在撒哈拉以南非洲减少残疾耻辱的干预有效性:系统审查
Bhavisha Virendrakumar1, Cathy Stephen1, Emma Jolley1
1Department of Policy and Programme Strategy, Sightsavers, Haywards Heath, United Kingdom.
African journal of disability
|February 6, 2026
概括
在撒哈拉以南非洲,关于残疾耻辱干预的证据有限. 教育和培训是有前途的,但需要更严格的研究来证实有效性并指导未来的战略.
科学领域:
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
- 健康的社会决定因素
背景情况:
- 减少耻辱需要了解它的存在,对不同人群的影响以及有效的干预措施.
- 与残疾相关的耻辱是撒哈拉以南非洲地区的重大公共卫生挑战.
- 综合证据对于制定有针对性的耻辱减轻策略至关重要.
研究的目的:
- 综合现有关于旨在减少撒哈拉以南非洲残疾相关耻辱的干预措施有效性的证据.
- 在研究区域内确定成功的干预组件和方法.
主要方法:
- 在九个数据库中进行了全面的文献搜索,并补充了灰色文献和专家咨询.
- 两个独立的审查员选,提取数据,并评估了所包含研究的偏差风险.
- 干预措施使用行为变化轮框架进行了分类,并进行了叙述性合成.
主要成果:
- 在15项研究中,有8项报告了积极的影响,教育和培训经常被认为是有效的组成部分.
- 将教育与沟通和说服等其他策略相结合的干预措施显示出不同的结果.
- 两项低偏差风险的研究报告了组合干预的零效应,突出了减少耻辱的复杂性.
结论:
- 在撒哈拉以南非洲地区对耻辱干预措施的高质量研究很少.
- 挑战包括定义耻辱感,衡量干预有效性,以及目标群体,设置和指标的异质性.
- 在评估减少耻辱的干预措施时,急需加强方法论的严谨性,理论基础和透明的报告.
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