Abstract：
Male infertility is a global health concern. The effectiveness of interventions developed to improve males\' knowledge of fertility regulation and fertility-related risk factors remains unclear. This systematic review aimed to synthesize and evaluate the evidence for these interventions. Four databases were searched from inception to June 2023. Eligible studies examined interventions to increase fertility knowledge among presumed fertile males aged ≥16 years of age. Conference abstracts, protocols and studies without sex-disaggregated results for males were excluded. A narrative synthesis without meta-analysis was performed. A total of 4884 records were identified. Five studies (reported in six publications), all conducted in high-income countries, were included. Two were randomized control trials, and three were experimental studies. Interventions were delivered in person by a health professional (n = 3), online and via a mobile app. All studies showed a significant improvement in knowledge of fertility or fertility-related risk factors from baseline to follow-up. The largest improvement was observed for secondary and vocational students. A moderate, long-term retainment of knowledge was observed at two-year follow-up in one study. Available evidence suggests interventions to improve males\' fertility knowledge are effective, particularly for younger, less educated males.
摘要：
男性不育是一个全球性的健康问题。为提高男性对生育调节和生育相关危险因素的认识而制定的干预措施的有效性尚不清楚。本系统综述旨在综合和评估这些干预措施的证据。从成立到2023年6月搜索了四个数据库。合格的研究检查了干预措施，以增加年龄≥16岁的假定可育男性的生育知识。会议摘要，对男性没有性别分类结果的方案和研究被排除在外。进行了没有荟萃分析的叙述性综合。总共确定了4884条记录。五项研究（在六份出版物中报告），都是在高收入国家进行的，包括在内。两项是随机对照试验，三个是实验研究。干预措施由卫生专业人员亲自提供(n=3)，在线和通过移动应用程序。所有研究都显示，从基线到随访，对生育力或与生育力相关的危险因素的了解有了显着改善。中等和职业学生的改善最大。一个温和的,在一项研究中,在2年的随访中观察到知识的长期保留.现有证据表明，提高男性生育知识的干预措施是有效的，特别是对于年轻人来说，受教育程度较低的男性。
