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Gaps in sexual health research about women who have sex with women. A scoping review
Affiliation:1. Intensive Medicine Service. Hospital Clínico Universitario de Zaragoza, Zaragoza, Spain;2. Reproductive and Sexual Health Institute, University Austral of Chile, Campus Isla Teja, Valdivia, Chile;3. Physiatry and Nursing Department, Health Sciences Faculty, University of Zaragoza, Zaragoza, Spain
Abstract:ObjectiveTo know the characteristics of the studies that have paid attention to women who have sex with women (WSW) and to identify possible gaps in the interest of comprehensive sexual health in WSW.MethodA scoping review on sexual health on WSW was conducted from 2000 to 2019. Papers with lack of focus on sexual health on WSW were excluded and a web tool was used to guarantee blindness. Information was extracted on the key characteristics of the studies and the quality of the evidence. The sexual health categories were comprehensive sexual health, specification of sexual practices in WSW, and recommendations provided.Results39 studies were included, mostly cross-sectional. The gaps identified were the lack of evidence on sexual health, confusion about sexual orientation and sexual practices, lack of specific interest in comprehensive sexual health and the life cycle approach. Recommendations focused on WSW self-care; interventions aimed at clinical practice, research, education and prevention; and contributions of a feminist approach on sexual health of WSW.ConclusionsThere are several gaps about in the knowledge about sexual health among WSW. Self-care improvement and specific strategies addressed to the unique characteristics of these women and their different and specific situation and health determinants are highlighted.
Keywords:Sexual health  Women who have sex with women  Feminist approaches  Sexually transmitted infections  Salud sexual  Mujeres que tienen sexo con mujeres  Enfoques feministas  Infecciones de transmisión sexual
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