Parent-Based Sexual and Reproductive Health Interventions for Black Youth: a Scoping Review
摘要
Sexual and reproductive health communication between youth and trusted adults is an established protective factor against adverse sexual health outcomes. Despite the development and successful implementation of parent-child sexual and reproductive health interventions, a synthesis of what interventions work best among Black families, the characteristics across interventions that contribute to positive outcomes and for what population is missing. To address this gap, this review identifies existing parent-child sexual and reproductive health interventions implemented among Black families, and summarizes the interventions’ curriculum, delivery, and outcomes.
MethodsThis scoping review was guided by the JBI Manual Evidence for Synthesis: Scoping Review, and the PRISMA 2020 Scoping Review Checklist. The search was conducted in PsycInfo, Medline, Web of Science, and Sociological Abstracts from 1985 through May 2024. Peer-reviewed studies written in English, that detail the implementation and evaluation of a parent-child SRH intervention or program delivered to Black youth were included.
ResultsThe review identified 31 studies and found evidence of positive intervention effects in improving sexual health knowledge and beliefs, sexual risk behaviors, psychosocial and ecodevelopmental factors, interpersonal relationships and communication, and sexual health-related clinical outcomes. Most interventions focused on both mothers and fathers or mothers only (93.5%), involved more than 10 hours of programmatic content (48.4%), and included 4 evaluation assessments at 3- or 6-month intervals.
ConclusionAlthough interventions reviewed demonstrated effectiveness, additional efforts are warranted focused on fathers-only programs, low- and medium-dose interventions, and expanded program content and outcome measures assessing contextual fit and scaled implementation.