Brown Kaeleigh, Choi Katherine, Kim Esther, Campbell Sandra M, Schulz Jane, Moffitt Pertice, Chatwood Susan
University of Alberta School of Public Health, Edmonton, Alberta, Canada.
Government of Nunavut, Iqaluit, Nunavut, Canada.
PLoS One. 2025 Apr 3;20(4):e0307010. doi: 10.1371/journal.pone.0307010. eCollection 2025.
Pelvic health conditions significantly impact quality of life and are prevalent in the general population. Urinary and fecal incontinence, pelvic organ prolapse, and pelvic pain are examples of pelvic health conditions. A scoping review was conducted to understand what is currently known about pelvic health conditions experienced by Indigenous populations worldwide. To date, no such review has been reported.
A scoping review methodology was used. In February 2024, a search was conducted, capturing both primary and grey literature. An iterative process of abstract and full text screening was conducted by two reviewers before proceeding to data extraction. Inclusion criteria focused on English publications and reports of pelvic health conditions experienced by Indigenous peoples. Data was collected in Google Sheets, and then underwent descriptive statistical analysis. Publications that provided qualitative data were further analyzed using thematic analysis.
A total of 242 publications were included in the analysis. Several patterns emerged: most publications originated from English-speaking regions, fewer than half of publications specifically recruited Indigenous peoples, women participated in more studies than men, and bladder conditions were most frequently reported. Perceptions of pelvic health conditions and experiences with help seeking and the health care system were described. Notable gaps were a lack of publications and representation of Indigenous peoples from China, Russia, and Nordic countries, minimal representation of gender diverse populations, few publications reporting on auto-immune and bowel conditions, and limited mention of trauma-informed and culturally safe approaches.
This study highlights gaps in the current literature around gender representation, bowel and auto-immune conditions, regional representation, and the use of safety frameworks, which may inform future research initiatives. It also summarizes the existing literature, which may inform clinical and health system-level decision making.
盆腔健康状况严重影响生活质量，在普通人群中普遍存在。尿失禁和粪失禁、盆腔器官脱垂以及盆腔疼痛都是盆腔健康状况的例子。开展了一项范围综述，以了解目前关于全球原住民所经历的盆腔健康状况的已知情况。迄今为止，尚未有此类综述的报道。
采用范围综述方法。2024年2月进行了检索，收集了原始文献和灰色文献。在进行数据提取之前，由两名评审员进行了摘要和全文筛选的迭代过程。纳入标准侧重于英文出版物以及关于原住民所经历的盆腔健康状况的报告。数据收集在谷歌表格中，然后进行描述性统计分析。对提供定性数据的出版物进一步使用主题分析进行分析。
共有242篇出版物纳入分析。出现了几种模式：大多数出版物来自英语地区，专门招募原住民的出版物不到一半，参与研究的女性多于男性，膀胱疾病的报告最为频繁。描述了对盆腔健康状况的看法以及寻求帮助和医疗保健系统的经历。显著的差距包括缺乏来自中国、俄罗斯和北欧国家的原住民的出版物和代表性，性别多样化人群的代表性极低，很少有关于自身免疫性和肠道疾病的出版物，以及对创伤知情和文化安全方法的提及有限。
本研究突出了当前文献在性别代表性、肠道和自身免疫性疾病、地区代表性以及安全框架使用方面的差距，这可能为未来的研究计划提供参考。它还总结了现有文献，这可能为临床和卫生系统层面的决策提供参考。
