世衛組織東南亞區域青少年的性網絡、性行為和性健康：範圍界定審查方案

Sexual networks, sexual practices, and sexual health among youths in WHO-South East Asia Region: a scoping review protocol

—《系統評價》，第14卷，文章編號147，發表日期：2025年7月—

Volume 14, article No 147, July 2025

【摘要】背景：東南亞地區是世界上青年人口最多的地區之一。各國都在努力實現2030年的可持續發展目標，因此，優先考慮青年的醫療保健服務至關重要。18至24歲年齡段的青年經常參與高危行為，例如不安全注射/藥物濫用。這些高危行為導致包括艾滋病毒在內的性傳播疾病傳播增加。了解青年性傳播疾病的動態至關重要。本綜述將梳理現有證據，並找出世界衛生組織（WHO）東南亞區域（SEAR）在青年性網絡、性行為和性健康方面存在的性健康干預措施差距。方法：範圍界定綜述以Arksey和Malley框架為指導。研究人員將從PubMed、Scopus和Journals@Ovid三個數據庫檢索來自SEAR項目11個國家、關注18至24歲青少年的同行評審文章。此外，還將檢索2015年至今的灰色文獻。兩位審稿人將根據Rayyan軟件中預先設定的資格標準獨立篩選文章。數據提取將基於與研究目標一致的預先設定的變量進行。我們將整合相關定性、定量和混合方法研究的證據。報告將遵循系統綜述的首選報告項目和範圍綜述的薈萃分析擴展（PRISMA-ScR）。討論：本綜述將有助於生成關注世界衛生組織SEAR項目（以印度為重點）中青少年當前性網絡、性行為和性健康的證據，並強調性健康干預措施中亟待彌補的差距。本綜述的見解將有助於設計更大規模的循證干預研究，以改善該地區青少年的性網絡、性行為和性健康。本綜述的研究結果將通過同行評審期刊和會議進行傳播。

【關鍵詞】性網絡、性行為、性健康、青少年、世衛組織東南亞區域

[Abstract] Background: South-East Asia Region has one of the largest youth populations in the world. All countries are striving to achieve the sustainable development goal by 2030; hence, it is important to prioritize healthcare services for youths. Youths in the age bracket of 18 to 24 years often engage in high-risk behaviors such as unsafe injecting practices/substance abuse. These high-risk practices lead to increased transmission of sexually transmitted infections including HIV among them. It is imperative to understand the dynamics around sexual transmission of diseases among youth. This review will map the available evidence and identify the gaps in sexual health interventions related to the sexual networks, sexual practices, and sexual health among youths across the World Health Organization (WHO)-South East Asia Region (SEAR). Methods: The scoping review is guided by the Arksey and Malley framework. Peer-reviewed articles focusing on youths in the age groups of 18 to 24 years, from the 11 countries of SEAR, will be accessed from three databases, namely PubMed, Scopus, and Journals@Ovid. Additionally, grey literature from 2015 to date will also be accessed. Two reviewers will independently screen the articles based on pre-defined eligibility criteria in Rayyan software. Data extraction will be carried out based on pre-specified variables aligned with the objectives. We will synthesize the evidence from the relevant qualitative, quantitative, and mixed method studies. The reporting will follow Preferred Reporting Items for Systematic reviews and Meta-Analysis extension for Scoping Reviews (PRISMA-ScR). Discussion: This review will help to generate evidence focusing on the current sexual networks, sexual practices, and sexual health among youths in WHO SEAR with a focus on India, highlighting the gaps in sexual health interventions that need to be bridged. The insights from this review will assist in designing larger evidence-based intervention studies for improving the sexual networks, sexual practices, and sexual health among youths in this region. The findings from this review will be disseminated through peer-reviewed journals and conferences.

[Key words] Sexual network, Sexual practices, Sexual health, Youths, WHO-South East Asia Region

論文原文：Amrita Rao, Rashmi Shinde & Sheikh Mohammed Shahabuddin (2025). Sexual networks, sexual practices, and sexual health among youths in WHO-South East Asia Region: a scoping review protocol. Systematic Reviews, Volume 14, article number 147, Published: 12 July 2025

https://doi.org/10.1186/s13643-025-02905-0

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