评估发展中国家男性计划生育教育干预措施的有效性:系统性审查
Haruko Tazoe1, Riho Tomozawa1, Mai Sato1
1Department of Human Health Sciences, Graduate School of Medicine, Kyoto University, Kyoto, Japan.
JMA journal
|February 5, 2024
概括
在低收入和中等收入国家,教育干预可以提高男性关于计划生育的知识和态度. 然而,需要更多高质量的研究来证实它们对实践和性别动态的有效性.
科学领域:
- 公共卫生 公共卫生
- 生殖健康 生殖健康
- 性别研究是性别研究.
背景情况:
- 意外怀孕与社会经济发展和性别不平等有关.
- 促进计划生育和解决性别动态的教育干预对预防至关重要.
- 现有的研究主要集中在女性或高收入国家,忽视了低收入和中等收入环境中的男性.
研究的目的:
- 系统地审查教育干预措施对低收入和中等收入国家的男性的影响.
- 评估与计划生育相关的男性知识,态度,做法和性别动态的影响.
主要方法:
- 1980年至2022年使用CINAHL,Ovid MEDLINE和Web of Science发表的研究的系统审查.
- 关键词包括"男人/丈夫"",计划生育"",避孕"和"教育".
- 使用既有工具评估偏差风险和证据质量 (偏差风险2,GRADE手册).
主要成果:
- 包括来自马拉维,危地马拉,坦桑尼亚和印度的五项研究 (4个集群RCT,1个RCT).
- 干预措施对知识,态度,计划生育和性别动态指标产生影响.
- 证据的整体质量低至非常低,原因是存在偏见风险,异质性和不准确性.
结论:
- 为了确定低收入和中等收入国家的男性计划生育教育的有效性,需要进行额外的高质量的干预研究.
- 干预措施必须是具体的,考虑到影响计划生育的各种背景因素.
- 需要标准化指标来进行干预有效性的跨语境比较.
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