评估性健康：测量问卷的全面范围综述
Assessing Sexual Health: A Comprehensive Scoping Review of Measurement Questionnaires.
作者信息
Arabkari Zoleikha, Alipour Fardin, Fallahi-Khoshknab Masoud, Merghati-Khoei Effat, Samiei Mercedeh, Abolfathi Momtaz Yadollah
机构信息
Department of Social Work, School of Social Health, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.
Department of Social Work, Social Welfare Management Research Center, School of Social Health, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.
出版信息
Med J Islam Repub Iran. 2024 Nov 30;38:139. doi: 10.47176/mjiri.38.139. eCollection 2024.
BACKGROUND
The concept of sexual health is used in health promotion, because sexual health is one of the important pillars of human health. Neglecting this aspect of health and its evaluation and measurement can affect the quality of sexual life and cause people to face challenges in their lives. This research aimed to review the range of questionnaires on sexual health and the concepts and dimensions they cover.
METHODS
A systematic scoping review based on the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines from January 1, 2000, to January 31, 2023, was performed in 5 databases-including Scopus, Web of Science, PubMed, ProQuest, and Google Scholar-with the keywords extracted from MeSH. This study is a type of scoping review conducted within the framework of Arksey and O'Malley's 5-step process.
RESULTS
From a total of 1783 manuscripts found, 65 articles met the inclusion criteria. Having reviewed the questionnaires, 2 types of indicators-(1) nonspecific indicators for sexual health and (2) special indicators of sexual health based on 3 physical (sexual performance, sexual dysfunction, and sexual activity), psychological (sexual satisfaction, intimate relationships, and sexual compatibility), and social (interpersonal relationships and sexual well-being) dimensions-were obtained.
CONCLUSION
Despite the wide range of definitions and indicators used, a set of key indicators is apparent based on the results of this scoping review. These include knowledge and application of pregnancy prevention techniques, HIV/AIDS and sexually transmitted infection prevention, sexual decision-making participation, sexual negotiation power, sexual communication skills, and sexual experiences and their impact on the quality of sexual life. This set of indicators can be systematically completed in each study based on the concept of promoting sexual health, however, additional indicators, take into account the sociocultural determinants of each society with sexual values and norms of the same cultural background.
背景
性健康概念在健康促进中被广泛应用，因为性健康是人类健康的重要支柱之一。忽视健康的这一方面及其评估和测量会影响性生活质量，并使人们在生活中面临挑战。本研究旨在综述性健康问卷的范围及其涵盖的概念和维度。
方法
根据PRISMA（系统评价和Meta分析的首选报告项目）指南，于2000年1月1日至2023年1月31日在5个数据库（包括Scopus、科学网、PubMed、ProQuest和谷歌学术）中进行了系统的范围综述，关键词从医学主题词表中提取。本研究是在阿克西和奥马利的五步流程框架内进行的一种范围综述。
结果
在总共找到的1783篇手稿中，65篇文章符合纳入标准。在对问卷进行综述后，获得了2类指标：（1）性健康的非特异性指标；（2）基于3个维度（生理维度包括性功能、性功能障碍和性活动，心理维度包括性满意度、亲密关系和性相容性，社会维度包括人际关系和性福祉）的性健康特殊指标。
结论
尽管使用的定义和指标范围广泛，但基于本次范围综述的结果，一组关键指标是显而易见的。这些指标包括避孕技术的知识和应用、艾滋病毒/艾滋病及性传播感染的预防、性决策参与、性协商能力、性沟通技巧以及性经历及其对性生活质量的影响。然而，考虑到每个具有相同文化背景的性价值观和规范的社会的社会文化决定因素，在每项研究中可以系统地完成这组指标，并补充其他指标。
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