Abortion decision-making trajectories and factors influencing such trajectories in low- and middle-income countries: a protocol for mixed-methods systematic review.
Abortion decision-making trajectories and factors influencing such trajectories in low- and middle-income countries: a protocol for mixed-methods systematic review.
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DOI：
10.1136/bmjopen-2021-049507
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发表时间：
2021-11-01
期刊：
影响因子：
2.9
通讯作者：
Nair M
中科院分区：
文献类型：
--
作者：
Lokubal P;Frischer SR;Corcuera I;Balil JM;Nalwadda Kayemba C;Kurinczuk JJ;Nair M
在全球范围内，大约一半的怀孕是意外和/或不想要的，其中五分之三以人工流产告终。当面临终止妊娠的选择时，妇女的堕胎决策过程往往是复杂和多阶段的，并且在承受堕胎相关发病率和死亡率主要负担的低收入和中等收入国家（LMIC）可能会放大。我们的综述旨在（1）描述中低收入国家妇女的堕胎决策轨迹；（2）调查影响中低收入国家堕胎决策轨迹选择的因素。我们将检索2000年1月1日至2021年2月16日期间在中低收入国家进行的已发表和未发表的定性、定量和混合方法、社区和/或医院研究。我们将检索Ovid Medline、Ovid EMBASE、Ovid PsycInfo、Ovid Global Health、Web of Science（包括社会科学引文索引）、Scopus、IBSS、CINAHL via EBSCO、WHO Global Index Medicus、 Cochrane 图书馆、世界卫生组织网站、ProQuest 和 Google Scholar。如果需要，我们将搜索符合条件的研究的参考列表，并联系专家以获取更多数据/信息。我们将提取所有相关数据来回答我们的研究问题，并使用适当的评估工具评估研究质量。根据提取的数据，我们的分析将使用 Hong 等人提出的顺序或收敛合成方法。对于定性研究，我们将使用主题综合、元民族志或“最适合”框架综合来综合证据；对于定量发现，我们将提供叙述性综合和/或荟萃分析。我们将进行敏感性分析，并使用推荐、评估和评估等级——来自定性研究审查的证据的置信度 (GRADE-CERQUal) 来评估定性发现，并使用推荐、评估和评估等级 (GRADE) 来评估我们研究结果的置信度。我们不需要对这次系统审查进行伦理批准。我们将在一份开放获取的同行评审期刊上发表我们的研究结果，面向全球和孕产妇健康读者。我们还将在国内和国际科学会议上展示我们的研究结果。
Globally, about half of all pregnancies are unintended and/or unwanted and three-fifths of these end in induced abortion. When faced with a choice to terminate pregnancy, women’s abortion decision-making processes are often complex and multiphasic and maybe amplified in low- and middle-income countries (LMICs) which bear the major burden of abortion-related morbidity and mortality. Our review aims to (1) describe abortion decision-making trajectories for women in LMICs and (2) investigate factors influencing the choice of abortion decision-making trajectories in LMICs. We will search and retrieve published and unpublished qualitative, quantitative and mixed-methods, community and/or hospital-based studies conducted in LMICs from 1 January 2000 up to 16 February 2021. We will search Ovid Medline, Ovid EMBASE, Ovid PsycInfo, Ovid Global Health, Web of Science (including Social Science Citation Index), Scopus, IBSS, CINAHL via EBSCO, WHO Global Index Medicus, the Cochrane Library, WHO website, ProQuest and Google Scholar. We will search reference lists of eligible studies and contact experts for additional data/information, if required. We will extract all relevant data to answer our research questions and assess study quality using the appropriate appraisal tools. Depending on the extracted data, our analysis will use sequential or convergent synthesis methods proposed by Hong et al. For qualitative studies, we will synthesise evidence using thematic synthesis, meta-ethnography or ‘best-fit’ framework synthesis; and for quantitative findings, we will provide a narrative synthesis and/or meta-analysis. We will do sensitivity analyses and assess confidence in our findings using Grades of Recommendation, Assessment, and Evaluation –Confidence in Evidence from Reviews of Qualitative Research (GRADE-CERQUal) for qualitative findings and Grades of Recommednation, Assessment, and Evaluation (GRADE) for quantitative findings. We did not require ethics approval for this systematic review. We will publish our findings in an open-access peer-reviewed journal with global and maternal health readership. We will also present our findings at national and international scientific conferences.
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影响因子：
4
作者：
Carroll C;Booth A;Cooper K
通讯作者：
Cooper K
影响因子：
15.8
作者：
Moher D;Liberati A;Tetzlaff J;Altman DG;PRISMA Group
通讯作者：
PRISMA Group
DOI：
10.1363/43e4017
发表时间：
2017-06-01
影响因子：
4.4
作者：
Freeman, Emily;Coast, Ernestina;Murray, Susan F.
通讯作者：
Murray, Susan F.
影响因子：
7.2
作者：
Daly, Jeanne;Willis, Karen;Hughes, Emma
通讯作者：
Hughes, Emma
影响因子：
3.4
作者：
Rehnström Loi U;Lindgren M;Faxelid E;Oguttu M;Klingberg-Allvin M
通讯作者：
Klingberg-Allvin M