对美国撒哈拉以南非洲移民和难民妇女产后避孕相关因素的证据进行映射：范围综述方案。

Mapping the evidence on factors related to postpartum contraception among sub-Saharan African immigrant and refugee women in the United States of America: A scoping review protocol.

机构信息

Department of Public Health, Arcadia University, Glenside, PA, United States of America.

College of Public Health and Health Professions, University of Florida, Gainesville, FL, United States of America.

出版信息

PLoS One. 2024 May 29;19(5):e0304222. doi: 10.1371/journal.pone.0304222. eCollection 2024.

DOI:10.1371/journal.pone.0304222

PMID:38809899

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11135752/

Abstract

BACKGROUND

Postpartum contraception is essential to sexual and reproductive health (SRH) care because it encourages healthy spacing between births, helps women avoid unwanted pregnancies, and lessens the risks of health problems for mothers and babies. Sub-Saharan African immigrant and refugee populations are rapidly increasing in the United States, and they come from a wide range of cultural, linguistic, religious, and social origins, which may pose challenges in timely access to culturally acceptable SRH care, for preventing mistimed or unwanted childbearing. The objective of this scoping review is to assess the extent of the available literature on postpartum contraception among sub-Saharan African immigrant and refugee women living in the United States.

METHODS

We developed preliminary search terms with the help of an expert librarian, consisting of keywords including birth intervals, birth spacing, contraception, postpartum contraception or family planning, and USA or America, and sub-Saharan African immigrants, or emigrants. The study will include the following electronic databases: PubMed/MEDLINE, PsycINFO, CINAHL, EMBASE, and the Global Health Database. The sources will include studies on postpartum care and contraceptive access and utilization among sub-Saharan African immigrants living in the US. Citations, abstracts, and full texts will be independently screened by two reviewers. We will use narrative synthesis to analyze the data using quantitative and qualitative methods. Factors associated with postpartum contraception will be organized using the domains and constructs of the PEN-3 Model as a guiding framework.

CONCLUSION

This scoping review will map the research on postpartum contraception among sub-Saharan African immigrant and refugee women living in the US. We expect to identify knowledge gaps, and barriers and facilitators of postpartum contraception in this population. Based on the findings of the review, recommendations will be made for advocacy and program and policy development toward optimizing interpregnancy intervals in sub-Saharan African immigrants living in the US.

TRIAL REGISTRATION

Review registration Open Science Framework: https://osf.io/s385j.

摘要

背景

产后避孕对于性与生殖健康（SRH）护理至关重要，因为它鼓励生育间隔健康，帮助女性避免意外怀孕，并降低母婴健康问题的风险。美国的撒哈拉以南非洲移民和难民人口正在迅速增加，他们来自广泛的文化、语言、宗教和社会背景，这可能会对及时获得文化上可接受的 SRH 护理造成挑战，以防止生育时间不当或意外怀孕。本范围综述的目的是评估关于生活在美国的撒哈拉以南非洲移民和难民妇女产后避孕的现有文献的程度。

方法

我们在一位专家图书管理员的帮助下制定了初步的搜索词，包括包括生育间隔、生育间隔、避孕、产后避孕或计划生育以及美国或美洲和撒哈拉以南非洲移民或移民在内的关键词。该研究将包括以下电子数据库：PubMed/MEDLINE、PsycINFO、CINAHL、EMBASE 和全球健康数据库。这些来源将包括关于生活在美国的撒哈拉以南非洲移民产后护理和避孕获取和利用的研究。引文、摘要和全文将由两名评审员独立筛选。我们将使用叙述性综合分析使用定量和定性方法分析数据。将使用 PEN-3 模型的领域和结构来组织与产后避孕相关的因素，作为指导框架。