Université Paris Cité, IRD, INSERM, Ceped, F-75006 Paris, France.
French Collaborative Institute on Migrations, CNRS, Aubervilliers, France.
Health Promot Int. 2022 Oct 1;37(5). doi: 10.1093/heapro/daac139.
The concept of empowerment in sexual health is widely used in health promotion. This scoping review aims to identify how it is defined and measured. PubMed, Sage Journals, PsycInfo and the Web of Science are data sources. The inclusion criteria for studies were as follows: (1) an analysis of empowerment in sexual health, (2) quantitative evaluation and (3) publication in a peer-reviewed journal in French or English since January 1996. Data were extracted using a summary table of the definitions and indicators of empowerment in sexual health. Of the 2181 articles found, 29 met the inclusion criteria. Only 4 studies on 29 clearly defined empowerment in sexual health. Five dimensions emerged from the indicators used in the 29 studies in relation to sexual empowerment (social participation, participation in decision making, power to act, sexual health knowledge and gender norms), with two types of indicators: indicators unspecific to sexual health, which can be viewed as empowerment basic skills, and indicators specific to sexual health. Most studies concerned women and focused on individual empowerment, with a lack of measure of collective and structural levels of empowerment. Despite great heterogeneity in the definitions and indicators used, a set of core indicators emerged: participation in decision making, sexual negotiation power and sexual communication skills, knowledge and use of contraceptive methods, and HIV and sexually transmitted infections risk perception. This set could be systematically used in each study based on sexual empowerment concept, completed by supplementary indicators considering the specific context.
赋权这一概念在性健康促进中被广泛应用。本范围综述旨在确定其定义和测量方法。我们检索了 PubMed、Sage 期刊、PsycInfo 和 Web of Science 等数据库。纳入标准为：（1）对性健康赋权进行分析；（2）定量评估；（3）1996 年 1 月以来用法语或英语发表的同行评议期刊上的研究。使用性健康赋权的定义和指标总结表提取数据。在 2181 篇文章中，有 29 篇符合纳入标准。仅 4 项研究明确界定了性健康赋权。29 项研究中与性赋权相关的指标中出现了五个维度（社会参与、决策参与、行动能力、性健康知识和性别规范），包括两种类型的指标：与性健康无关的指标，可视为赋权的基本技能，以及特定于性健康的指标。大多数研究都针对女性，侧重于个体赋权，缺乏对集体和结构层面赋权的衡量。尽管定义和使用的指标存在很大的异质性，但出现了一组核心指标：决策参与、性谈判能力和性沟通技巧、对避孕方法的了解和使用，以及艾滋病毒和性传播感染风险感知。根据性赋权概念，在考虑特定背景的情况下，使用补充指标，可以在每项研究中系统地使用这组核心指标。
