion criteria included: 1) a program or conceptual model designed to promote the SRH of child welfare system -nvolved youth; 2) a U.S.-based sample; and 3) available in English.</p><p><strong>Results: </strong>We located 29 articles; 24 assessed programs (20 targeting youth and 4 targeting adults) and 5 presented conceptual models. Most youth programs focused on reducing pregnancies or HIV/STIs. Four programs for youth evaluated through RCTs were efficacious in improving SRH outcomes over time. Four programs for foster caregivers and social workers emphasized developing skills for communicating with youth about SRH topics.</p><p><strong>Conclusions: </strong>This review sheds light on the current effectiveness of existing SRH programs for youth and adults, as well as gaps in available programs and research.</p><p><strong>Policy implications: </strong>Increased investment is needed in youth programs that emphasize the positive dimensions of sexuality and relationships, alongside adult programs designed to enhance skills for supporting youth SRH. Additionally, funders should prioritize rigorous evaluations of these SRH initiatives to ensure their effectiveness and sustainability.</p>","PeriodicalId":47654,"journal":{"name":"Sexuality Research and Social Policy","volume":" ","pages":""},"PeriodicalIF":2.4000,"publicationDate":"2025-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12422330/pdf/","citationCount":"0","resultStr":"{\"title\":\"Strategies to Improve the Sexual and Reproductive Health of Youth Involved with the Child Welfare System: A Systematic Review.\",\"authors\":\"Julia Brasileiro, Judith Kotiuga, Jordyn McCrimmon, Elizabeth M Aparicio, Aaron Lankster, Laura Widman\",\"doi\":\"10.1007/s13178-025-01126-3\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Introduction: </strong>Youth involved with the child welfare system face notably poorer sexual and reproductive health (SRH) outcomes compared to their peers. Several SRH programs have been developed to address these health disparities, yet there is limited consolidated research examining these programs. The purpose of this systematic review was to synthesize quantitative and qualitative research on programs and conceptual models that could improve the SRH of child welfare system-involved youth.</p><p><strong>Methods: </strong>We conducted a systematic search of published articles using <i>PsychINFO</i>, <i>Medline</i>, <i>CINAHL</i>, and <i>Communication Source</i> through March 1, 2023, as well as a gray literature search. Study inclusion criteria included: 1) a program or conceptual model designed to promote the SRH of child welfare system -nvolved youth; 2) a U.S.-based sample; and 3) available in English.</p><p><strong>Results: </strong>We located 29 articles; 24 assessed programs (20 targeting youth and 4 targeting adults) and 5 presented conceptual models. Most youth programs focused on reducing pregnancies or HIV/STIs. Four programs for youth evaluated through RCTs were efficacious in improving SRH outcomes over time. Four programs for foster caregivers and social workers emphasized developing skills for communicating with youth about SRH topics.</p><p><strong>Conclusions: </strong>This review sheds light on the current effectiveness of existing SRH programs for youth and adults, as well as gaps in available programs and research.</p><p><strong>Policy implications: </strong>Increased investment is needed in youth programs that emphasize the positive dimensions of sexuality and relationships, alongside adult programs designed to enhance skills for supporting youth SRH. Additionally, funders should prioritize rigorous evaluations of these SRH initiatives to ensure their effectiveness and sustainability.</p>\",\"PeriodicalId\":47654,\"journal\":{\"name\":\"Sexuality Research and Social Policy\",\"volume\":\" \",\"pages\":\"\"},\"PeriodicalIF\":2.4000,\"publicationDate\":\"2025-06-11\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12422330/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Sexuality Research and Social Policy\",\"FirstCategoryId\":\"90\",\"ListUrlMain\":\"https://doi.org/10.1007/s13178-025-01126-3\",\"RegionNum\":2,\"RegionCategory\":\"社会学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"SOCIAL SCIENCES, INTERDISCIPLINARY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Sexuality Research and Social Policy","FirstCategoryId":"90","ListUrlMain":"https://doi.org/10.1007/s13178-025-01126-3","RegionNum":2,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"SOCIAL SCIENCES, INTERDISCIPLINARY","Score":null,"Total":0}
Strategies to Improve the Sexual and Reproductive Health of Youth Involved with the Child Welfare System: A Systematic Review.
Introduction: Youth involved with the child welfare system face notably poorer sexual and reproductive health (SRH) outcomes compared to their peers. Several SRH programs have been developed to address these health disparities, yet there is limited consolidated research examining these programs. The purpose of this systematic review was to synthesize quantitative and qualitative research on programs and conceptual models that could improve the SRH of child welfare system-involved youth.
Methods: We conducted a systematic search of published articles using PsychINFO, Medline, CINAHL, and Communication Source through March 1, 2023, as well as a gray literature search. Study inclusion criteria included: 1) a program or conceptual model designed to promote the SRH of child welfare system -nvolved youth; 2) a U.S.-based sample; and 3) available in English.
Results: We located 29 articles; 24 assessed programs (20 targeting youth and 4 targeting adults) and 5 presented conceptual models. Most youth programs focused on reducing pregnancies or HIV/STIs. Four programs for youth evaluated through RCTs were efficacious in improving SRH outcomes over time. Four programs for foster caregivers and social workers emphasized developing skills for communicating with youth about SRH topics.
Conclusions: This review sheds light on the current effectiveness of existing SRH programs for youth and adults, as well as gaps in available programs and research.
Policy implications: Increased investment is needed in youth programs that emphasize the positive dimensions of sexuality and relationships, alongside adult programs designed to enhance skills for supporting youth SRH. Additionally, funders should prioritize rigorous evaluations of these SRH initiatives to ensure their effectiveness and sustainability.
期刊介绍：
Sexuality Research and Social Policy is an international multidisciplinary forum for the publication of original peer-reviewed state-of-the-art empirical research on sexuality, theoretical and methodological discussions, and the implications of this evidence for policies across the globe regarding sexual health, sexuality education, and sexual rights in diverse communities. The journal also publishes brief research and conference reports; white papers; book, film, and other reviews; together with guest editorials and commentaries. Sexuality Research and Social Policy occasionally publishes special issues on timely topics.
求助内容：
应助结果提醒方式：
京公网安备 11010802042870号
