生殖胁迫和相关的健康后果:一个范围审查
Susan Saldanha1,2, Jessica R Botfield1,2, Desireé LaGrappe2,3
1Department of General Practice, School of Public Health and Preventive Medicine, Monash University, Melbourne, VIC, Australia.
生殖胁迫 (RC) 严重损害心理,性和生殖健康,增加了意外怀孕和性传播疾病的风险. 需要对身体健康影响和各种RC行为进行更多的研究.
科学领域:
- 生殖健康 生殖健康
- 公共卫生 公共卫生
- 心理健康 心理健康
背景情况:
- 生殖胁迫 (RC) 涉及控制生殖选择的行为,造成严重的健康风险.
- 对于RC的全面健康影响仍然不充分理解.
- 现有的研究主要集中在高收入国家.
研究的目的:
- 系统地审查关于RC的健康后果的经验文献.
- 为了确定与RC相关的不良健康结果.
- 突出RC研究中的证据缺口.
主要方法:
- 根据JBI方法和PRISMA-ScR指南进行范围审查.
- 搜索了五个主要的数据库 (MEDLINE,CINAHL,Embase,PsycINFO,Scopus) 来查找2010-2024年发表的研究.
- 包括来自18个国家的62项研究,分析报告的健康结果.
主要成果:
- RC与不良的生殖,性和心理健康结果有关,包括PTSD,焦虑和抑郁症.
- 观察到意外怀孕和性传播感染 (STIs) 的风险增加.
- 避孕的使用方式各不相同,有些人使用隐蔽方法或紧急避孕作为保护策略.
结论:
- RC显著影响心理和性健康,对生殖健康有不同的影响.
- 在低收入和中等收入国家了解身体健康后果和RC方面存在差距.
- 进一步的研究澄清RC的健康影响可以改善临床识别和反应,促进生殖自主.
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