Sexual and reproductive health needs of young people living with HIV in low- and middle-income countries: a scoping review.

Sexual and reproductive health needs of young people living with HIV in low- and middle-income countries: a scoping review.
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DOI:
10.1186/s12978-021-01269-7
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发表时间:
2021-11-05
影响因子:
3.4
通讯作者:
Ritchwood TD
Ritchwood TD
中科院分区:
医学2区
文献类型:
--
作者:
Mkumba LS;Nassali M;Benner J;Ritchwood TD

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低收入和中等收入国家的艾滋病毒感染者(YPLWH)数量巨大,正在进入青春期和成年早期。大多数针对这些年轻人的艾滋病毒相关研究都集中在临床结果上,较少关注他们的性健康和生殖健康(SRH)。人们越来越认识到了解和满足她们的性健康和生殖健康需求的重要性,因为许多人将艾滋病毒传染给性伴侣的风险较高,尤其是年轻女性,她们面临将艾滋病毒传染给婴儿的巨大风险。本次范围审查的目的是综合调查低收入和中等收入国家艾滋病毒感染者年轻人的性健康和生殖健康需求的研究。我们在电子数据库中检索了针对 10-24 岁年轻人的研究,其中 27 项研究符合纳入标准。本次审查确定了感染艾滋病毒的年轻人中性与生殖健康研究的四个主题:性与生殖健康知识、获得性与生殖健康服务、性行为以及未来的计划生育和育儿。我们的研究结果表明,需要对全面的性教育进行更多研究,以使 YPLWH 具备知识,以促进理想的 SRH 结果、对血清状态披露和安全套使用的干预措施,以及卫生服务提供者在其已有的 HIV 临床护理中提供 SRH 服务的能力。低收入和中等收入国家的艾滋病毒感染者(YPLWH)年轻人正在大量进入青春期和成年早期。大多数针对这些年轻人的艾滋病毒相关研究都集中在临床结果上,较少关注他们的性健康和生殖健康。了解并满足他们的性健康和生殖健康 (SRH) 需求非常重要,因为许多人面临着将艾滋病毒传染给性伴侣的高风险,尤其是年轻女性,面临着将艾滋病毒传染给婴儿的巨大风险。本次范围审查的目的是总结有关低收入和中等收入国家艾滋病毒感染者年轻人的性健康和生殖健康需求的研究。我们在在线数据库中搜索了针对 10-24 岁年轻人的研究,评论中纳入了 27 项研究。本次审查确定了感染艾滋病毒的年轻人中性与生殖健康研究的四个主题:性与生殖健康知识、获得性与生殖健康服务、性行为以及未来的计划生育和育儿。我们的研究结果表明,需要对全面的性教育进行更多研究,以使 YPLWH 具备知识,以促进理想的 SRH 结果、对血清状态披露和安全套使用的干预措施,以及卫生服务提供者在其已有的 HIV 临床护理中提供 SRH 服务的能力。
Young people living with HIV(YPLWH) in low-and middle-income countries are entering adolescence and young adulthood in significant numbers. The majority of the HIV-related research on these young people has focused on clinical outcomes with less emphasis on their sexual and reproductive health (SRH). There is an increasing awareness of the importance of understanding and addressing their SRH needs, as many are at elevated risk of transmitting HIV to their sexual partners and young women, in particular, are at significant risk for transmitting HIV to their infants. The purpose of this scoping review is to synthesize research investigating the SRH needs of young people living with HIV in low- and middle-income countries. We searched electronic databases for studies focusing on young people aged 10–24 years and 27 studies met inclusion criteria. This review identified four themes characterizing research on SRH among young people living with HIV: knowledge of SRH, access to SRH services, sexual practices, and future family planning and childrearing. Our findings suggest a need for additional research on comprehensive sexuality education to equip YPLWH with knowledge to facilitate desirable SRH outcomes, interventions on sero-status disclosure and condom use, and health provider capacity to provide SRH services in their pre-existing HIV clinical care. Young people living with HIV(YPLWH) in low-and middle-income countries are entering adolescence and young adulthood in large numbers. The majority of the HIV-related research on these young people has focused on clinical outcomes with less emphasis on their sexual and reproductive health. It is important to understand and address their sexual and reproductive health (SRH) needs, as many are at a high risk of passing on HIV to their sexual partners and young women, in particular, are at significant risk for passing on HIV to their infants. The purpose of this scoping review is to summarize research examining the SRH needs of young people living with HIV in low- and middle-income countries. We searched online databases for studies focusing on young aged 10–24 years and 27 studies were included in the review. This review identified four themes characterizing research on SRH among young people living with HIV: knowledge of SRH, access to SRH services, sexual practices, and future family planning and childrearing. Our findings suggest a need for additional research on comprehensive sexuality education to equip YPLWH with knowledge to facilitate desirable SRH outcomes, interventions on sero-status disclosure and condom use, and health provider capacity to provide SRH services in their pre-existing HIV clinical care.
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