Compared to other teenagers, young care leavers tend to have poorer sexual/reproductive and mental health; mental health difficulties may increase risk for poor sexual/reproductive health. This systematic review addresses a gap in knowledge regarding the effectiveness of existing interventions that support care leavers’ sexual/reproductive health (e.g., contraception, pregnancy choices, early parenting). Eight published articles spanning six interventions were eligible. Interventions were associated with improvements in a range of sexual/reproductive health measures (e.g., sexual health knowledge; knowledge of where to get support; attitudes to sexual health practices), with some indicative improvements in self-esteem. However, some studies suggested these improvements may not be sustained. Interventions tended to include a broad age range, with limited programmes specifically aimed at care leavers. While some programmes focused on attitudes toward reproductive health and pregnancy (i.e., contraception), we identified no programme focusing on parenthood choice. We also identified no sexual/reproductive health programme that targeted or assessed associated mental health problems, despite evidence of associations between sexual health and mental health difficulties. Findings suggest that care leavers may benefit from specific sexual/reproductive health supports, but further evidence is needed. Findings also indicate a need for more holistic supports that integrate mental health supports with reproductive/sexual health and consider care leaver decision-making.

中文翻译：

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支持离开护理人员生殖和心理健康的干预措施：系统评价

与其他青少年相比，年轻的离开护理人员往往性/生殖和心理健康状况较差；心理健康困难可能会增加性/生殖健康不良的风险。这项系统综述解决了有关支持离开护理人员性/生殖健康的现有干预措施（例如避孕、怀孕选择、早期养育）有效性的知识空白。涵盖六项干预措施的八篇发表的文章符合资格。干预措施与一系列性/生殖健康措施的改善有关（例如，性健康知识；了解何处获得支持；对性健康实践的态度），以及自尊方面的一些指示性改善。然而，一些研究表明这些改善可能无法持续。干预措施往往涵盖广泛的年龄范围，专门针对离开护理人员的项目有限。虽然一些项目侧重于对生殖健康和怀孕（即避孕）的态度，但我们发现没有项目侧重于为人父母的选择。尽管有证据表明性健康与心理健康困难之间存在关联，但我们还没有发现针对或评估相关心理健康问题的性/生殖健康计划。研究结果表明，离开护理人员可能会受益于特定的性/生殖健康支持，但需要进一步的证据。研究结果还表明，需要更全面的支持，将心理健康支持与生殖/性健康相结合，并考虑离开护理人员的决策。