撒哈拉以南非洲青年的性健康和生殖健康需求和偏好:综合研究。

IF 2.6 3区 综合性期刊 Q1 MULTIDISCIPLINARY SCIENCES
PLoS ONE Pub Date : 2024-12-31 eCollection Date: 2024-01-01 DOI:10.1371/journal.pone.0300829
Victoria Kalu Uka, Helen White, Debbie M Smith
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引用次数: 0

摘要

撒哈拉以南非洲青年的性健康和生殖健康需求没有得到充分满足,这一人口中意外怀孕和性传播感染率很高就是明证。了解撒哈拉以南非洲10-24岁青年的服务需求和偏好对于改善服务可及性和性健康健康结果以及本定性研究系统综述的重点至关重要。通过关键词检索4个数据库以确定相关研究,并辅以引文检索,于2023年6月更新。资格标准是明确的,是先验制定的。来自7个国家的20项纳入研究使用关键评估技能计划(CASP)进行了质量评估。研究人员使用元人种学方法来综合研究中的概念。产生了四个关键主题:信息需要;服务需求;社会需求;以及递送偏好。信息需求包括对避孕、安全性行为、身体变化和健康关系等适龄教育的渴望,以填补知识空白。社会需求包括生活技能培训、职业发展、药物使用康复以及促进健康行为的支持系统。服务需求包括方便青年人获得的性健康服务、预防性护理、性传播感染管理和避孕;提供服务的偏好包括有能力的服务提供者能够保护隐私和保密,方便的面向年轻人的环境,免费或低成本的服务,以及年轻人参与服务设计。总之,确定的主题强调了撒哈拉以南非洲青年的性与健康需求和偏好的多样性。从其独特的优先事项和未满足的需求中获得的见解为政策制定和干预战略提供了信息。量身定制的提高认识运动、为提供者提供以青年为中心的培训、对青年友好和保密的性健康和生殖健康模式、全面教育以及让青年参与制定相关解决方案,可能会改善可接受性、可获得性和健康成果。这些努力可以解决围绕耻辱、成本和缺乏知识的障碍,有助于提高性健康和健康。要满足撒哈拉以南非洲的青年性健康和生殖健康需求,需要各部门致力于以证据为基础、以青年为重点的战略,并将青年的观点置于中心位置。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

The sexual and reproductive health needs and preferences of youths in sub-Saharan Africa: A meta-synthesis.

The sexual and reproductive health needs and preferences of youths in sub-Saharan Africa: A meta-synthesis.

The sexual and reproductive health (SRH) needs of youths in sub-Saharan Africa are not being fully met, as evidenced by high rates of unintended pregnancies and sexually transmitted infections in this population. Understanding service needs and preferences of sub-Saharan African youths aged 10-24 years is critical for improving access and SRH outcomes and the focus of this systematic review of qualitative research. Four databases were searched with key words to identify relevant studies, supplemented by citation search, with an update in June 2023. The eligibility criteria were clear and developed a priori. Twenty included studies from seven countries underwent quality appraisal using the Critical Appraisal Skills Programme (CASP). A meta-ethnographic approach was used to synthesise concepts across studies by the researchers. Four key themes were generated: information needs; service needs; social needs; and delivery preferences. Information needs encompassed desires for age-appropriate education on contraception, safer sex, bodily changes, and healthy relationships to fill knowledge gaps. Social needs consisted of life skills training, vocational development, substance use rehabilitation, and support systems to foster healthy behaviours. Service needs included accessible youth-friendly sexual health services, preventative care, sexually transmitted Infections (STI) management, and contraception; and delivery preferences including competent providers who maintain privacy and confidentiality, convenient youth-oriented settings, free or low-cost provisions, and youth involvement in service design. In conclusion, the identified themes emphasise the diverse nature of SRH needs and preferences among sub-Saharan African youths. Insights from their unique priorities and unmet needs inform policy development and intervention strategies. Tailored awareness campaigns, youth-centred training for providers, youth-friendly and confidential SRH models, comprehensive education, and engaging youth in developing relevant solutions may improve acceptability, access, and health outcomes. These efforts could address barriers around stigma, costs, and lack of knowledge, contributing to enhanced SRH and wellbeing. Fulfilling youth SRH needs in sub-Saharan Africa requires commitment across sectors to evidence-based, youth-focused strategies placing their perspectives at the centre.

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来源期刊
PLoS ONE
PLoS ONE 生物-生物学
CiteScore
6.20
自引率
5.40%
发文量
14242
审稿时长
3.7 months
期刊介绍: PLOS ONE is an international, peer-reviewed, open-access, online publication. PLOS ONE welcomes reports on primary research from any scientific discipline. It provides: * Open-access—freely accessible online, authors retain copyright * Fast publication times * Peer review by expert, practicing researchers * Post-publication tools to indicate quality and impact * Community-based dialogue on articles * Worldwide media coverage
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