PDF(Pubmed)
Abstract：
BACKGROUND: An essential aspect of human well-being is positive sexual health outcomes. However, the issue of adverse sexual health outcomes continues to be a major public health concern, particularly for women with disabilities in sub-Saharan Africa (SSA). Therefore, this current scoping review mapped studies conducted in the last twenty-nine years on the sexual health of women with disabilities from these five dimensions: sexual activity, contraceptive use, sexual autonomy, sexual violence and risky sexual behaviour, whilst seeking to identify the current state of knowledge and address the study gaps in SSA.
METHODS: This current scoping review was informed by the methodological framework proposed by Arksey and O\'Malley. Exploratory searches were conducted in PubMed, Web of Science, African Journals Online, etc., to identify studies conducted in SSA that focus on sexual activity, contraceptive use, sexual autonomy, sexual violence and risky sexual behaviour among women with disabilities in SSA since the inception of the International Conference on Population and Development in 1994 to 30th of March 2024. This process resulted in the inclusion of seventeen (17) studies.
RESULTS: Of the 1362 identified through various databases, 34 studies were included for the full-text retrieval and screening; only 17 studies met the inclusion criteria. The eligible studies were conducted across six countries in SSA and published between 2008 and 2023. Eight studies used quantitative study type, six utilised qualitative approach, and three employed mixed-methods analysis. Two studies were conducted on sexual activity, ten were conducted on contraceptive use, four were conducted on sexual violence, and one study was conducted on risky sexual behaviour, whilst no study on sexual autonomy met the inclusion criteria.
CONCLUSIONS: This review showed that there were few or scarce studies on sexual activity, contraceptive use, sexual autonomy, sexual violence and risky sexual behaviour among women with disabilities in SSA and even where the studies were substantial (contraceptive use), the majority of the studies were conducted in a country. Future studies should consider examining dimensions of sexual health, such as sexual autonomy, sexual activity and risky sexual behaviour of women with disabilities that were not available or were scarce in the literature.
Sexual health is really important for people\'s overall well-being, and it includes aspects like how we feel socially, mentally, emotionally, and physically. In sub-Saharan Africa, especially for women with disabilities, sexual health is a big concern. So, this review looked at studies done over the last 29 years about the sexual health of women with disabilities in sub-Saharan Africa. It focused on five areas: sexual activity, contraceptive use, sexual autonomy, sexual violence, and risky sexual behaviour. Databases were searched for relevant studies and found 17 that fit the set criteria. These studies were from six countries in sub-Saharan Africa and were published between 2008 and 2023. Most of the studies were about contraceptive use, with fewer focusing on sexual activity, sexual violence, and risky behaviour. There weren\'t any eligible studies on sexual autonomy. The review concluded that there\'s not enough research on these sexual health dimensions among women with disabilities in sub-Saharan Africa, especially on sexual autonomy, and future studies should explore this further.
METHODS: This current scoping review was informed by the methodological framework proposed by Arksey and O\'Malley. Exploratory searches were conducted in PubMed, Web of Science, African Journals Online, etc., to identify studies conducted in SSA that focus on sexual activity, contraceptive use, sexual autonomy, sexual violence and risky sexual behaviour among women with disabilities in SSA since the inception of the International Conference on Population and Development in 1994 to 30th of March 2024. This process resulted in the inclusion of seventeen (17) studies.
RESULTS: Of the 1362 identified through various databases, 34 studies were included for the full-text retrieval and screening; only 17 studies met the inclusion criteria. The eligible studies were conducted across six countries in SSA and published between 2008 and 2023. Eight studies used quantitative study type, six utilised qualitative approach, and three employed mixed-methods analysis. Two studies were conducted on sexual activity, ten were conducted on contraceptive use, four were conducted on sexual violence, and one study was conducted on risky sexual behaviour, whilst no study on sexual autonomy met the inclusion criteria.
CONCLUSIONS: This review showed that there were few or scarce studies on sexual activity, contraceptive use, sexual autonomy, sexual violence and risky sexual behaviour among women with disabilities in SSA and even where the studies were substantial (contraceptive use), the majority of the studies were conducted in a country. Future studies should consider examining dimensions of sexual health, such as sexual autonomy, sexual activity and risky sexual behaviour of women with disabilities that were not available or were scarce in the literature.
Sexual health is really important for people\'s overall well-being, and it includes aspects like how we feel socially, mentally, emotionally, and physically. In sub-Saharan Africa, especially for women with disabilities, sexual health is a big concern. So, this review looked at studies done over the last 29 years about the sexual health of women with disabilities in sub-Saharan Africa. It focused on five areas: sexual activity, contraceptive use, sexual autonomy, sexual violence, and risky sexual behaviour. Databases were searched for relevant studies and found 17 that fit the set criteria. These studies were from six countries in sub-Saharan Africa and were published between 2008 and 2023. Most of the studies were about contraceptive use, with fewer focusing on sexual activity, sexual violence, and risky behaviour. There weren\'t any eligible studies on sexual autonomy. The review concluded that there\'s not enough research on these sexual health dimensions among women with disabilities in sub-Saharan Africa, especially on sexual autonomy, and future studies should explore this further.
