Intervenções voltadas ao uso do preservativo por adolescentes em situação de rua: revisão sistemática e metánalise
Notice bibliographique
Résumé
Health interventions aim to improve the living conditions of people, groups or populations. In this study, interventions aimed at condom use, within the scope of sexual health and the prevention of STI/HIV/Aids were the focus. In this perspective, this study aimed to analyze the scientific literature regarding the efficacy of health interventions for condom use by street adolescents. This is a systematic review of clinical trials and observational studies, based on the recommendations of the Cochrane Collaboration. The acronym PICOS was used in the construction of the guiding question, which is: Are educational and/or health care interventions effective in promoting condom use by street adolescents? Specific search strategies were applied to Medline, Cochrane Central Register of Controlled Trials (CENTRAL), PsycINFO, Scopus, EMBASE, Web of Science, CINAHL, LILLACS and BDENF electronic databases, without date or language restrictions. The search, eligibility assessment and data extraction from the studies were performed independently by two reviewers, for both Rayyan and ENDNOTEweb software were used in the blinding and management of references. The analysis of the feasibility and validity of the studies followed the Cochrane Handbook, with Review Manager 5.4.1 software used for statistical analysis and GRADEpro software to produce GRADE evidence profiles. The risk of bias assessment was performed using the instruments of Cochrane's Collaboration Tool for randomized clinical trials and the NEWCASTLE-OTTAWA SCALE for observational studies. The main categories of interventions applied to homeless adolescents included: Counseling sessions, Multi- strategy programs (individual and family therapy - cognitive behavioral therapy, motivational interviewing, family therapy, case management), and Community Reinforcement. Six studies were included in the meta-analysis. By means of the Cochran's Q, a significant difference was observed between the studies Q (5)=13.1; p=0.02; in addition, the analysis showed I2=62%, both indicative of heterogeneity. Thus, the random effects model was chosen. Thus, through the meta-analysis, it was shown that the interventions increased condom use by 28% (95%CI: 1.07 – 1.54; p<0.01). In this way, educational interventions increase/encourage condom use among street adolescents, with emphasis on counseling-based interventions as the most effective. The narrative findings highlight that: counseling is a psychoeducational strategy that must be carried out under an adolescent-centered, integral and integrated care model. Multistrategy programs are promising options when employing behavioral and generational Fragilidades e rupturas nas redes de apoio dos adolescentes Conflitos na adolescência: um processo (des)construção da identidade Conflitos na adolescência: um processo (des)construção da identidade Conflitos na adolescência: um processo (des)construção da identidade methodologies that have the potential to generate changes in behavior and lifestyle. Community Reinforcement is a comprehensive behavioral treatment package that helps people discover and adopt a pleasurable and healthy lifestyle. Finally, it is concluded that all strategies contribute, at the threshold of their scope and effectiveness, to improve safe sexual practices of street adolescents.
Récupéré en direct depuis OpenAlex et désinversé. Les résumés ne sont pas conservés dans cette base de données : les index inversés représentent 8,6 Go des 9,3 Go de texte de la base, et le serveur dispose de 13 Go libres.
Comment cette classification a été obtenuedéplier
Prédiction machine sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Le volet Gemma est une étiquette directe du modèle pour chaque travail de la base, lue sur la notice réduite au titre. Le volet Codex est un classifieur appris des 10 348 étiquettes directes de Codex et calibré sur les taux pondérés de l'échantillon; les champs sans appui suffisant ne portent aucun appel Codex. Le mode candidate est l'union des deux volets; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont pas des étiquettes humaines.
Scores du classifieur distillé par catégorie (deux têtes)
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,037 | 0,096 |
| Méta-épidémiologie (sens strict) | 0,002 | 0,002 |
| Méta-épidémiologie (sens large) | 0,016 | 0,034 |
| Bibliométrie | 0,011 | 0,010 |
| Études des sciences et des technologies | 0,001 | 0,002 |
| Communication savante | 0,006 | 0,005 |
| Science ouverte | 0,004 | 0,003 |
| Intégrité de la recherche | 0,003 | 0,003 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,011 | 0,001 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule source (Gemma direct ou Codex distillé), pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».