Ouahid Hajar, Sebbani Majda, Cherkaoui Mohamed, Amine Mohamed, Adarmouch Latifa
Bioscience, and Health Research Laboratory, Faculty of Medicine and Pharmacy, Cadi Ayyad University, Marrakech, Morocco.
Department of Public Health, Community Medicine and Epidemiology, Faculty of Medicine and Pharmacy, Cadi Ayyad University, Marrakech, Morocco.
BMC Womens Health. 2025 May 13;25(1):224. doi: 10.1186/s12905-025-03768-2.
Despite progress toward gender equity, enduring societal norms continue to shape women's roles, particularly impacting their sexual and reproductive health, including fertility, maternal health, and family planning, all of which are influenced by traditional gender expectations.
This review investigates how gender norms affect women's sexual and reproductive health outcomes.
A systematic review was conducted on publications from 2013 to 2023, sourced from databases such as PubMed, Scopus, Web of Science, and Google Scholar, using keywords, MeSH terms, and Boolean operators. Of 1,500 articles identified, 38 peer-reviewed articles in English or French met the inclusion criteria. Data were extracted using a standardized form and evaluated with the mixed-methods appraisal tool. Findings from the selected studies were analyzed through a narrative synthesis approach.
The review identified key themes from the 38 included studies results underscoring the lack of comprehensive sexual education and the challenges posed by cultural norms and social stigma. It highlighted how cultural and gender dynamics restrict women's autonomy in family planning and maternal healthcare, with impacts varying by context. Finding also highlight the importance of culturally competent healthcare that respects diverse cultural beliefs and tackles educational and economic barriers to enhance women's sexual and reproductive health outcomes.
This review identifies gender norms as one of major obstacles to accessing sexual and reproductive health (SRH) education and services among women. It emphasizes the need for comprehensive SRH education, women's autonomy, and culturally competent healthcare services to address barriers and promote gender equity globally.
尽管在性别平等方面取得了进展，但持久的社会规范继续塑造着女性的角色，尤其影响她们的性健康和生殖健康，包括生育、孕产妇健康和计划生育，所有这些都受到传统性别期望的影响。
本综述调查性别规范如何影响女性的性健康和生殖健康结果。
对2013年至2023年的出版物进行系统综述，这些出版物来自PubMed、Scopus、Web of Science和谷歌学术等数据库，使用关键词、医学主题词和布尔运算符。在识别出的1500篇文章中，38篇英文或法文的同行评审文章符合纳入标准。使用标准化表格提取数据，并使用混合方法评估工具进行评估。通过叙述性综合方法分析所选研究的结果。
该综述从38项纳入研究的结果中确定了关键主题，强调了缺乏全面性教育以及文化规范和社会耻辱感带来的挑战。它强调了文化和性别动态如何限制女性在计划生育和孕产妇保健方面的自主权，其影响因背景而异。研究结果还强调了具有文化能力的医疗保健的重要性，这种保健尊重不同的文化信仰，并解决教育和经济障碍，以改善女性的性健康和生殖健康结果。
本综述将性别规范确定为女性获得性健康和生殖健康（SRH）教育及服务的主要障碍之一。它强调需要全面的SRH教育、女性自主权以及具有文化能力的医疗保健服务，以消除障碍并在全球促进性别平等。
