埃塞俄比亚残疾青年和青少年性与生殖健康服务利用情况的规模：一项系统评价与荟萃分析
Magnitude of Sexual and Reproductive Health Service Utilization Among Youths and Adolescents Living With Disability in Ethiopia: A Systematic Review and Meta-Analysis.
作者信息
Delie Amare Mebrat, Fenta Eneyew Talie, Mehari Molla Getie, Berihun Sileshi, Tiruneh Misganaw Guadie
机构信息
Department of Public Health College of Medicine and Health Sciences, Injibara University Injibara Ethiopia.
Departments of Medical Laboratory Science College of Medicine and Health Sciences, Injibara University Injibara Ethiopia.
出版信息
Health Sci Rep. 2025 Mar 20;8(3):e70573. doi: 10.1002/hsr2.70573. eCollection 2025 Mar.
BACKGROUND AND AIMS
Sexual and reproductive health services are essential for the well-being of youths and adolescents, including those living with disabilities. There was inconsistent evidence on the magnitude of sexual and reproductive health services utilization among youths and adolescents living with a disability. Therefore, this review aimed to assess the pooled magnitude of sexual and reproductive health service utilization among youths and adolescents living with a disability.
METHODS
Relevant databases including PubMed, Cochrane Library, AJOL, Semantic Scholar, Epistemonikos, Hinari, Google Scholar, and direct Google were used to search articles. This study included articles (both peer-reviewed and preprints) in the English language from September 2013 to May 2, 2024. The pooled magnitude of sexual and reproductive health service utilization among youths and adolescents with a disability was estimated using a weighted DerSimonian-laird random effect model. The ² statistics were used to ascertain the extent of heterogeneity. The funnel plot, Egger's regression, and Begg's test examined publication bias.
RESULTS
Based on this systematic review and meta-analysis, the pooled magnitude of sexual and reproductive health service utilization among youths and adolescents with disability in Ethiopia was 29.11% (95% CI: 13.69, 44.53).
CONCLUSIONS
The overall pooled magnitude of sexual and reproductive health service utilization among youths with disabilities was low in Ethiopia. The Ministry of Health and other collaborating organizations working on youth and adolescents with a disability should give special attention to enhancing the utilization of sexual and reproductive health services for youths and adolescents living with a disability. It is important to develop and create strategies that enable young people with disabilities to utilize sexual and reproductive health services, thereby protecting the rights and respecting the dignity of individuals with disabilities.
背景与目的
性与生殖健康服务对于青年和青少年的福祉至关重要，包括残疾青年和青少年。关于残疾青年和青少年使用性与生殖健康服务的程度，证据并不一致。因此，本综述旨在评估残疾青年和青少年使用性与生殖健康服务的综合程度。
方法
使用包括PubMed、Cochrane图书馆、AJOL、语义学者、Epistemonikos、Hinari、谷歌学术以及直接谷歌搜索等相关数据库来检索文章。本研究纳入了2013年9月至2024年5月2日期间的英文文章（包括同行评审文章和预印本）。使用加权的DerSimonian-Laird随机效应模型估计残疾青年和青少年使用性与生殖健康服务的综合程度。I²统计量用于确定异质性程度。漏斗图分析、Egger回归分析和Begg检验用于检测发表偏倚。
结果
基于本系统综述和荟萃分析，埃塞俄比亚残疾青年和青少年使用性与生殖健康服务的综合程度为29.11%（95%置信区间：13.69，44.53）。
结论
在埃塞俄比亚，残疾青年使用性与生殖健康服务的总体综合程度较低。卫生部和其他致力于残疾青年和青少年工作的合作组织应特别关注提高残疾青年和青少年对性与生殖健康服务的利用率。制定并创建使残疾青年能够使用性与生殖健康服务的策略非常重要，从而保护残疾人的权利并尊重其尊严。
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