The study included all original research articles and meta-analyses on the impact of war on the spread of sexually transmitted infections that met the following eligibility criteria: (1) articles published exclusively in English; (2) articles published in the period 2013-2023; (3) studies with quantitative, qualitative or mixed design. The search for relevant literature was conducted using four databases: PubMed, Embase, Web of Science, and Ebsco.
The articles selected for our systematic review had different research designs and were mainly published as original studies (n = 8) and literature reviews (n = 6). As a result of the evaluation of the selected articles for the systematic review, the authors identified migration, a decrease in access to health care, difficult access to contraception, sexual violence as the most frequent factors directly affecting the spread of STIs during the war.
This systematic review systematizes data on the impact of hostilities on the spread of STIs and outlines the main factors that contribute to the dissemination of pathogens far beyond the territory at the epicenter of the conflict.Systematic review registration:https://www.crd.york.ac.uk/prospero/display_record.php?ID=CRD42023479808, CRD42023479808.
■该研究包括所有符合以下资格标准的关于战争对性传播感染传播的影响的原始研究文章和荟萃分析:(1)仅以英文发表的文章;(2)在2013-2023年期间发表的文章;(3)定量研究,定性或混合设计。使用四个数据库进行相关文献的搜索:PubMed,Embase,WebofScience,还有Ebsco.
■选择用于我们系统综述的文章具有不同的研究设计,主要作为原始研究(n=8)和文献综述(n=6)发表。作为对系统评价所选文章的评价结果,作者确定了移民,获得医疗保健的机会减少,难以获得避孕,性暴力是战争期间直接影响性传播感染传播的最常见因素。
■本系统审查将敌对行动对性传播感染传播的影响的数据系统化,并概述了导致病原体传播远远超出冲突中心领土的主要因素。系统审查注册:https://www。crd.约克。AC.uk/prospro/display_record.php?ID=CRD42023479808,CRD42023479808。