低收入和中等收入国家的更年期:对知识,症状和管理的范围审查
Rakibul M Islam1,2, Juwel Rana2,3, Sadia Katha2
1School of Public Health and Preventive Medicine, Monash University, Melbourne, VIC, Australia.
概括
在低收入和中等收入国家 (LMICs) 中,更年期缺乏研究,对更年期激素治疗 (MHT) 等治疗方法的知识和使用不足. 为了公平的更年期护理,迫切需要对政策和教育进行改变.
科学领域:
- 全球健康 全球健康
- 生殖健康 生殖健康
- 妇女健康 妇女健康
背景情况:
- 更年期是全球妇女的重要生命过渡.
- 低收入和中等收入国家 (LMICs) 在解决更年期健康方面面临着独特的挑战.
- 需要了解LMICs中更年期知识,症状和管理的当前状态.
研究的目的:
- 系统地绘制LMIC中更年期现有证据的地图.
- 为了识别知识,症状和管理差距.
- 为LMICs中更年期护理的未来研究和政策制定提供信息.
主要方法:
- 按照PRISMA-ScR指南进行系统范围审查.
- 在 MEDLINE,EMBASE,CINAHL 和 Scopus 数据库 (2000-2024) 中进行了搜索.
- 包括报告绝经知识,症状流行率或LMICs管理的研究;数据以描述性和主题性方式综合.
主要成果:
- 包括来自41个LMIC的252项研究;大多数是横截面的,缺乏国家代表性.
- 更年期分类不一致,关于更年期年龄的国家数据稀缺.
- 鉴定出缺乏更年期和更年期激素治疗 (MHT) 的知识,低MHT使用,以及基于证据的护理的重大障碍.
结论:
- 更年期是一个被忽视的健康问题在LMICs,尽管越来越多的绝经后人口.
- 迫切需要将更年期纳入卫生政策,并投资提供者教育.
- 必须确保LMIC妇女平等获得基于证据的更年期护理,包括MHT.
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