Local Action for Sexual and Reproductive Health of Street Children: A Systematic Review

IF 0.3 Q4 PEDIATRICS
Farzane Alidost, Z. Taghizadeh, Nasimeh Setayesh, Haniyeh Nazem, M. Azizi
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引用次数: 2

Abstract

Context: Street children may expose to high-risk behaviors such as unwanted pregnancy, abortion, and Sexually Transmitted Diseases (STDs). Objectives: This study systematically reviewed and presented preventive strategies for promoting Sexual and Reproductive Health (SRH) against unsafe abortion, STDs, and unwanted pregnancy in street children. Data Source: In this systematic review, we searched databases of ScienceDirect, Web of Science (ISI), PubMed, Scopus, Scientific Information Database (SID), and Google Scholar. Published articles between 1990 and 2020 were retrieved. Finally, 41 articles were used to compile the results of this study. Study Selection: A total of 1522 potentially relevant articles were identified; 275 articles were removed due to duplication and in abstract screening, and 766 articles did not meet the inclusion criteria or focus on the research question. Next, the full-text of 481 remained articles were screened. Studies in languages other than English or Persian, studies presented in conferences, and those with no information regarding the SRH among street children were removed. Finally, 41 studies were included in this systematic review. Data Extraction: Data were extracted from the articles according to the selection criteria by two independent reviewers. Results: Results of this study were categorized into 2 tables. Table 1 presents the strengths, weaknesses, opportunities, and threats of SRH in street children were shown. Table 2 presents the preventive strategies regarding unwanted pregnancy, unsafe abortion, and STDs in the street children in four categories of 1) expansion program and promotion of educational services, 2) expansion program and promotion of educational services, 3) creating secure umbrella and social welfare, and 4) expansion program and promotion of social protection. Conclusions: Because of no information on street children regarding SRH, the government should consider adequate sexual education programs such as protected sexual intercourse and counseling on preventing STDs and unsafe abortion. It is essential to allocate affordable and accessible healthcare centers and facilities to provide services with no judgment on these children.
街头儿童性健康和生殖健康的地方行动:系统回顾
背景:街头儿童可能暴露于高危行为,如意外怀孕、堕胎和性传播疾病(std)。目的:本研究系统地审查并提出了促进性健康和生殖健康(SRH)的预防战略,以防止街头儿童的不安全堕胎、性传播疾病和意外怀孕。数据来源:本系统综述检索了ScienceDirect、Web of Science (ISI)、PubMed、Scopus、Scientific Information Database (SID)和谷歌Scholar等数据库。检索1990年至2020年间发表的文章。最后,利用41篇文章来汇编本研究的结果。研究选择:总共确定了1522篇可能相关的文章;由于重复和摘要筛选,275篇文章被删除,766篇文章不符合纳入标准或不关注研究问题。接下来,对剩余的481篇文章全文进行了筛选。以英语或波斯语以外的语言进行的研究、在会议上发表的研究以及没有关于街头儿童性健康和生殖健康信息的研究均被删除。最后,本系统综述纳入了41项研究。数据提取:由两名独立审稿人根据选择标准从文章中提取数据。结果:本研究结果分为2个表。表1显示了街头儿童性健康和生殖健康的优势、劣势、机会和威胁。表2列出了针对街头儿童意外怀孕、不安全堕胎和性传播疾病的预防战略,分为四类:1)扩大方案和促进教育服务;2)扩大方案和促进教育服务;3)建立安全保护伞和社会福利;4)扩大方案和促进社会保护。结论:由于没有关于街头儿童性健康和生殖健康的信息,政府应该考虑适当的性教育项目,如保护性性交和预防性病和不安全堕胎的咨询。至关重要的是分配负担得起和可获得的医疗保健中心和设施,在不评判这些儿童的情况下提供服务。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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