涉及非洲变性人、变性人和变性人的健康干预试验:范围界定审查

J. Amzat, K. Kanmodi, K. Aminu, Abbas Ismail, A. Salami
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引用次数: 0

摘要

健康干预试验是一项重要的研究工作,旨在为影响不同人群的健康问题找到适当的解决方案。在许多情况下,它涉及变性群体等高风险群体。本范围界定综述旨在综述现有的涉及非洲变性人、变性人和跨种族人的健康干预试验。采用 "人群-概念-背景 "框架,对四个研究数据库(包括 APA PsycINFO、SCOPUS、CINAHL Complete 和 PubMed)进行了强大的系统搜索,以检索与综述问题相关的文献。使用 Rayyan 网络应用程序删除了检索到的文献中的重复内容。根据综述的纳入和排除标准对剩余文献进行相关性筛选,只有符合条件的文章才被纳入本综述。此次范围界定审查仅纳入并审查了四篇文章,这些文章报告了涉及变性人的研究。经同行评审,没有发现任何关于非洲变性者和跨种族者的原创研究文章符合纳入本综述的条件。所有经审查的文章都以高危、健康和未感染人类免疫缺陷病毒(HIV)的 18 至 65 岁成年参与者为研究对象。这些文章调查的领域包括性健康、艾滋病预防药物和疫苗试验。审查结果表明,在非洲变性人中使用艾滋病毒抑制药物和艾滋病毒筛查或检测是至关重要的预防干预措施。现有的研究证据表明,对变性行为的性还原论忽视了其他健康领域。在非洲,对跨种族、变性和变性者的健康试验研究在很大程度上是一个未得到充分开发的研究领域。需要在性健康领域之外开展更多的健康干预试验,以改善非洲这一高度边缘化人群的健康和福祉。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Health intervention trials involving transgender, transabled and transracial persons in Africa: A scoping review
Health intervention trials constitute important research efforts to find appropriate solutions to health issues affecting different populations. In many cases, it involves high‐risk groups such as the trans‐communities. This scoping review aims to review the existing health intervention trials involving transgender, transabled and transracial persons in Africa.This scoping review adopted the research design by Arskey and O'Malley. Using the Population–Concept–Context framework, a robust systematic search of four research databases, including APA PsycINFO, SCOPUS, CINAHL Complete and PubMed, was conducted to retrieve literature relevant to the review's question. Duplicate copies in the retrieved literature were removed using the Rayyan web‐based application. The residual literature was screened for relevance based on the review's inclusion and exclusion criteria, and only those eligible articles were included in this review. From the included literature, data were charted, collated, summarized and presented as results.The scoping review included and reviewed only four articles, which reported studies involving transgender persons. No peer‐reviewed original research article on transabled and transracial persons in Africa was found eligible for inclusion in this review. All the reviewed articles focused on at‐risk, healthy and human immunodeficiency virus (HIV)‐uninfected adult participants ranging between the ages of 18 and 65 years. The domains investigated in those articles were on sexual health, HIV preventive drugs and vaccine trials. The reviewed findings showed the use of HIV‐inhibiting medications and HIV screening or testing as vital preventive interventions among transgender persons in Africa. The available research evidence shows sexuality reductionism about trans behaviour by neglecting other health domains.Health trial research on transracial, transgender and transabled persons is a largely underexplored research domain in Africa. More health intervention trials, beyond the domain of sexual health, are required to improve the health and well‐being of this highly marginalized population group in Africa.
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