Alomair Noura, Alageel Samah, Davies Nathan, Bailey Julia V
Research Department of Primary Care and Population Health, Institute of Epidemiology and Health Care, University College London, Upper 3rd Floor, Royal Free Campus, Rowland Hill Street, London, NW3 2PF, UK.
Community Health Sciences Department, College of Applied Medical Sciences, King Saud University, Riyadh, Kingdom of Saudi Arabia.
Reprod Health. 2020 Mar 5;17(1):33. doi: 10.1186/s12978-020-0888-1.
In Islamic societies, issues related to sexual and reproductive health (SRH) are rarely discussed and considered sensitive subjects. This review aimed to identify any personal, religious, cultural, or structural barriers to SRH service and education among Muslim women worldwide.
A search for qualitative and quantitative studies was conducted on seven electronic databases. A narrative synthesis using thematic analysis was conducted.
Fifty-nine studies were included from 22 countries: 19 qualitative, 38 quantitative and two mixed methods. Many Muslim women have poor SRH knowledge, and negative attitudes which influence their access to, and use of SRH services. Barriers to contraception use among Muslim women included a lack of basic reproductive knowledge, insufficient knowledge about contraception, misconceptions, and negative attitudes. Women had negative attitudes towards family planning for limiting the number of children but not for child spacing, which reflected religious views towards family planning. Religious and cultural beliefs were barriers to contraception use and access to SRH services and information. Family and the community have a significant impact on women's contraceptive use and access to SRH services. Husband and family opposition played a significant role in contraception access and use. Fear of stigmatization and being labelled as having pre-marital sexual relations among unmarried women acted as the main barrier to accessing contraception and seeking SRH information and services.
The findings reveal that there are multiple levels of factors that influence Muslim women's SRH. Poor SRH knowledge and practices among Muslim women is complex matter that is affected by personal, community, cultural, religious factors and existing policies and regulations. All these factors overlap and are affected by each other. There is an urgent need for interventions addressing modifiable barriers to SRH education and services to improve knowledge, informed choice and access to services to facilitate better sexual and reproductive wellbeing for Muslim women. It is important to note that while this review aimed to report findings on Muslim women, we acknowledge that significant variations exist within every culture and religion.
在伊斯兰社会，与性健康和生殖健康（SRH）相关的问题很少被讨论，被视为敏感话题。本综述旨在确定全球穆斯林女性在获得SRH服务和教育方面存在的任何个人、宗教、文化或结构障碍。
在七个电子数据库中搜索定性和定量研究。采用主题分析进行叙述性综合。
纳入了来自22个国家的59项研究：19项定性研究、38项定量研究和两项混合方法研究。许多穆斯林女性性健康和生殖健康知识匮乏，态度消极，这影响了她们获得和使用SRH服务。穆斯林女性使用避孕措施的障碍包括缺乏基本生殖知识、对避孕的了解不足、误解和消极态度。女性对限制子女数量的计划生育持消极态度，但对生育间隔持积极态度，这反映了宗教对计划生育的看法。宗教和文化信仰是使用避孕措施以及获得SRH服务和信息的障碍。家庭和社区对女性使用避孕措施以及获得SRH服务有重大影响。丈夫和家庭的反对在避孕措施的获取和使用中起了重要作用。未婚女性担心被污名化和被贴上婚前性行为的标签，这是获取避孕措施以及寻求SRH信息和服务的主要障碍。
研究结果表明，有多个层面的因素影响穆斯林女性的性健康和生殖健康。穆斯林女性性健康和生殖健康知识匮乏及行为不佳是一个复杂的问题，受到个人、社区、文化、宗教因素以及现有政策法规的影响。所有这些因素相互重叠且相互影响。迫切需要采取干预措施，解决SRH教育和服务中可改变的障碍，以提高知识水平、促进明智选择并增加获得服务的机会，从而促进穆斯林女性更好的性健康和生殖健康。需要注意的是，虽然本综述旨在报告关于穆斯林女性的研究结果，但我们承认每种文化和宗教内部都存在显著差异。
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