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青少年伴侣之间的性交流：范围审查和未来研究方向

已有 413 次阅读2022-9-29 16:11 |个人分类:性学、性健康、性教育|系统分类:科技教育分享到微信

青少年伴侣之间的性交流：范围审查和未来研究方向

Sexual Communication between Adolescent Partners: A Scoping Review and Directions for Future Research

——原载美国《性研究杂志》2022年第59卷第8期——

USA <The Journal of Sex Research> 2022, Vol. 9 No. 8

【摘要】青少年伴侣之间的性交流是性健康和幸福的重要组成部分。40多年来对青少年性交流的研究已经产生了丰富的信息，但我们对交流过程的理解仍然存在差距。本次范围审查的目的是综合关于青少年性交流的研究主体，以确定交流是如何被概念化的，研究人员如何衡量交流，以及在文献中应用了哪些理论框架。我们在119项定量研究中确定了198项对性交流的评估。这项工作包括127,489 名青少年（M年龄= 15.97）来自15个国家（81.5%来自美国）。大多数研究依赖于自我报告（93.4%）并且只调查了一对夫妇中的一个成员（97.5%）。性交流的定义在文献中差异很大：在一半的评估（52.0%）中，性交流被视为一种行为——关于性信息的口头或非语言交流——而其余一半的评估则涵盖了性行为的社会认知方面。沟通（例如，沟通自我效能、恐惧/焦虑）。研究人员还倾向于创建自己的特殊工具：一半的研究（48.9%）使用研究团队创建的工具，但对可靠性/有效性的讨论有限或没有讨论。关于沟通主题，三分之一（33.8%）的评估只关注安全套沟通，另外四分之一（24.0%）关注其他安全性问题（例如，性病、禁欲）。值得注意的是，没有关注围绕同意或性快感进行交流的研究。也没有一个指导性的概念模型或理论可以统一这部分工作。总体而言，结果突出了在以前的工作中，伴侣性交流如何被概念化、衡量和理论化的差距和不一致之处。我们为未来的理论建设工作以及对青少年性交流的严格、多方法的实证调查提供了几项建议，这将进一步加深我们对青少年性健康这一重要方面的理解。也没有一个指导性的概念模型或理论可以统一这部分工作。总体而言，结果突出了在以前的工作中，伴侣性交流如何被概念化、衡量和理论化的差距和不一致之处。我们为未来的理论建设工作以及对青少年性交流的严格、多方法的实证调查提供了几项建议，这将进一步加深我们对青少年性健康这一重要方面的理解。目前，还没有一个指导性的概念模型或理论可以统一这部分工作。总体而言，研究结果突出了在以前的工作中，伴侣性交流如何被概念化、衡量和理论化的差距和不一致之处。我们为未来的理论建设工作以及对青少年性交流的严格、多方法的实证调查提供了几项建议，这将进一步加深我们对青少年性健康这一重要方面的理解。

[Abstract] Sexual communication between adolescent partners is an important component of sexual health and wellbeing. Over 40 years of research on adolescent sexual communication has yielded rich information, yet there remain gaps in our understanding of the communication process. The purpose of this scoping review was to synthesize the body of research on adolescent sexual communication to identify how communication has been conceptualized, how researchers have measured communication, and what theoretical frameworks have been applied across the literature. We identified 198 assessments of sexual communication across 119 quantitative studies. This work included 127,489 adolescents (Mage = 15.97) from 15 countries (81.5% U.S.-based). Most studies relied on self-reports (93.4%) and surveyed only one member of a couple (97.5%). The definition of sexual communication was highly varied across the literature: in half of assessments (52.0%) sexual communication was operationalized as a behavior–the verbal or nonverbal exchange of messages about sex–whereas the remaining half of assessments captured social-cognitive aspects of communication (e.g., communication self-efficacy, fear/anxiety). There was also a tendency for investigators to create their own idiosyncratic instruments: half of studies (48.9%) used instruments created by the research team with limited or no discussion of reliability/validity. Regarding the topic of communication, a third of assessments (33.8%) focused exclusively on condom communication and another quarter (24.0%) focused on other safer-sex issues (e.g., STDs, abstinence). Notably absent were studies focused on communication surrounding consent or sexual pleasure. Also absent was a guiding conceptual model or theory that could unify this body of work. Overall, results highlight gaps and inconsistencies in how partner sexual communication has been conceptualized, measured, and theorized about in previous work. We provide several recommendations for future theory-building efforts as well as rigorous, multimethod empirical investigations of adolescent sexual communication that would further our understanding of this important aspect of adolescent sexual wellbeing.

论文原文：Akta Laura Widman, Anne J. Maheux, Elizabeth Craig, Reina Evans-Paulson & Sophia Choukas-Bradley (2022). Sexual Communication between Adolescent Partners: A Scoping Review and Directions for Future Research. The Journal of Sex Research. 59 (8): 984-999.https://doi.org/10.1080/00224499.2022.2099787

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