Effectiveness, Acceptability, and Feasibility of Digital Health Interventions for LGBTIQ+ Young People: Systematic Review.

Effectiveness, Acceptability, and Feasibility of Digital Health Interventions for LGBTIQ+ Young People: Systematic Review.
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LGBTIQ+年轻人的数字健康干预措施的有效性,可接受性和可行性:系统评价。

DOI:
10.2196/20158
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发表时间:
2020-12-03
影响因子:
7.4
通讯作者:
Perry Y
Perry Y
中科院分区:
医学2区
文献类型:
--
作者:
Gilbey D;Morgan H;Lin A;Perry Y

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年轻人(12-25岁)具有不同的性行为,性别或身体特征,如那些谁确定为女同性恋,男同性恋,双性恋,变性人,双性,或酷儿(LGBTIQ+),在一系列的精神,身体和性健康困难的风险大大高于同龄人。数字健康干预措施已被确定为减少这些健康差距的潜在途径。本综述旨在总结现有基于证据的LGBTIQ+年轻人数字健康干预措施的特点,并描述其有效性,可接受性和可行性的证据。使用互联网数据库和灰色文献来源进行系统的文献检索,并对结果进行筛选。对纳入的研究进行了定性综合。该搜索确定了38项研究,涉及24种独特的干预措施,旨在解决LGBTIQ+年轻人的心理,身体或性健康相关问题。针对男同性恋和双性恋男子的循证干预措施比任何其他人口群体都多,与减少性传播感染风险有关的干预措施比任何其他健康问题都多。有一些证据表明这些干预措施的有效性、可行性和可接受性;然而,往往缺乏证据的质量。有足够的证据表明,有针对性的数字健康干预措施是未来研究的一个重要重点,旨在解决LGBTIQ+年轻人的健康问题。需要更多的数字健康干预措施来解决更广泛的健康问题,特别是在精神和身体健康问题方面,以及针对相同性别吸引的女性,跨性别和性别多样性人群以及具有两性差异的人群的更有针对性的干预措施。PROSPERO国际系统性综述前瞻性登记中心CRD 42020128164; https://www.crd.york.ac.uk/prospero/display_record.php?记录ID =128164
Young people (aged 12-25 years) with diverse sexuality, gender, or bodily characteristics, such as those who identify as lesbian, gay, bisexual, transgender, intersex, or queer (LGBTIQ+), are at substantially greater risk of a range of mental, physical, and sexual health difficulties compared with their peers. Digital health interventions have been identified as a potential way to reduce these health disparities. This review aims to summarize the characteristics of existing evidence-based digital health interventions for LGBTIQ+ young people and to describe the evidence for their effectiveness, acceptability, and feasibility. A systematic literature search was conducted using internet databases and gray literature sources, and the results were screened for inclusion. The included studies were synthesized qualitatively. The search identified 38 studies of 24 unique interventions seeking to address mental, physical, or sexual health–related concerns in LGBTIQ+ young people. Substantially more evidence-based interventions existed for gay and bisexual men than for any other population group, and there were more interventions related to risk reduction of sexually transmitted infections than to any other health concern. There was some evidence for the effectiveness, feasibility, and acceptability of these interventions overall; however, the quality of evidence is often lacking. There is sufficient evidence to suggest that targeted digital health interventions are an important focus for future research aimed at addressing health difficulties in LGBTIQ+ young people. Additional digital health interventions are needed for a wider range of health difficulties, particularly in terms of mental and physical health concerns, as well as more targeted interventions for same gender–attracted women, trans and gender-diverse people, and people with intersex variations. PROSPERO International Prospective Register of Systematic Reviews CRD42020128164; https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=128164
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