PMID- 20172459 OWN - NLM STAT- MEDLINE DCOM- 20100520 LR - 20191210 IS - 1879-1972 (Electronic) IS - 1054-139X (Linking) VI - 46 IP - 3 Suppl DP - 2010 Mar TI - Confidence as a predictor of sexual and reproductive health outcomes for youth. PG - S42-58 LID - 10.1016/j.jadohealth.2009.11.216 [doi] AB - PURPOSE: To assess the association between four positive youth development (PYD) constructs of confidence and adolescent sexual and reproductive health (ASRH) outcomes. METHODS: We searched nine online databases to locate behavioral research that examined the association between four constructs of confidence (belief in the future, self-determination, clear and positive identity, and self-efficacy) and ASRH outcomes (e.g., ever had sex, condom use, contraception use, number of partners, pregnancy/birth, and sexually transmitted infection). Findings were coded as "protective," "risk," or "no association." The presence of at least two longitudinal studies reporting consistent significant associations for at least one ASRH outcome indicated evidence for a protective or risk association. RESULTS: We found evidence to support two of the four PYD constructs of confidence (belief in the future and self-determination) as protective factors for ASRH outcomes. Evidence was insufficient to draw conclusions about clear and positive identity as a protective factor, and was mixed for self-efficacy. Measures of confidence varied considerably across the studies reviewed, reflecting varying definitions; often, the measures used had limited information on reliability. Few longitudinal investigations were identified, and available studies were inconsistent in how they examined the association between the PYD constructs and ASRH outcomes. Evidence for most constructs was insufficient to identify their influence on specific sub-groups of youth. CONCLUSIONS: Despite the need for additional research, this review suggests that belief in the future and self-determination are promising protective factors. Further research is needed to better understand the potential for self-efficacy and clear and positive identity as protective factors. CI - Published by Elsevier Inc. FAU - Gloppen, Kari M AU - Gloppen KM AD - Division of Adolescent and School Health, CDC, Atlanta, GA 30341, USA. kgloppen@cdc.gov FAU - David-Ferdon, Corinne AU - David-Ferdon C FAU - Bates, Jessica AU - Bates J LA - eng PT - Journal Article PT - Review PL - United States TA - J Adolesc Health JT - The Journal of adolescent health : official publication of the Society for Adolescent Medicine JID - 9102136 SB - IM MH - Adolescent MH - *Adolescent Behavior MH - Female MH - Humans MH - Male MH - *Outcome Assessment, Health Care MH - *Reproductive Medicine MH - *Self Efficacy MH - *Sexual Behavior MH - Sexually Transmitted Diseases/prevention & control RF - 172 EDAT- 2010/03/05 06:00 MHDA- 2010/05/21 06:00 CRDT- 2010/02/23 06:00 PHST- 2009/08/16 00:00 [received] PHST- 2009/11/21 00:00 [revised] PHST- 2009/11/21 00:00 [accepted] PHST- 2010/02/23 06:00 [entrez] PHST- 2010/03/05 06:00 [pubmed] PHST- 2010/05/21 06:00 [medline] AID - S1054-139X(09)00640-5 [pii] AID - 10.1016/j.jadohealth.2009.11.216 [doi] PST - ppublish SO - J Adolesc Health. 2010 Mar;46(3 Suppl):S42-58. doi: 10.1016/j.jadohealth.2009.11.216.