Emmanuel Ekpor, Samuel Sanaa Brobbey, Cynthia Yaba Kumah, Samuel Akyirem
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引用次数: 0
摘要
不孕症是一个重要的生殖健康问题,在非洲发病率很高,在那里它往往被污名化。本系统综述概述了非洲不孕症污名化的特点。系统检索了PubMed、MEDLINE、CINAHL、PsycINFO、Global Health、Scopus和Web of Science的相关研究,涵盖了从创立到2025年3月的出版物。搜索包含了与“不孕症”和“耻辱”相关的主题标题和关键词,并结合了指定所有非洲国家的术语。采用混合方法进行数据分析,采用收敛主题质量综合方法。共确定了1987项记录,其中48项研究最终符合纳入标准。分析揭示了不孕耻辱感的四个主要主题:驱动或延续不孕耻辱感的耻辱感因素的机制;污名化标记——区分被污名化个体的社会标记和标识;柱头的表现——柱头表现的各种形式;以及后果——对经历不孕症耻辱的个人的心理、行为、关系和健康方面的影响。不孕症的耻辱感很普遍,患病率高达64%。然而,没有开发和实施干预措施来缓解这一问题。在非洲,对不孕症的耻辱感深深植根于文化规范和社会结构中,严重影响了受影响者的生活。这篇综述强调,迫切需要针对不同文化的干预措施,以减轻耻辱感,增加获得生殖健康服务的机会。
Experience of infertility-related stigma in Africa: a systematic review and mixed methods meta-synthesis.
Infertility is a significant reproductive health issue with high prevalence rates in Africa, where it is often stigmatized. This systematic review characterizes the experience of infertility stigma in Africa. A systematic search of relevant studies was conducted across PubMed, MEDLINE, CINAHL, PsycINFO, Global Health, Scopus and Web of Science, covering publications from their inception to March 2025. The search incorporated subject headings and keywords related to 'infertility' and 'stigma' in combination with terms specifying all African countries. A mixed methods approach was employed for data analysis, using the convergent thematic QUAL synthesis method. A total of 1987 records were identified, with 48 studies ultimately meeting the inclusion criteria. The analysis revealed four overarching themes in the experience of infertility stigma: mechanisms of stigma-factors that drive or perpetuate stigma surrounding infertility; stigma marking-the social markers and identifiers that distinguish individuals as stigmatized; manifestations of stigma-the varied forms through which stigma is expressed; and consequences-the psychological, behavioural, relational and health-related repercussions for individuals experiencing infertility stigma. Infertility stigma was widespread, with a prevalence as high as 64%. However, no interventions were developed and implemented to mitigate this issue. Infertility stigma in Africa is deeply embedded within cultural norms and social structures, significantly impacting the lives of those affected. This review emphasizes the critical need for culturally tailored interventions to alleviate stigma and enhance access to reproductive health services.
期刊介绍:
International Health is an official journal of the Royal Society of Tropical Medicine and Hygiene. It publishes original, peer-reviewed articles and reviews on all aspects of global health including the social and economic aspects of communicable and non-communicable diseases, health systems research, policy and implementation, and the evaluation of disease control programmes and healthcare delivery solutions.
It aims to stimulate scientific and policy debate and provide a forum for analysis and opinion sharing for individuals and organisations engaged in all areas of global health.