關於青少年性與生殖健康和權利的全球研究優先事項設定工作 Global research priority-setting exercise on the sexual and reproductive health and rights of young adolescents ——《柳葉刀/兒童與青少年健康》第9卷第10期，2025年10月—— <The Lancet / Child & Adolescent Health> Volume 9, Issue 10, October 2025 【摘要】青春期是性與生殖健康及權利（SRHR）的關鍵階段。10至14歲的青少年正經歷性與生殖發育成熟，但針對他們的性與生殖健康及權利的研究卻落後於年齡較大的青少年。為了彌補這一差距，世界衛生組織委託開展了一項研究優先事項設定工作，重點關注青少年的性與生殖健康及權利，並採用了改良的混合方法兒童健康與營養研究倡議方法。來自60多個國家的300多位利益攸關方——包括學者、政策制定者、倡導者和青年顧問——參與了研究優先事項的制定和評估，評估標準包括可解答性和影響力。最終確定了30項研究優先事項，其中排名靠前的優先事項主要關注社交媒體在青少年性與生殖健康及權利中的作用、心理健康挑戰以及邊緣化群體在性與生殖健康及權利需求方面的差異。研究結果強調了與青少年進行符合倫理的互動以及實施量身定製的全面性教育的重要性。已確定的研究重點強調需要制定可擴展的干預措施和政策，以滿足青少年及其照護者的發展需求，同時克服社會文化障礙。這些研究重點還體現了明確的目標，即為青少年開發和實施共同設計、適合其年齡且可擴展的性與生殖健康及權利（SRHR）教育和健康干預措施，從而為他們的長期福祉奠定基礎。 [Summary] Adolescence is a pivotal stage for sexual and reproductive health and rights (SRHR). Young adolescents (aged 10–14 years) undergo sexual and reproductive maturation, yet research on their SRHR lags behind that of older adolescents. To address this gap, WHO commissioned a research priority-setting exercise focused on the SRHR of young adolescents using an adapted mixed-methods Child Health and Nutrition Research Initiative methodology. Over 300 stakeholders from more than 60 countries—including academics, policy makers, advocates, and youth advisors—participated in defining and evaluating research priorities against two evaluation criteria: answerability and impact. 30 research priorities were identified, with top-ranked priorities focusing on the role of social media in young adolescents' SRHR, mental health challenges, and disparities in SRHR needs among marginalised subpopulations. The findings highlight the importance of ethical engagement with young adolescents and implementation of tailored comprehensive sexuality education. The identified research priorities emphasise the need for scalable interventions and policies that align with young adolescents' developmental needs and the needs of their caregivers while addressing sociocultural barriers. The research priorities also reflect a clear ambition to develop and implement co-designed, age-appropriate, and scalable SRHR education and health interventions for young adolescents, laying the foundation for long-term wellbeing. 論文原文：Maria Lohan, Aoibheann Brennan, Melissa Bradshaw, Sheri Bastien, Prerna Banati, John Garry, et al. (2025). Global research priority-setting exercise on the sexual and reproductive health and rights of young adolescents. The Lancet / Child & Adolescent Health, Volume 9, Issue 10, Pages 724-734. October 2025. https://doi.org/10.1016/S2352-4642(25)00190-7 （需要英文原文的朋友，請聯繫微信：millerdeng95或iacmsp）
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