Kaley Alexandra, Eastham Rachael, McMahon Martin Joseph, Merrett Nicola
University of Essex - Colchester Campus, Colchester, UK
Lancaster University, Lancaster, UK.
BMJ Open. 2024 Dec 7;14(12):e085459. doi: 10.1136/bmjopen-2024-085459.
People with intellectual disabilities experience health inequalities at a greater level than their non-disabled peers. Notably, while general health status is starting to receive some attention, the reproductive health and rights of people with intellectual disabilities continue to be understudied from a policy and research perspective. The objective of this review is to elucidate the complex interplay between individual, social and structural factors that influence reproductive health outcomes for this population. The findings will be used to develop a theoretical framework to explain how and why reproductive health inequalities persist for people with intellectual disabilities and to identify gaps in the knowledge base to inform future research on this topic.
A six-stage meta-narrative review will be undertaken to synthesise the available evidence that seeks to explain the reproductive health inequalities experienced by people with intellectual disabilities and the factors contributing to these inequalities. The protocol for this review was developed in accordance with the Realist And MEta-narrative Evidence Syntheses: Evolving Standards publication standards, and the Preferred Reporting Items for Systematic Review and Meta-Analysis Protocol guideline is completed to ensure transparency.
This meta-narrative review protocol does not require formal ethics review because it will be based on published studies. The findings from this review will be submitted to a peer-reviewed journal and presented at national and international conferences. We will also produce our findings in a range of accessible and easy-to-read formats.
CRD42024495199.
智力残疾者所经历的健康不平等程度高于其非残疾同龄人。值得注意的是，虽然总体健康状况开始受到一些关注，但从政策和研究角度来看，智力残疾者的生殖健康和权利仍未得到充分研究。本综述的目的是阐明影响该人群生殖健康结果的个体、社会和结构因素之间的复杂相互作用。研究结果将用于构建一个理论框架，以解释智力残疾者生殖健康不平等现象持续存在的方式和原因，并找出知识库中的差距，为该主题的未来研究提供参考。
将进行六阶段的元叙事综述，以综合现有证据，这些证据旨在解释智力残疾者所经历的生殖健康不平等现象以及导致这些不平等的因素。本综述方案是根据《现实主义与元叙事证据综合：不断发展的标准》的出版标准制定的，并完成了系统评价和元分析方案的首选报告项目指南，以确保透明度。
本元叙事综述方案不需要正式的伦理审查，因为它将基于已发表的研究。本综述的结果将提交给同行评审期刊，并在国内和国际会议上发表。我们还将以一系列易于获取和阅读的格式呈现我们的研究结果。
PROSPERO注册号：CRD42024495199。
