Applying technology to promote sexual and reproductive health and prevent gender based violence for adolescents in low and middle-income countries: digital health strategies synthesis from an umbrella review.
Applying technology to promote sexual and reproductive health and prevent gender based violence for adolescents in low and middle-income countries: digital health strategies synthesis from an umbrella review.
复制标题
DOI：
10.1186/s12913-022-08673-0
复制
发表时间：
2022-11-19
影响因子：
2.8
通讯作者：
中科院分区：
文献类型：
--
作者：
低收入和中等收入国家的青少年面临着许多发展、性健康和生殖健康方面的挑战，包括遭受多方面暴力的风险。基于性别的暴力，特别是亲密伴侣暴力，在低收入和中等收入国家非常普遍，与性健康和生殖健康成果不佳密切相关。然而，由于个人、社会、文化、服务和资源方面的障碍，基于性别的暴力和基于性别的暴力干预措施尚未充分纳入性健康和生殖健康。为了促进长期的性健康和生殖健康，必须采取更全面的办法，将性别暴力和性暴力与青少年发展需求结合起来。数字健康有可能通过设计和提供综合性的性健康和生殖健康护理来解决多种服务的设置、提供和解决获取障碍。然而，没有为中低收入国家的青少年制定综合性数字性健康和生殖健康与发展促进准则。进行了一次总括审查，以综合数字健康干预文献三个相互关联领域的证据：㈠性健康和生殖健康，㈡性别暴力，特别是IPV作为一个子集，㈢青少年发展和健康促进。我们首先综合研究的每个领域的结果，然后进一步分析的影响和机会，告知方法，以制定一个综合的干预措施，可以从整体上解决多个SRH的需求，在中低收入国家的青少年。纳入了2010年至2020年期间以英语发表的文章和PubMed。17篇综述文章符合我们的综述纳入标准。我们的主要发现是，应用数字健康战略促进青少年性健康和生殖健康是高度可行和可接受的。虽然有效性的证据是不够的，使干预措施和最佳实践的建议，一些以用户为中心的设计准则已被提出为基于网络的健康信息和健康应用程序设计青少年使用。此外，还确定了几项数字健康战略，可用于进一步发展综合性的基于性别的暴力-IPV-性健康和生殖健康的服务，以改善青少年的健康结果。我们产生了几个建议和战略，以指导未来的数字为基础的性健康和生殖健康促进研究，从我们的审查。严格的研究，重点是使用数字健康策略和标准化的结果措施相结合的干预有效性测试将是重要的。方法的改进，如采用纵向实验设计将是至关重要的，在生成基于证据的干预和实践指南，在中低收入国家的青少年。
Adolescents in low-and-middle-income countries (LMICs) are facing numerous developmental, sexual and reproductive health (SRH) challenges including exposure to multidimensional violence. Gender-based violence (GBV) specifically intimate partner violence (IPV) are both highly prevalent in LMICs and are strongly linked with poor SRH outcomes. However, GBV and IPV interventions have not yet been adequately integrated in SRH due to individual, social, cultural, service, and resource barriers. To promote long-term SRH, a more holistic approach that integrates GBV and IPV, and adolescent development needs is imperative. Digital health has the potential to address multiple service setup, provision, and addressing access barriers through designing and providing integrated SRH care. However, there are no guidelines for an integrated digital SRH and development promotion for adolescents in LMICs. An umbrella review was conducted to synthesize evidence in three inter-related areas of digital health intervention literature: (i) SRH, (ii) GBV specifically IPV as a subset, and (iii) adolescent development and health promotion. We first synthesize findings for each area of research, then further analyze the implications and opportunities to inform approaches to develop an integrated intervention that can holistically address multiple SRH needs of adolescents in LMICs. Articles published in English, between 2010 and 2020, and from PubMed were included. Seventeen review articles met our review inclusion criterion. Our primary finding is that application of digital health strategies for adolescent SRH promotion is highly feasible and acceptable. Although effectiveness evidence is insufficient to make strong recommendations for interventions and best practices suggestions, some user-centered design guidelines have been proposed for web-based health information and health application design for adolescent use. Additionally, several digital health strategies have also been identified that can be used to further develop integrated GBV-IPV-SRH-informed services to improve adolescent health outcomes. We generated several recommendations and strategies to guide future digital based SRH promotion research from our review. Rigorous research that focuses on intervention effectiveness testing using a combination of digital health strategies and standardized albeit contextualized outcome measures would be important. Methodological improvement such as adoption of longitudinal experimental design will be crucial in generating evidence-based intervention and practice guidelines for adolescents in LMICs.
登录
查看更多内容
影响因子：
2.5
作者：
Fernando, Luwishennadige Madhawee N.;Sim, Wan Hua;Yap, Marie B. H.
通讯作者：
Yap, Marie B. H.
影响因子：
4.1
作者：
Enebrink, Pia;Hogstrom, Jens;Ghaderi, Ata
通讯作者：
Ghaderi, Ata
影响因子：
2.7
作者：
Gance-Cleveland, Bonnie;Leiferman, Jenn;Ozkaynak, Mustafa
通讯作者：
Ozkaynak, Mustafa
影响因子：
5
作者：
Badawy, Sherif M;Kuhns, Lisa M
通讯作者：
Kuhns, Lisa M
影响因子：
2.6
作者：
Gabarron E;Wynn R
通讯作者：
Wynn R