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亲密伴侣暴力及其与不同成年人群性健康结果的关系:一项系统综述。

Intimate partner violence and its relation to sexual health outcomes across different adult populations: a systematic review.

作者信息

Calvillo Cristobal, Marshall Alexandra, Gafford Stefani, Montgomery Brooke E E

机构信息

Department of Health Behavior and Health Education, University of Arkansas for Medical Sciences, Little Rock, AR, United States.

Education and Research Services, University of Arkansas for Medical Sciences, Little Rock, AR, United States.

出版信息

Front Sociol. 2024 Dec 13;9:1498969. doi: 10.3389/fsoc.2024.1498969. eCollection 2024.

DOI:10.3389/fsoc.2024.1498969
PMID:39735614
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11671811/
Abstract

INTRODUCTION

Intimate Partner Violence (IPV) significantly impacts adults' wellbeing, causing both physical and psychological harm. IPV has been consistently linked to adverse sexual health outcomes, including an increased risk of sexually transmitted infections, unintended pregnancies, and sexual dysfunction. This systematic review examines the evolving relationship between IPV and sexual health outcomes in adults from 2014 to 2024, addressing gaps in understanding across diverse populations and exploring the complex interplay between violence, sexuality, and health.

METHODS

A comprehensive search of multiple databases was conducted for peer-reviewed articles published between January 2014 and February 2024. Studies examining the association between IPV and sexual health variables in adult populations (aged 18 and older) were included. The review followed PRISMA guidelines, and 27 articles met the inclusion criteria after full-text screening and quality assessment.

RESULTS

IPV was consistently associated with poorer sexual health outcomes across diverse populations and contexts. Studies utilized various validated instruments to assess IPV and sexual health. Research primarily focused on cisgender heterosexual women, with limited studies on cisgender heterosexual men, men who have sex with men, and transgender individuals. IPV was linked to an increased risk of sexually transmitted infections, unintended pregnancies, sexual dysfunction, and decreased sexual satisfaction. The relationship between IPV and sexual health was influenced by factors such as gender identity, sexual orientation, and cultural context.

DISCUSSION

The review highlights the complex relationship between IPV and sexual health, emphasizing the need for targeted interventions and culturally sensitive approaches. Significant research gaps exist, particularly regarding lesbian women and non-binary individuals. Future studies should employ mixed-methods approaches and consider intersectionality to provide a more comprehensive understanding of IPV's impact on sexual health across diverse populations.

摘要

引言

亲密伴侣暴力(IPV)对成年人的幸福产生重大影响,会造成身体和心理伤害。IPV一直与不良性健康结果相关联,包括性传播感染风险增加、意外怀孕和性功能障碍。本系统综述考察了2014年至2024年期间IPV与成年人性健康结果之间不断演变的关系,填补不同人群在认识上的空白,并探索暴力、性与健康之间的复杂相互作用。

方法

对多个数据库进行全面检索,查找2014年1月至2024年2月发表的同行评审文章。纳入研究成年人群体(18岁及以上)中IPV与性健康变量之间关联的研究。该综述遵循PRISMA指南,经过全文筛选和质量评估后,有27篇文章符合纳入标准。

结果

在不同人群和背景下,IPV始终与较差的性健康结果相关。研究使用了各种经过验证的工具来评估IPV和性健康。研究主要集中在顺性别异性恋女性,对顺性别异性恋男性、男男性行为者和跨性别者的研究有限。IPV与性传播感染风险增加、意外怀孕、性功能障碍以及性满意度降低有关。IPV与性健康之间的关系受到性别认同、性取向和文化背景等因素的影响。

讨论

该综述强调了IPV与性健康之间的复杂关系,强调需要有针对性的干预措施和对文化敏感的方法。存在重大研究空白,特别是关于女同性恋者和非二元性别人群。未来的研究应采用混合方法,并考虑交叉性,以更全面地了解IPV对不同人群性健康的影响。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/53d6/11671811/6eeb8876de47/fsoc-09-1498969-g0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/53d6/11671811/6eeb8876de47/fsoc-09-1498969-g0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/53d6/11671811/6eeb8876de47/fsoc-09-1498969-g0001.jpg

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