Sexual, reproductive and mental health among young men (10–24) in low-and-middle income countries: a scoping review

IF 2.3 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Siphiwe Mhlongo, A. Mason-Jones, Keith Ford
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Abstract

The relationship between SRH and mental health among men is not well documented, especially in the 10–24 age group. This scoping review aimed to investigate what is known about the association between SRH and mental health among young men (10–24) in LMICs.Embase, APA PsycInfo, MEDLINE(R) ALL, ASSIA and the Cochrane Library of Database of Systematic Reviews were searched from the year of establishment up to August 2022. The review was reported using the PRISMA-ScR checklist.A total of (n = 2636) studies were identified from the five databases. After the completion of screening, only ten studies (n = 8 cross-sectional, n = 1 mixed methods and n = 1 qualitative) met the eligibility criteria and were included in the review. The findings suggest that there is a reciprocal relationship between mental health and SRH. Sperm concentration and total sperm count were found to be lower in depressed men. Poor mental health was associated with early sexual debut, higher rates of sexual activity and an increased number of sexual partners. Poor mental health was also found among men who had sex with men (MSM). In addition, we found a relationship between sexual abuse, sexual coercion and poor mental health.The findings of this unique study indicate that poor mental health is associated with poor SRH outcomes and vice versa among young men (10–24) living in LMICs. However, further research will be needed to establish the temporal relationship between SRH and mental health outcomes.
中低收入国家年轻男性(10-24 岁)的性健康、生殖健康和心理健康:范围界定审查
性健康生殖健康与男性心理健康之间的关系,特别是10-24岁年龄组之间的关系,没有很好的文献记载。本综述旨在调查中低收入国家年轻男性(10-24岁)的性生殖健康与心理健康之间已知的关联。检索了Embase、APA PsycInfo、MEDLINE(R) ALL、ASSIA和Cochrane系统评价数据库库,检索时间从建库年至2022年8月。使用PRISMA-ScR检查表进行回顾报告。从五个数据库中共确定了(n = 2636)项研究。筛选完成后,只有10项研究(n = 8横断面法、n = 1混合法和n = 1定性法)符合入选标准,纳入本综述。研究结果表明,心理健康与性健康和生殖健康之间存在相互关系。研究发现,抑郁男性的精子浓度和精子总数较低。较差的心理健康状况与较早的初次性行为、较高的性活动率和更多的性伴侣有关。男男性行为者(MSM)的心理健康状况也不佳。此外,我们还发现了性虐待、性胁迫与心理健康状况不佳之间的关系。这项独特研究的结果表明,生活在低收入中低收入国家的年轻男性(10-24岁)心理健康状况不佳与性生殖健康状况不佳相关,反之亦然。然而,需要进一步的研究来确定性生殖健康与心理健康结果之间的时间关系。
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