Đánh giá nghiêm ngặt một chương trình phòng ngừa sử dụng chất và mang thai ở tuổi vị thành niên dành cho các cô gái da đỏ Mỹ và những người chăm sóc nữ của họ: giao thức nghiên cứu cho một thử nghiệm ngẫu nhiên có đối chứng

BMC Public Health - Tập 21 Số 1 - 2021
Rachel Chambers1, Jaime Begay1, Hima Patel1, Jennifer Richards1, Danielle Nelson1, Summer Rosenstock1, Ronni Huskon1, Kristin Mitchell1, Tiffani Begay1, Lauren Tingey1
1Johns Hopkins Center for American Indian Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, USA

Tóm tắt

Tóm tắt Nền tảng Khởi đầu tình dục sớm có liên quan đến nguy cơ cao hơn về nhiễm trùng lây truyền qua đường tình dục, mang thai ở tuổi vị thành niên, bạo lực gia đình và sử dụng chất kích thích trong thời kỳ vị thành niên và đầu tuổi trưởng thành. Các thiếu niên người bản địa Mỹ có khả năng khởi đầu tình dục sớm cao hơn so với các nhóm chủng tộc/dân tộc khác. Chỉ có một số chương trình được thiết kế dành riêng cho các thiếu niên bản địa nhằm trì hoãn khởi đầu tình dục và sử dụng chất đã được thử nghiệm thông qua các đánh giá nghiêm ngặt. Đây là giao thức cho thử nghiệm ngẫu nhiên có đối chứng của chương trình Asdzáán Be’eena’, một chương trình phòng ngừa mang thai ở tuổi vị thành niên và sử dụng chất cho các cô gái bản địa trẻ và những người chăm sóc nữ của họ. Phương pháp N = 410 thiếu niên nữ trong độ tuổi 10–14 và những người chăm sóc nữ của họ sẽ tham gia nghiên cứu và được ngẫu nhiên phân bổ vào nhóm can thiệp hoặc nhóm đối chứng. Can thiệp bao gồm chương trình Asdzáán Be’eena’ với 11 phiên. Nhóm đối chứng bao gồm các ưu đãi không tiền tệ được gửi qua đường bưu điện. Tất cả người tham gia sẽ hoàn thành các đánh giá tại thời điểm ban đầu và 3 thời điểm theo dõi (ngay lập tức, 6 và 12 tháng sau can thiệp). Các đánh giá bao gồm các thước đo để đánh giá các yếu tố bảo vệ liên quan đến việc trì hoãn khởi đầu tình dục và sử dụng chất. Thảo luận Đây là một trong những đánh giá nghiêm ngặt đầu tiên về một chương trình phòng ngừa chính về mang thai ở tuổi vị thành niên và sử dụng chất phù hợp với giới và có văn hóa dành cho các cô gái bản địa và những người chăm sóc nữ của họ. Nếu chương trình này được chứng minh là hiệu quả, các cộng đồng bản địa sẽ có một chương trình phù hợp về văn hóa để thúc đẩy các yếu tố bảo vệ liên quan đến việc trì hoãn sử dụng chất và hành vi có nguy cơ tình dục. Đăng ký thử nghiệm NCT04863729; Ngày 27 tháng 4 năm 2021.

Từ khóa


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