摘要：
背景：人类福祉的一个重要方面是积极的性健康结果。然而,不良性健康结果的问题仍然是一个主要的公共卫生问题，特别是撒哈拉以南非洲（SSA）的残疾妇女。因此,当前的范围审查从以下五个方面绘制了过去二十九年来对残疾妇女性健康的研究：性活动，使用避孕药,性自主权,性暴力和危险的性行为，同时寻求确定当前的知识状态并解决SSA中的研究差距。
方法：当前的范围审查是由Arksey和O\'Malley提出的方法学框架提供的。在PubMed中进行了探索性搜索，WebofScience,非洲在线期刊，等。,为了确定在SSA中进行的侧重于性活动的研究，使用避孕药,性自主权,自1994年国际人口与发展会议成立至2024年3月30日以来，SSA残疾妇女中的性暴力和危险的性行为。这一过程导致纳入了十七(17)项研究。
结果：在通过各种数据库确定的1362个中，34项研究纳入全文检索和筛选；只有17项研究符合纳入标准。符合条件的研究在SSA的六个国家进行，并在2008年至2023年之间发表。八项研究采用定量研究类型，六个利用定性方法，三种采用混合方法分析。两项关于性活动的研究，十项是关于避孕药具的使用，四次是关于性暴力的，一项关于危险性行为的研究，虽然没有关于性自主性的研究符合纳入标准。
结论：这篇综述表明，关于性活动的研究很少或很少，使用避孕药,性自主权,在SSA，甚至在大量研究（避孕药具使用）的残疾妇女中，性暴力和危险的性行为，大多数研究是在一个国家进行的。未来的研究应该考虑检查性健康的维度，比如性自主权，在文献中没有或很少的残疾妇女的性活动和危险的性行为。
性健康对人们的整体福祉非常重要，它包括我们在社交方面的感受，精神上,情感上,和身体。在撒哈拉以南非洲，特别是残疾妇女，性健康是一个大问题。所以,本综述回顾了过去29年中有关撒哈拉以南非洲地区残疾妇女性健康的研究.它集中在五个方面：性活动，使用避孕药,性自主权,性暴力,和危险的性行为。在数据库中搜索相关研究，发现17项符合设定标准。这些研究来自撒哈拉以南非洲的六个国家，发表于2008年至2023年之间。大多数研究都是关于避孕药具的使用，很少关注性活动，性暴力,和危险的行为。没有任何关于性自主性的合格研究。审查的结论是，没有足够的研究这些性健康方面的残疾妇女在撒哈拉以南非洲，特别是关于性自主权，未来的研究应该对此进行进一步的探讨。
方法：当前的范围审查是由Arksey和O\'Malley提出的方法学框架提供的。在PubMed中进行了探索性搜索，WebofScience,非洲在线期刊，等。,为了确定在SSA中进行的侧重于性活动的研究，使用避孕药,性自主权,自1994年国际人口与发展会议成立至2024年3月30日以来，SSA残疾妇女中的性暴力和危险的性行为。这一过程导致纳入了十七(17)项研究。
结果：在通过各种数据库确定的1362个中，34项研究纳入全文检索和筛选；只有17项研究符合纳入标准。符合条件的研究在SSA的六个国家进行，并在2008年至2023年之间发表。八项研究采用定量研究类型，六个利用定性方法，三种采用混合方法分析。两项关于性活动的研究，十项是关于避孕药具的使用，四次是关于性暴力的，一项关于危险性行为的研究，虽然没有关于性自主性的研究符合纳入标准。
结论：这篇综述表明，关于性活动的研究很少或很少，使用避孕药,性自主权,在SSA，甚至在大量研究（避孕药具使用）的残疾妇女中，性暴力和危险的性行为，大多数研究是在一个国家进行的。未来的研究应该考虑检查性健康的维度，比如性自主权，在文献中没有或很少的残疾妇女的性活动和危险的性行为。
性健康对人们的整体福祉非常重要，它包括我们在社交方面的感受，精神上,情感上,和身体。在撒哈拉以南非洲，特别是残疾妇女，性健康是一个大问题。所以,本综述回顾了过去29年中有关撒哈拉以南非洲地区残疾妇女性健康的研究.它集中在五个方面：性活动，使用避孕药,性自主权,性暴力,和危险的性行为。在数据库中搜索相关研究，发现17项符合设定标准。这些研究来自撒哈拉以南非洲的六个国家，发表于2008年至2023年之间。大多数研究都是关于避孕药具的使用，很少关注性活动，性暴力,和危险的行为。没有任何关于性自主性的合格研究。审查的结论是，没有足够的研究这些性健康方面的残疾妇女在撒哈拉以南非洲，特别是关于性自主权，未来的研究应该对此进行进一步的探讨。
