Reproductive empowerment and contraceptive self-care: a systematic review.
Reproductive empowerment and contraceptive self-care: a systematic review.
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DOI：
10.1080/26410397.2022.2090057
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发表时间：
2021
影响因子：
6
通讯作者：
Williams, Katie
中科院分区：
文献类型：
--
作者：
Burke, Holly M.;Ridgeway, Kathleen;Murray, Kate;Mickler, Alexandria;Thomas, Reana;Williams, Katie
避孕自我保健干预措施是改善生殖健康的一个有希望的办法。生殖赋权，即个人实现其生殖目标的能力，被认为是自我保健的一个组成部分。需要更好地理解自我保健与增强权能之间的关系，以推动自我保健干预措施的设计、实施和推广。我们对2010年至2020年发表的同行评议和灰色文献进行了系统回顾，以评估生殖赋权与获得，可接受性，使用或打算使用避孕自我护理之间的关系。我们的审查遵循PRISMA指南，并在PROSPERO（ID CRD 42020205235）中注册。共筛选了3036个独特的记录，37项研究符合我们的纳入标准。大多数研究都是在高收入国家进行的，是横断面的，有很高的偏倚风险。几乎一半的人只有妇女。超过80%的人调查了男用避孕套。除了一项研究外，所有研究都集中在自我护理的使用上。我们发现安全套使用自我效能与使用/意图使用安全套之间存在正相关。我们发现其他自我保健避孕方法也有类似的证据，但研究数量少，证据质量低，无法得出强有力的结论。很少有研究评估赋权和自我照顾之间的因果关系，表明进一步的研究是必要的。其他未充分探索的领域包括研究除性伴侣外有影响力的群体的权力、避孕套以外的方法以及避孕自我保健的获得和可接受性。应在包括青少年和男子在内的不同地区和人群中使用经验证的赋权措施进行研究。
Contraceptive self-care interventions are a promising approach to improving reproductive health. Reproductive empowerment, the capacity of individuals to achieve their reproductive goals, is recognised as a component of self-care. An improved understanding of the relationship between self-care and empowerment is needed to advance the design, implementation and scale-up of self-care interventions. We conducted a systematic review of the peer-reviewed and grey literature published from 2010 through 2020 to assess the relationship between reproductive empowerment and access, acceptability, use or intention to use contraceptive self-care. Our review adheres to PRISMA guidelines and is registered in PROSPERO (ID CRD42020205235). A total of 3036 unique records were screened and 37 studies met our inclusion criteria. Most studies were conducted in high-income countries, were cross-sectional and had high risk of bias. Almost half included only women. Over 80% investigated male condoms. All but one study focused on use of self-care. We found positive relationships between condom use self-efficacy and use of/intention to use condoms. We found similar evidence for other self-care contraceptive methods, but the low number of studies and quality of the evidence precludes drawing strong conclusions. Few studies assessed causal relationships between empowerment and self-care, indicating that further research is warranted. Other underexplored areas include research on power with influential groups besides sexual partners, methods other than condoms, and access and acceptability of contraceptive self-care. Research using validated empowerment measures should be conducted in diverse geographies and populations including adolescents and men.
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影响因子：
4.5
作者：
Espada JP;Morales A;Guillén-Riquelme A;Ballester R;Orgilés M
通讯作者：
Orgilés M
影响因子：
2.1
作者：
Do, Mai;Fu, Hongyun
通讯作者：
Fu, Hongyun
影响因子：
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通讯作者：
Appleton, Nayantara Sheoran
影响因子：
4.2
作者：
Davis, Kelly Cue
通讯作者：
Davis, Kelly Cue
影响因子：
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作者：
Agha, Sohail
通讯作者：
Agha, Sohail