青少年自尊与危险性行为关系的系统评价

IF 1.2 Q2 EDUCATION & EDUCATIONAL RESEARCH

American Journal of Sexuality Education Pub Date : 2022-09-09 DOI:10.1080/15546128.2022.2118199

J. Ahn, Youngran Yang

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引用次数: 2

摘要

摘要本系统综述旨在了解自尊对青少年和年轻人危险性行为（RSB）的影响。我们遵循了库珀五步方法中概述的程序，并使用了系统审查和荟萃分析（PRISMA）2020报告要求的首选报告项目。使用九个电子数据库确定了已发表的研究。纳入的研究基于（a）对10至25岁人群的关注年；（b）根据青少年和年轻人的RSB结果，检查自尊相关因素之间的关系；以及（c）16岁之前的早期性行为年，有多个性伴侣，以及无保护的性行为。总共确定了11216项研究，其中9项研究符合纳入标准。所有文章都获得了高质量的评价。尽管方法上存在局限性，但研究结果表明，女性参与者的早期性行为与自尊呈正相关；在女性参与者中，安全套的使用与自卑感呈负相关，而安全套的使用则随着自卑感的降低而减少。一些性伴侣被发现与自尊无关。教育工作者建议采取提高青少年自尊的干预计划，以减少青少年和年轻人的危险性行为。此外，后续研究应使用分量表和教育计划开发评估自尊的工具，以促进同龄人和当地社区的健康自尊发展和正确的性规范。关键信息青少年早期性行为与自尊呈正相关，安全套使用与自尊负相关。建议制定干预计划，以建立健康的自尊，减少青少年和年轻人的危险性行为。未来的研究应该将自尊视为性行为的一个相关方面（例如，身体自豪感、浪漫能力和性自主性）。

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Relationship Between Self-Esteem and Risky Sexual Behavior among Adolescents and Young Adults: A Systematic Review

Abstract This systematic review aimed to understand the effects of self-esteem on risky sexual behavior (RSB) among adolescents and young adults. We followed the procedures outlined in the Cooper’s five-step approach, and used the Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA) 2020 reporting requirements. Published studies were identified using nine electronic databases. Studies were included based on (a) a focus on populations aged between 10 and 25 years; (b) an examination of the association between self-esteem-related factors, in line with RSB outcomes among adolescents and young adults; and (c) early sexual debut before 16 years, having multiple sex partners, and unprotected sex. In total, 11,216 studies were identified, of which nine studies met the inclusion criteria. All articles received high quality ratings. Despite methodological limitations, results showed that early sexual debut positively associated with self-esteem among female participants; condom use showed a negative association with lower self-esteem among female participants, while condom use decreased with decreasing self-esteem. Several sexual partners were found not to be associated with self-esteem. Intervention programs to increase the self-esteem of adolescents are recommended by educators to reduce risky sexual behavior among adolescents and young adults. Moreover, subsequent studies should develop instruments that assess self-esteem using subscales and educational programs that enhance healthy self-esteem development and correct sexual norms in peer groups and local communities. KEY MESSAGE Early sexual debut was positively associated with self-esteem, and condom use negatively associated with self-esteem among adolescents. Intervention programs are recommended to establish healthy self-esteem and reduce risky sexual behavior among adolescents and young adults. Future research should consider self-esteem as a pertinent aspect of sexual behaviors (e.g., physical pride, romantic capacity, and sexual autonomy).

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来源期刊

American Journal of Sexuality Education EDUCATION & EDUCATIONAL RESEARCH-

CiteScore

2.40

自引率

8.30%

发文量

期刊介绍： The American Journal of Sexuality Education speaks directly to the distinct, professional needs of sexuality educators and trainers. This peer-reviewed journal provides sexuality educators and trainers with current research about sexuality education programming, best practices, sample lesson plans, reports on curriculum development and assessment, literature reviews, scholarly commentary, educational program reports, media reviews (books, videos, internet resources, and curricula), and letters to the editor. The American Journal of Sexuality Education addresses a variety of sexuality topics and audiences, presenting up-to-date theory and practice, lessons, and evaluations.