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绘制2019冠状病毒病疫情对性与生殖健康影响的证据:一项范围综述

Mapping Evidence of Impacts of COVID-19 Outbreak on Sexual and Reproductive Health: A Scoping Review.

作者信息

Bolarinwa Obasanjo Afolabi, Ahinkorah Bright Opoku, Seidu Abdul-Aziz, Ameyaw Edward Kwabena, Saeed Balsam Qubais, Hagan John Elvis, Nwagbara Ugochinyere Ijeoma

机构信息

Department of Public Health Medicine, School of Nursing and Public Health, University of KwaZulu-Natal, Durban 4041, South Africa.

School of Public Health, University of Technology Sydney, Sydney, NSW 2007, Australia.

出版信息

Healthcare (Basel). 2021 Apr 8;9(4):436. doi: 10.3390/healthcare9040436.

Abstract

INTRODUCTION

The emergence of the coronavirus disease 2019 (COVID-19) pandemic has rapidly transformed the pre-existing worldwide sexual and reproductive health environment. The provision and supply of contraceptives, and a wide variety of sexual health, new-born, and maternal health services have been seriously affected. Thus, this scoping review mapped the available evidence on the impacts of the COVID-19 outbreak on sexual and reproductive health.

METHODS

Arksey and O'Malley's methodological framework guided this scoping review. A search was conducted from the following databases: Embase, PubMed, CINAHL, Scopus, WOS, and AJOL. The preferred reporting items for systematic reviews and meta-analyses (PRISMA) chart and PRISMA extension for scoping reviews (PRISMA-ScR) checklist were used to document the review process. The McMaster critical review checklist was used to determine the quality of the included studies. Thematic analyses were conducted using NVivo version 12.

RESULTS

Three studies showed evidence on the impact of COVID-19 and family planning services, six studies reported on maternal and child services and eleven studies reported on sexual health (sexual behavior). Limited access to family planning use, reduction in multiple sexual partnership, decreased transactional sex, and maternal and child services disruption were some impacts reported in the included studies.

CONCLUSION

This study has demonstrated the impacts of COVID-19 on family planning access, multiple sexual partnership, transactional sex, and disruption of maternal and child health services. Interventions that will consider the immediate availability of and access to all sexual and reproductive health services should be prioritized.

摘要

引言

2019年冠状病毒病(COVID-19)大流行的出现迅速改变了此前全球的性与生殖健康环境。避孕药具的供应以及各类性健康、新生儿和孕产妇健康服务均受到严重影响。因此,本范围综述梳理了关于COVID-19疫情对性与生殖健康影响的现有证据。

方法

本范围综述以阿克西和奥马利的方法框架为指导。从以下数据库进行了检索:Embase、PubMed、CINAHL、Scopus、WOS和AJOL。使用系统评价和Meta分析的首选报告项目(PRISMA)图表以及范围综述的PRISMA扩展版(PRISMA-ScR)清单来记录综述过程。使用麦克马斯特批判性评价清单来确定纳入研究的质量。使用NVivo 12版本进行主题分析。

结果

三项研究显示了关于COVID-19对计划生育服务影响的证据,六项研究报告了孕产妇和儿童服务情况,十一项研究报告了性健康(性行为)情况。纳入研究报告的一些影响包括计划生育服务获取受限、多性伴关系减少、交易性行为减少以及孕产妇和儿童服务中断。

结论

本研究证明了COVID-19对计划生育服务获取、多性伴关系、交易性行为以及孕产妇和儿童健康服务中断的影响。应优先考虑能够确保即时提供并可获取所有性与生殖健康服务的干预措施。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0548/8068100/22f4d03e94aa/healthcare-09-00436-g001.jpg

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