在非洲的不孕症相关的耻辱的经验:一个系统的审查和混合方法的元合成
Emmanuel Ekpor1,2, Samuel Sanaa Brobbey3, Cynthia Yaba Kumah4
1School of Nursing and Midwifery, University of Ghana, Accra, Ghana.
International health
|May 27, 2025
概括
在整个非洲,不孕不育的耻辱是普遍存在的,影响了高达64%的个人. 这一系统性审查强调了耻辱的深远影响,并迫切需要文化敏感的干预措施来应对这一生殖健康挑战.
科学领域:
- 生殖健康 生殖健康
- 社会科学 社会科学 社会科学
- 公共卫生 公共卫生
背景情况:
- 不孕症是一个重要的生殖健康问题,在非洲的流行率很高.
- 不孕症经常与非洲社区的社会耻辱有关,影响了个人的福祉.
研究的目的:
- 在非洲背景下系统地审查和描述不孕不育污名的多方面的经验.
- 识别不孕不育的机制,标记,表现和后果.
主要方法:
- 在主要的科学数据库 (PubMed,MEDLINE,CINAHL,PsycINFO,Global Health,Scopus,Web of Science) 中进行了全面的系统搜索.
- 包括从数据库创建到2025年3月发表的研究,重点关注非洲国家的不孕症和耻辱感.
- 采用趋同的主题定性综合分析,对所选研究的数据进行分析.
主要成果:
- 审查确定了四个关键主题:驱动耻辱的机制,耻辱的社会标记,耻辱的各种表现,以及由此产生的心理,行为,关系和健康后果.
- 发现不孕不育的耻辱是普遍存在的,报告的患病率高达64%.
- 值得注意的是,在审查的文献中,没有发现或实施任何干预措施来减轻不孕不育的耻辱感.
结论:
- 在非洲,不孕不育的耻辱深深植根于文化规范和社会结构中,对受影响的个人产生了重大负面影响.
- 对于制定和实施文化定制的干预措施来减少不孕不育的耻辱,有着至关重要的和尚未得到满足的需求.
- 解决污名化问题对于改善生殖健康结果和改善患有不孕不育的人获得必要服务的机会至关重要.
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