High adult sex ratios and risky sexual behaviors: a systematic review.

High adult sex ratios and risky sexual behaviors: a systematic review.
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DOI:
10.1371/journal.pone.0071580
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发表时间:
2013
期刊:
影响因子:
3.7
通讯作者:
Tucker JD
Tucker JD
中科院分区:
综合性期刊3区
文献类型:
--
作者:
Bien CH;Cai Y;Emch ME;Parish W;Tucker JD

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全世界有34个国家的性别比例异常高(每100名妇女有102名男子),导致1亿多妇女失踪。针对胎儿性别进行的选择性人工流产、忽视女童导致过早死亡以及基于性别的移徙等现象普遍存在,这些现象持续存在并日益严重。社区中成人性别比例异常偏高可能会在妇女失踪和男子无法找到稳定伴侣的地方推动性传播疾病(STD)的传播。我们系统地回顾了高社区性别比例与个人性行为之间关系的证据。检索了7个数据库(PubMed、Web of Science、Embase、Scopus、科克伦系统评价数据库、社会学摘要和PopLINE),不受时间或地点的限制。我们遵循PRISMA指南,并根据STROBE标准评估质量。确定了1093篇引文,并纳入了描述57,054人的6项研究进行审查。所有六项研究都表明,高社区性别比例与个人性风险行为之间存在关联。在性别比例高的社区,女性更有可能有多个性伴侣,男性更有可能推迟第一次性行为和购买性行为。只有两项研究纳入了STD结局。高社区性别比与男性和女性个体性风险行为的增加有关。然而,没有一项研究检查了无保护的性行为或适当调整了性别迁移。需要进一步的研究来了解社区性别比例对性健康的影响,并为全面的性病控制干预提供信息。
Thirty-four countries worldwide have abnormally high sex ratios (>102 men per 100 women), resulting in over 100 million missing women. Widespread sex selective abortion, neglect of young girls leading to premature mortality, and gendered migration have contributed to these persistent and increasing distortions. Abnormally high adult sex ratios in communities may drive sexually transmitted disease (STD) spread where women are missing and men cannot find stable partners. We systematically reviewed evidence on the association between high community sex ratios and individual sexual behaviors. Seven databases (PubMed, Web of Science, Embase, Scopus, The Cochrane Database of Systematic Reviews, Sociological Abstracts, and PopLINE) were searched without restrictions on time or location. We followed PRISMA guidelines and evaluated quality according to STROBE criteria. 1093 citations were identified and six studies describing 57,054 individuals were included for review. All six studies showed an association between high community sex ratios and individual sexual risk behaviors. In high sex ratio communities, women were more likely to have multiple sex partners and men were more likely to delay first sexual intercourse and purchase sex. Only two studies included STD outcomes. High community sex ratios were associated with increased individual sexual risk behavior among both men and women. However, none of the studies examined unprotected sex or appropriately adjusted for gendered migration. Further studies are needed to understand the effect of community sex ratios on sexual health and to inform comprehensive STD control interventions.
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