Local Action for Sexual and Reproductive Health of Street Children: A Systematic Review

Context: Street children may expose to high-risk behaviors such as unwanted pregnancy, abortion, and Sexually Transmitted Diseases (STDs). Objectives: This study systematically reviewed and presented preventive strategies for promoting Sexual and Reproductive Health (SRH) against unsafe abortion, STDs, and unwanted pregnancy in street children. Data Source: In this systematic review, we searched databases of ScienceDirect, Web of Science (ISI), PubMed, Scopus, Scientific Information Database (SID), and Google Scholar. Published articles between 1990 and 2020 were retrieved. Finally, 41 articles were used to compile the results of this study. Study Selection: A total of 1522 potentially relevant articles were identified; 275 articles were removed due to duplication and in abstract screening, and 766 articles did not meet the inclusion criteria or focus on the research question. Next, the full-text of 481 remained articles were screened. Studies in languages other than English or Persian, studies presented in conferences, and those with no information regarding the SRH among street children were removed. Finally, 41 studies were included in this systematic review. Data Extraction: Data were extracted from the articles according to the selection criteria by two independent reviewers. Results: Results of this study were categorized into 2 tables. Table 1 presents the strengths, weaknesses, opportunities, and threats of SRH in street children were shown. Table 2 presents the preventive strategies regarding unwanted pregnancy, unsafe abortion, and STDs in the street children in four categories of 1) expansion program and promotion of educational services, 2) expansion program and promotion of educational services, 3) creating secure umbrella and social welfare, and 4) expansion program and promotion of social protection. Conclusions: Because of no information on street children regarding SRH, the government should consider adequate sexual education programs such as protected sexual intercourse and counseling on preventing STDs and unsafe abortion. It is essential to allocate affordable and accessible healthcare centers and facilities to provide services with no judgment on these children.

The Most Prevalent Intimate Partner Violence; Physical, Sexual, Verbal, or Emotional in Early Marriage: A Narrative Review

Context: Early marriage is relatively common in the world and has become a public concern. One of the problems seen in early marriage is the high prevalence of partner violence against women, which, along with other harmful effects of early marriage, can hurt a woman’s mental and physical health. This research is the first narrative review investigating the most prevalent type of intimate partner violence and the risk factors for violence against women who marry as a child. Evidence Acquisition: A skim and scan review related to the correlation between child marriage and any type of intimate partner violence was done. Also a comprehensive search of the Web of Science, PsycINFO, PubMed (MEDLINE), Scopus, and Google Scholar was carried out from 2000 to 2019. A comprehensive search of the Web of Science, PsycINFO, PubMed (MEDLINE), Scopus, and Google Scholar was carried out from 2000 to 2019. The second stage of the search was conducted in grey literature. To facilitate a systematic approach, we adopted the PECO framework. Results: The database search yielded 756 articles relevant to child marriage and different types of intimate partner violence, with other articles added in a manual review of reference lists. In the final review, a total of 12 articles were included as they contained the eligibility criteria. The result of this narrative review study showed the relationship between child marriage and intimate partner violence. Conclusions: ince the present study considers physical and sexual violence the most common type of violence against women and other studies have explicitly pointed to the adverse consequences of such violence, it seems necessary to make efforts to reduce early marriage by providing economic opportunities and promoting education and as a result to avoid adverse effects, including partner violence.

Effect of pornography use on the sexual satisfaction: a systematic review and meta-analysis

OBJECTIVE

Dissatisfaction with an inividual's sex life is underlying factor that can lead to pornography addiction. The current research aims to understand the relationship between pornography use and sexual satisfaction.

METHODS

The pooled correlation coefficient with 95% confidence interval was calculated using random effects. The meta-regression method was used to examine factors affecting heterogeneity between studies and Egger's test was used to evaluate of publication bias.

RESULTS

41 studies with a total sample size of 70541 participants were included in the meta-analysis. The pooled estimate for the correlation coefficient in total, in male and in female -0.06 (95% CI: -0.09 to -0.02), -0.07 (95% CI: -0.16 to 0.02) and -0.04 (95% CI: -0.08 to -0.01). The pooled estimate of correlation coefficient was -0.04 (95% CI: -0.07 to -0.02) in cross-sectional, -0.12 (95% CI: -0.19 to -0.05) in cohort, 0.00 (95% CI: -0.15 to 0.15) in studies that used self-report questionnaire and -0.06 (95% CI: -0.08 to -0.03) in studies that used online survey. Based on the results of the meta-regression, the publication year was found to have a significant effect on heterogeneity among studies (B = 0.013, p = 0.018). However, study design, age, data collection method, quality score and sample size did not have a significant effect.

CONCLUSIONS

There was a significant negative correlation between pornography and sexual satisfaction and the disaggregation of results by gender also indicated this negative correlation among women. However, the relationship between pornography and sexual satisfaction was not significant in men.