Duke Global Health Institute, Durham, NC, USA.
Department of Family Medicine and Community Health, Duke University, Durham, NC, USA.
Reprod Health. 2021 Nov 5;18(1):219. doi: 10.1186/s12978-021-01269-7.
Young people living with HIV(YPLWH) in low-and middle-income countries are entering adolescence and young adulthood in significant numbers. The majority of the HIV-related research on these young people has focused on clinical outcomes with less emphasis on their sexual and reproductive health (SRH). There is an increasing awareness of the importance of understanding and addressing their SRH needs, as many are at elevated risk of transmitting HIV to their sexual partners and young women, in particular, are at significant risk for transmitting HIV to their infants. The purpose of this scoping review is to synthesize research investigating the SRH needs of young people living with HIV in low- and middle-income countries.
We searched electronic databases for studies focusing on young people aged 10-24 years and 27 studies met inclusion criteria.
This review identified four themes characterizing research on SRH among young people living with HIV: knowledge of SRH, access to SRH services, sexual practices, and future family planning and childrearing.
Our findings suggest a need for additional research on comprehensive sexuality education to equip YPLWH with knowledge to facilitate desirable SRH outcomes, interventions on sero-status disclosure and condom use, and health provider capacity to provide SRH services in their pre-existing HIV clinical care.
在中低收入国家，越来越多的感染艾滋病毒的年轻人进入青春期和青年期。大多数与这些年轻人有关的艾滋病毒相关研究都集中在临床结果上，而对他们的性健康和生殖健康（SRH）的关注较少。人们越来越意识到理解和满足他们的 SRH 需求的重要性，因为许多人有将 HIV 传播给性伴侣的高风险，特别是年轻女性，有将 HIV 传播给婴儿的巨大风险。本范围审查的目的是综合研究中低收入国家感染艾滋病毒的年轻人的 SRH 需求。
我们搜索了电子数据库中关于年龄在 10-24 岁的年轻人的研究，有 27 项研究符合纳入标准。
本综述确定了四个主题，这些主题描述了感染艾滋病毒的年轻人的 SRH 研究：性健康和生殖健康知识、获取性健康服务的途径、性实践以及未来的计划生育和育儿。
我们的研究结果表明，需要进一步开展综合性教育研究，使感染艾滋病毒的年轻人具备相关知识，以促进他们获得理想的性健康和生殖健康结果，需要开展有关血清状况披露和使用安全套的干预措施，以及卫生保健提供者在其现有的艾滋病毒临床护理中提供性健康和生殖健康服务的能力。
