了解在一般实践中使用适应的候选框架获得性和生殖健康;系统审查和定性证据综合
Rebecca Mawson1, Victoria Hodges2, Sarah Salway3
1The University of Sheffield, Division of Population Health, Sheffield, United Kingdom r.l.mawson@sheffield.ac.uk.
一般实践可以改善所有人的性和生殖健康 (SRH) 获取. 然而,像耻辱和专业行为这样的障碍不成比例地影响到边缘化群体,需要有针对性的干预.
科学领域:
- 公共卫生 公共卫生
- 一般的做法一般的做法
- 医疗保健服务研究 医疗服务研究
背景情况:
- 一般实践对于减少性与生殖健康 (SRH) 准入方面的不平等至关重要.
- 意外怀孕,堕胎和性传播疾病不成比例地影响贫困社区和少数民族.
- 候选框架为理解一般实践中的SRH访问动态提供了一个模型.
研究的目的:
- 应用候选框架来探索在一般实践环境中获得SRH服务的机会.
- 在SRH访问的背景下分析候选人的七个交互阶段.
主要方法:
- 使用框架方法进行系统审查和定性证据综合.
- 在 MEDLINE,EMBASE,PUBMED 和 Web of Science 搜索了关于一般实践中SRH访问的定性研究.
- 综合使用候选框架的发现.
主要成果:
- 对42项研究的分析强调了耻辱,羞耻和尬对SRH访问的影响.
- 来自较低社会经济背景,少数民族和LGBTQ+人口的个人更明显地存在障碍.
- 医疗保健专业人员的行为极大地影响了对SRH需求的认知.
结论:
- 一般做法应该优先考虑SRH作为核心服务提供.
- 需要进一步的研究来了解历史医疗伤害对种族化个体和性别少数群体的影响.
- 解决系统性障碍对于公平的SRH护理提供至关重要.
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