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1、 SAGE SAGE - -明智的选择明智的选择青少年教育策略 Larry Gee医生 Dr Larry GeeSAGE ADVICE SAGE 建议Promoting Adolescent Risk Avoidance 如何避免青春期的危险寻找你生命中的爱 FINDING THE LOVE OF YOUR LIFE选择正确婚姻伴侣的十原则 Ten Principles For Choosing the Right Marriage Partner Larry Gee医生 Dr Larry GeeGet Acquainted 彼此熟悉nWhat kinds of professionals a
2、re here today? 今天在这里的是从事那些职业的人？nHow many are parents of teens? 其中有多少已经为人父母？nWhat are your top three concerns for the teens in your community? 在你的社区中最大的三个青少年问题是什么？ 1. 2. 3.SAGE Advice SAGE 建议 Strategies for Adolescent Guidance EducationSAGE Advice is a continuing professional development program desi
3、gned to train health care professionals and educators in effective, efficient techniques with which to encourage adolescents and pre-adolescents toward the avoidance of unhealthy risk behaviors. SAGE 建议是采用确实有效，并富有效率的技术 对健康工作者和教育工作者进行的一种专业性 培训，旨在帮助鼓励处于青春期和青春前期的 青少年避免不健康的行为方式。Goals and Objectives目的和目标
4、Equip professionals to 帮助这些专业人员装备以下知识：naddress unhealthy adolescent risk behaviors in one-on-one encounters逐一地识别青春期青少年非健康的行为方式nsupport adolescent avoidance of alcohol consumption, tobacco use, drug use, violence, and premarital sexual activity如何帮助青少年避免酗酒、吸烟、吸毒、暴力倾向和 婚前性行为nenhance family communicatio
5、n and connectedness如何加强家庭交流和家庭联系Think of a teenager whos recently been in your office, who has engaged in an unhealthy risk behavior.想一想最近的一个因为不健康的行为方式而来到你的 办公室的那个孩子。 Disease Management Disease Management 疾病处理疾病处理n nPrimary PreventionPrimary Prevention: Risk AvoidanceRisk Avoidance 早期预防早期预防避免危险因素避免危
6、险因素n nSecondary PreventionSecondary Prevention: Risk ReductionRisk Reduction 二期防治减少危险因素n nTertiary ManagementTertiary Management: Disease Treatment Disease Treatment 三期处理疾病治疗Why Risk Avoidance Education? 为什么要进行避免危险行为方式的教育Why Risk Avoidance Education? 为什么要进行避免危险行为方式的教育Why Risk Avoidance Education? 为什
7、么要进行避免危险行为方式的教育More than 70% of deaths among young people aged 10 24 years are due to only 4 causes, all related to unhealthy risk behaviors:10-24岁的青少年死亡有70%是由以下4个原因造成的 ， 它们都与不健康的行为方式有关：Motor-vehicle crashes 机动车交通事故 (31.4%)Homicide 凶杀 (15.3%)Unintentional injuries, other than motor-vehicle 除交通事故以外的意
8、外伤害 (12%)Suicide 自杀(11.9%)CDC. Youth Risk Behavior Surveillance United States, 2001. MMWR, June 21, 2002;51(SS04);1-64.Why Risk Avoidance Education? 为什么要进行避免危险行为方式的教育Failure of risk reductionreduction education to adequately improve adolescent health 降低危险因素失败与充分提高青少年健康Interrelatedness of risk behavi
9、or危险行为方式彼此间的联系Impact of the media媒体影响Reality of harassment 不令人满意的现实状况Kotchik BA et al. Adolescent sexual risk behavior: A multi-system perspective. Clinical Psychology Review. 2001;21:493-519.Valois RF. Effective interventions for adolescent risk behaviors. Journal of Adolescent Health. 1999;25:328-
10、335.Sex on TV 3: A biennial report of the Kaiser Family Foundation. Menlo Park, CA: The Henry J. Kaiser Family Foundation, 2003.Why Risk Avoidance Education? 为什么要进行避免危险行为方式的教育nAdolescents are ready for stronger prevention messages 青少年可以接受更强大的预防信息nEffectiveness of taking a pledge 采用个人保证方式的有效性National
11、 Campaign to Prevent Teen Pregnancy. With one Voice: Americas Adults and Teens Sound Off about Teen Pregnancy. Washington, DC: National Campaign to Prevent Teen Pregnancy, 2001. Bearman PS, Bruckner H. Promising the future: Virginity pledges and first intercourse. American Journal of Sociology. 2001
12、;106(4):859-912.Diggs JR et al. A perspective on the medical implications of the virginity pledge among teens. On-line commentary. The Physicians Consortium, January 5, 2001. Why Risk Avoidance Education? 为什么要进行避免危险行为方式的教育Parental influence has been underestimated as a protective factor from risk 在保
13、护青少年远离危险生活方式 的教育工作中， 父母的影响力被 低估了Resnick MD et al. Protecting Adolescents from Harm. JAMA. 1997;278:823-832.Why Alcohol Avoidance? 为什么要远离酒精Why Alcohol Avoidance? 为什么要远离酒精？n47.1% of teens currently consume alcoholn目前有47.1%的青少年酗酒nAdolescents who recurrently binge drink exhibitn酗酒青少年的状况reduced cognitive
14、 performance 认知能力下降increased susceptibility to addictive behaviors 对吸毒等其它成瘾性行为的倾向度增加CDC. Youth Risk Behavior Surveillance United States, 2001. MMWR, June 21, 2002;51(SS04);1-64. Gansler DA et al. Hypoperfusion of inferior frontal brain regions in abstinent alcoholics: a pilot SPECT study. Journal of
15、 Studies on Alcohol. 2000;61(1):32- 7. Deas D et al. Adolescents are not adults: Developmental considerations in alcohol users. Alcoholism: Clinical and Experimental Research. 2000;24:232-237.Why Alcohol Avoidance? 为什么要避免酗酒?nFifteen-year olds who use alcohol are seven times more likely to have sexua
16、l intercourse 15岁的青少年中酗酒者发生性交行为比率使普 通青少年的7倍nTeens who drink alcohol are twice as likely to have four or more sexual partners 酗酒青少年具有四个或四个以上性伙伴的比率 是普通青少年的2倍Committee on Substance Abuse. Alcohol use and abuse: A pediatric concern. Pediatrics. 2001;108:185-189.Malignant Neglect: Substance Abuse and Americas Schools. New York: The National Center on Addiction and Substance Abuse at Columbia University, 2001.
