宫查参与和访问智力残疾人的促进者和障碍:系统性审查和元分析
Rosalie Power1, Michael David2,3, Iva Strnadová4,5
1Translational Health Research Institute, Western Sydney University, Sydney, NSW, Australia.
Frontiers in psychiatry
|August 12, 2024
概括
智障人士的宫部查率明显较低. 解决恐惧,沟通和提供者信心等障碍对于公平的癌症消除工作至关重要.
科学领域:
- 公共卫生 公共卫生
- 妇科瘤学 妇科瘤学
- 智力障碍研究 智力障碍研究
背景情况:
- 世界卫生组织消除宫癌需要公平的战略,包括对智力障碍者.
- 了解智力障碍者参与宫部查对于实现公平的健康结果至关重要.
- 本系统性审查审查了查率和影响因素对这一群体.
研究的目的:
- 系统地审查关于智力障碍者宫查参与率的文献.
- 识别和分析影响子宫部查参与的促进因素和障碍.
- 为公平消除宫癌的战略提供信息.
主要方法:
- 在六个电子数据库 (MEDLINE,CINAHL,Scopus,PsycINFO,Embase,Pro-Quest中央社会科学集合) 中进行系统搜索.
- 包括1986年至2023年间在英语同行评审期刊上发表的经验研究.
- 对流行率和赔率比率的元分析,以及使用社会生态模型对促进者和障碍物的专题分析.
主要成果:
- 63篇文章符合纳入标准;42篇报道了选率,24篇报道了促进者/障碍者.
- 整体查患病率为35%,智力障碍者查的可能性明显低 (OR:0.30).
- 关键障碍包括恐惧,焦虑,错误假设,需要教育/信息,沟通挑战和医疗保健提供者的信心问题.
结论:
- 解决已识别的障碍对于改善智力障碍患者的宫查参与至关重要.
- 共同生产,社区主导的研究,政策和实践努力是公平消除宫癌所必需的.
- 确保公平的查对于实现宫癌的全球和地方公共卫生目标至关重要.
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