低收入和中等收入国家的反耻辱干预:系统性审查
Tazeen Majeed1, Gareth Hopkin2, Katie Wang3
1School of Medicine and Public Health, College of Health, Medicine and Wellbeing, University of Newcastle, Australia.
EClinicalMedicine
|May 6, 2024
概括
这次审查发现,低收入和中等收入国家 (LMICs) 的反耻辱干预措施是有效的,尽管研究分布不均,往往侧重于特定疾病,如艾滋病毒/艾滋病和心理健康.
科学领域:
- 公共卫生 公共卫生
- 社会科学 社会科学 社会科学
- 健康差异 在健康上的差异
背景情况:
- 耻辱严重影响健康,加剧不平等,特别是在低收入和中等收入国家 (LMICs).
- 现有的反耻辱研究往往采用一种特定条件的方法,限制了全面的理解.
- 需要更广泛地评估应对LMIC中多元身份和健康状况的干预措施.
研究的目的:
- 在LMIC中对跨越多元身份和健康状况的反耻辱干预进行全面审查.
- 从整体的角度来评估同行评审和非同行评审的文献.
- 确定LMIC当前的反耻辱研究中的差距和优势.
主要方法:
- 在10个电子数据库中进行系统的文献搜索,截至2024年1月30日.
- 包括对LMICs的反耻辱干预的同行评审和非同行评审研究.
- 根据Cochrane协作指南进行的质量评估;注册在PROSPERO.
主要成果:
- 综合了192项研究,揭示了研究代表性的区域不平衡.
- 大多数研究采用准实验性设计,主要关注艾滋病毒/艾滋病和心理健康污名.
- 报告指出,某些人口较多的低低质量产业国家/地区的研究代表性有限.
结论:
- 反污名化干预措施在不同人群中表现出积极的结果,这表明其一般有效性.
- 对LMICs的反耻辱干预的研究需要将其范围扩大到特定条件之外,并确保公平的代表性.
- 建议进行进一步的研究,以解决已识别的差距,并加强对各种污名化群体的干预策略.
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