Giardulli Benedetto, Prior Yeliz, Bumin Gonca, Kinikli Gizem I, Prior James A, Stones Simon R, Flurey Caroline, Testa Marco, Lavender Andy, Battista Simone
Department of Neurosciences, Rehabilitation, Ophthalmology, Genetics, Maternal and Child Health, University of Genoa, Genoa, Italy.
School of Health and Society, Centre for Human Movement and Rehabilitation, University of Salford, Salford, UK.
Musculoskeletal Care. 2025 Mar;23(1):e70040. doi: 10.1002/msc.70040.
Sexual health, pleasure, justice (equity in sexual rights and experiences), and well-being are crucial determinants of health and life quality, yet often overlooked in the rheumatic and musculoskeletal diseases (RMD) field. However, this topic has received more attention recently, and there is a need to map the current literature to inform the direction of future studies. Hence, this protocol outlines a scoping review to systematically map existing evidence on sexual health in people with RMD, exploring key themes and identifying evidence gaps across multiple dimensions, including sexual well-being, justice and pleasure.
This scoping review will follow the methodological guidance of the Joanna Briggs Institute and be reported using the Preferred Reporting Items for Systematic Reviews and Meta-Analysis extension for Scoping Reviews. The search strategy will involve PubMed, Embase, Cochrane Central, CINAHL, PsychInfo, LGBTQIA+ Source, Web of Science, and the grey literature. Identified articles will be reviewed based on the eligibility criteria. The results will be narratively synthesised and aligned with the framework proposed by Mitchel et al. (2021), identifying four pillars of comprehensive public health for sexuality: 'Sexual Health', 'Sexual Pleasure', 'Sexual Justice', and 'Sexual Well-Being'.
The scoping review will synthesise the scientific literature published on sexual health, pleasure, justice and well-being in people with RMD. This review will provide an understanding of how sexual health is addressed in the literature to inform future research and clinical practices. The findings will be disseminated as research publications, including peer-reviewed article(s), conference abstract(s)/presentation(s), and plain language summaries.
性健康、性愉悦、性正义（性权利和性体验的公平性）以及幸福感是健康和生活质量的关键决定因素，但在风湿性和肌肉骨骼疾病（RMD）领域常常被忽视。然而，这个话题最近受到了更多关注，有必要梳理当前的文献，为未来研究的方向提供信息。因此，本方案概述了一项范围综述，以系统地梳理关于RMD患者性健康的现有证据，探索关键主题，并确定包括性幸福感、性正义和性愉悦在内的多个维度上的证据空白。
本范围综述将遵循乔安娜·布里格斯研究所的方法学指导，并按照系统综述和元分析扩展版的首选报告项目进行报告。检索策略将涉及PubMed、Embase、Cochrane中心、护理学与健康领域数据库、心理学文摘数据库、LGBTQIA+资源库、科学引文索引数据库以及灰色文献。将根据纳入标准对检索到的文章进行评审。结果将进行叙述性综合，并与米切尔等人（2021年）提出的框架相一致，确定性健康综合公共卫生的四个支柱：“性健康”、“性愉悦”、“性正义”和“性幸福感”。
本范围综述将综合已发表的关于RMD患者性健康、性愉悦、性正义和幸福感的科学文献。本综述将有助于理解文献中如何探讨性健康问题，为未来的研究和临床实践提供信息。研究结果将作为研究出版物进行传播，包括同行评审文章、会议摘要/报告以及通俗易懂的总结。
