Nhu cầu sức khỏe tình dục và sinh sản của thanh niên sống với HIV ở các quốc gia có thu nhập thấp và trung bình: một nghiên cứu tổng quan
Tóm tắt
Thanh niên sống với HIV (YPLWH) ở các quốc gia có thu nhập thấp và trung bình đang vào độ tuổi vị thành niên và thanh niên với số lượng đáng kể. Phần lớn nghiên cứu liên quan đến HIV trên nhóm thanh niên này tập trung vào các kết quả lâm sàng với ít sự chú ý hơn đến sức khỏe tình dục và sinh sản (SRH) của họ. Đã có sự gia tăng nhận thức về tầm quan trọng của việc hiểu và giải quyết những nhu cầu về SRH của họ, vì nhiều người có nguy cơ cao trong việc lây truyền HIV cho bạn tình, đặc biệt là phụ nữ trẻ có nguy cơ cao trong việc lây truyền HIV cho trẻ sơ sinh của họ. Mục đích của bài tổng quan này là tổng hợp nghiên cứu điều tra nhu cầu SRH của thanh niên sống với HIV ở các quốc gia có thu nhập thấp và trung bình.
Chúng tôi đã tìm kiếm các cơ sở dữ liệu điện tử cho các nghiên cứu tập trung vào thanh niên từ 10–24 tuổi và 27 nghiên cứu đã đáp ứng tiêu chí bao gồm.
Bài tổng quan này đã xác định bốn chủ đề đặc trưng cho nghiên cứu về SRH ở thanh niên sống với HIV: kiến thức về SRH, quyền tiếp cận dịch vụ SRH, thực hành tình dục, và kế hoạch gia đình và nuôi dạy trẻ trong tương lai.
Những phát hiện của chúng tôi cho thấy cần có thêm nghiên cứu về giáo dục tình dục toàn diện để trang bị cho YPLWH kiến thức nhằm hỗ trợ các kết quả SRH mong muốn, các can thiệp về việc tiết lộ tình trạng huyết thanh và sử dụng bao cao su, và khả năng của các nhà cung cấp dịch vụ sức khỏe trong việc cung cấp dịch vụ SRH trong chăm sóc lâm sàng HIV hiện có của họ.
Từ khóa
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