世卫组织东南亚区域青少年的性网络、性行为和性健康
世卫组织东南亚区域青少年的性网络、性行为和性健康：范围界定审查方案
Sexual networks, sexual practices, and sexual health among youths in WHO-South East Asia Region: a scoping review protocol
—《系统评价》，第14卷，文章编号147，发表日期：2025年7月—
【摘要】背景：东南亚地区是世界上青年人口最多的地区之一。各国都在努力实现2030年的可持续发展目标，因此，优先考虑青年的医疗保健服务至关重要。18至24岁年龄段的青年经常参与高危行为，例如不安全注射/药物滥用。这些高危行为导致包括艾滋病毒在内的性传播疾病传播增加。了解青年性传播疾病的动态至关重要。本综述将梳理现有证据，并找出世界卫生组织（WHO）东南亚区域（SEAR）在青年性网络、性行为和性健康方面存在的性健康干预措施差距。方法：范围界定综述以Arksey和Malley框架为指导。研究人员将从PubMed、Scopus和Journals@Ovid三个数据库检索来自SEAR项目11个国家、关注18至24岁青少年的同行评审文章。此外，还将检索2015年至今的灰色文献。两位审稿人将根据Rayyan软件中预先设定的资格标准独立筛选文章。数据提取将基于与研究目标一致的预先设定的变量进行。我们将整合相关定性、定量和混合方法研究的证据。报告将遵循系统综述的首选报告项目和范围综述的荟萃分析扩展（PRISMA-ScR）。讨论：本综述将有助于生成关注世界卫生组织SEAR项目（以印度为重点）中青少年当前性网络、性行为和性健康的证据，并强调性健康干预措施中亟待弥补的差距。本综述的见解将有助于设计更大规模的循证干预研究，以改善该地区青少年的性网络、性行为和性健康。本综述的研究结果将通过同行评审期刊和会议进行传播。
【关键词】性网络、性行为、性健康、青少年、世卫组织东南亚区域
[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
论文原文：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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