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非洲青少年和年轻人对性健康和生殖健康服务的偏好的表述性研究:系统综述方案。

Stated preferences of adolescents and young adults for sexual and reproductive health services in Africa: a systematic review protocol.

机构信息

Department of Health Systems and Policy, University of Gondar, Gondar, Amhara, Ethiopia

Curtin School of Population Health, Curtin University, Perth, Western Australia, Australia.

出版信息

BMJ Open. 2024 Sep 10;14(9):e079502. doi: 10.1136/bmjopen-2023-079502.

Abstract

BACKGROUND

Adolescence and young adulthood are critical life stages with varied healthcare needs. Adolescents and young adults (AYAs) are often confronted with challenges in their sexual and reproductive health (SRH) and rights. Uptake of SRH services among AYAs groups remains limited, especially in resource-limited settings. This could be partly attributed to the existing services not catering for the preferences of AYAs. However, there is no systematic evaluation of research to explore the preferences of AYAs for SRH services in Africa. Therefore, the objective of this systematic review is to assess AYAs's preferences for SRH in Africa.

METHODS AND ANALYSIS

The systematic review will follow the recommendations of Preferred Reporting Items for Systematic Reviews and Meta-Analyses 2020. Stated preference studies in the area of SRH services conducted among AYAs will be included. We will search MEDLINE, EMBASE, PsycINFO, CINAHL, Scopus, Global Health and Google Scholar databases. Two independent researchers will screen the articles, and any disagreement will be handled through discussion with the broader research team. The quality of the included papers will be assessed and reported. The preferences for attributes, the most important and least important attributes and preference heterogeneity will be reported. In addition, the preference research gap across African regions and SRH services among AYAs will be reported.

ETHICS AND DISSEMINATION

Ethical approval is not required for this protocol. The systematic review findings will be published in a peer-reviewed journal and presented at conferences.

PROSPERO REGISTRATION NUMBER

CRD42023386944.

摘要

背景

青春期和青年期是关键的人生阶段,有着多样化的医疗保健需求。青少年和年轻人(AYAs)在性健康和生殖健康(SRH)及其权利方面经常面临挑战。AYAs 群体对 SRH 服务的接受程度仍然有限,尤其是在资源有限的环境中。这在一定程度上可能是由于现有的服务不符合 AYAs 的偏好。然而,目前还没有系统的评估研究来探索非洲 AYAs 对 SRH 服务的偏好。因此,本系统评价的目的是评估非洲 AYAs 对 SRH 的偏好。

方法和分析

本系统评价将遵循 2020 年系统评价和荟萃分析的首选报告项目的建议。将纳入在 SRH 服务领域针对 AYAs 开展的偏好陈述研究。我们将搜索 MEDLINE、EMBASE、PsycINFO、CINAHL、Scopus、全球健康和 Google Scholar 数据库。两名独立的研究人员将筛选文章,任何分歧将通过与更广泛的研究团队进行讨论来解决。将评估并报告所纳入论文的质量。将报告属性的偏好、最重要和最不重要的属性以及偏好异质性。此外,还将报告非洲各地区和 AYAs 之间的 SRH 服务的偏好研究差距。

伦理和传播

本方案不需要伦理批准。系统评价结果将发表在同行评议的期刊上,并在会议上展示。

PROSPERO 注册号:CRD42023386944。

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