关于青少年性与生殖健康和权利的全球研究优先事项设定工作
关于青少年性与生殖健康和权利的全球研究优先事项设定工作
Global research priority-setting exercise on the sexual and reproductive health and rights of young adolescents
——《柳叶刀/儿童与青少年健康》第9卷第10期，2025年10月——
Issue 10, October 2025
【摘要】青春期是性与生殖健康及权利（SRHR）的关键阶段。10至14岁的青少年正经历性与生殖发育成熟，但针对他们的性与生殖健康及权利的研究却落后于年龄较大的青少年。为了弥补这一差距，世界卫生组织委托开展了一项研究优先事项设定工作，重点关注青少年的性与生殖健康及权利，并采用了改良的混合方法儿童健康与营养研究倡议方法。来自60多个国家的300多位利益攸关方——包括学者、政策制定者、倡导者和青年顾问——参与了研究优先事项的制定和评估，评估标准包括可解答性和影响力。最终确定了30项研究优先事项，其中排名靠前的优先事项主要关注社交媒体在青少年性与生殖健康及权利中的作用、心理健康挑战以及边缘化群体在性与生殖健康及权利需求方面的差异。研究结果强调了与青少年进行符合伦理的互动以及实施量身定制的全面性教育的重要性。已确定的研究重点强调需要制定可扩展的干预措施和政策，以满足青少年及其照护者的发展需求，同时克服社会文化障碍。这些研究重点还体现了明确的目标，即为青少年开发和实施共同设计、适合其年龄且可扩展的性与生殖健康及权利（SRHR）教育和健康干预措施，从而为他们的长期福祉奠定基础。
[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.
论文原文：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
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