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What is the added value of incorporating pleasure in sexual health interventions? A systematic review and meta-analysis

Despite billions of dollars invested into Sexual and Reproductive Health and Rights (SRHR) efforts, the effect of incorporating sexual pleasure, a key driver of why people have sex, in sexual health interventions is currently unclear. We carried out a systematic review and meta-analysis following PR...

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Autores principales: Zaneva, Mirela, Philpott, Anne, Singh, Arushi, Larsson, Gerda, Gonsalves, Lianne
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8836333/
https://www.ncbi.nlm.nih.gov/pubmed/35148319
http://dx.doi.org/10.1371/journal.pone.0261034
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author Zaneva, Mirela
Philpott, Anne
Singh, Arushi
Larsson, Gerda
Gonsalves, Lianne
author_facet Zaneva, Mirela
Philpott, Anne
Singh, Arushi
Larsson, Gerda
Gonsalves, Lianne
author_sort Zaneva, Mirela
collection PubMed
description Despite billions of dollars invested into Sexual and Reproductive Health and Rights (SRHR) efforts, the effect of incorporating sexual pleasure, a key driver of why people have sex, in sexual health interventions is currently unclear. We carried out a systematic review and meta-analysis following PRISMA guidelines across 7 databases for relevant articles published between 1 January 2005–1 June, 2020. We included 33 unique interventions in our systematic review. Eight interventions reporting condom use outcomes were meta-analyzed together with a method random effects model. Quality appraisal was carried out through the Cochrane Collaborations’ RoB2 tool. This study was pre-registered on Prospero (ID: CRD42020201822). We identified 33 unique interventions (18886 participants at baseline) that incorporate pleasure. All included interventions targeted HIV/STI risk reduction, none occurred in the context of pregnancy prevention or family planning. We find that the majority of interventions targeted populations that authors classified as high-risk. We were able to meta-analyze 8 studies (6634 participants at baseline) reporting condom use as an outcome and found an overall moderate, positive, and significant effect of Cohen’s d = 0·37 (95% CI 0·20–0·54, p < 0·001; I(2) = 48%; τ(2) = 0·043, p = 0·06). Incorporating sexual pleasure within SRHR interventions can improve sexual health outcomes. Our meta-analysis provides evidence about the positive impact of pleasure-incorporating interventions on condom use which has direct implications for reductions in HIV and STIs. Qualitatively, we find evidence that pleasure can have positive effects across different informational and knowledge-based attitudes as well. Future work is needed to further elucidate the impacts of pleasure within SRHR and across different outcomes and populations. Taking all the available evidence into account, we recommend that agencies responsible for sexual and reproductive health consider incorporating sexual pleasure considerations within their programming.
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spelling pubmed-88363332022-02-12 What is the added value of incorporating pleasure in sexual health interventions? A systematic review and meta-analysis Zaneva, Mirela Philpott, Anne Singh, Arushi Larsson, Gerda Gonsalves, Lianne PLoS One Research Article Despite billions of dollars invested into Sexual and Reproductive Health and Rights (SRHR) efforts, the effect of incorporating sexual pleasure, a key driver of why people have sex, in sexual health interventions is currently unclear. We carried out a systematic review and meta-analysis following PRISMA guidelines across 7 databases for relevant articles published between 1 January 2005–1 June, 2020. We included 33 unique interventions in our systematic review. Eight interventions reporting condom use outcomes were meta-analyzed together with a method random effects model. Quality appraisal was carried out through the Cochrane Collaborations’ RoB2 tool. This study was pre-registered on Prospero (ID: CRD42020201822). We identified 33 unique interventions (18886 participants at baseline) that incorporate pleasure. All included interventions targeted HIV/STI risk reduction, none occurred in the context of pregnancy prevention or family planning. We find that the majority of interventions targeted populations that authors classified as high-risk. We were able to meta-analyze 8 studies (6634 participants at baseline) reporting condom use as an outcome and found an overall moderate, positive, and significant effect of Cohen’s d = 0·37 (95% CI 0·20–0·54, p < 0·001; I(2) = 48%; τ(2) = 0·043, p = 0·06). Incorporating sexual pleasure within SRHR interventions can improve sexual health outcomes. Our meta-analysis provides evidence about the positive impact of pleasure-incorporating interventions on condom use which has direct implications for reductions in HIV and STIs. Qualitatively, we find evidence that pleasure can have positive effects across different informational and knowledge-based attitudes as well. Future work is needed to further elucidate the impacts of pleasure within SRHR and across different outcomes and populations. Taking all the available evidence into account, we recommend that agencies responsible for sexual and reproductive health consider incorporating sexual pleasure considerations within their programming. Public Library of Science 2022-02-11 /pmc/articles/PMC8836333/ /pubmed/35148319 http://dx.doi.org/10.1371/journal.pone.0261034 Text en © 2022 Zaneva et al https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Research Article
Zaneva, Mirela
Philpott, Anne
Singh, Arushi
Larsson, Gerda
Gonsalves, Lianne
What is the added value of incorporating pleasure in sexual health interventions? A systematic review and meta-analysis
title What is the added value of incorporating pleasure in sexual health interventions? A systematic review and meta-analysis
title_full What is the added value of incorporating pleasure in sexual health interventions? A systematic review and meta-analysis
title_fullStr What is the added value of incorporating pleasure in sexual health interventions? A systematic review and meta-analysis
title_full_unstemmed What is the added value of incorporating pleasure in sexual health interventions? A systematic review and meta-analysis
title_short What is the added value of incorporating pleasure in sexual health interventions? A systematic review and meta-analysis
title_sort what is the added value of incorporating pleasure in sexual health interventions? a systematic review and meta-analysis
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8836333/
https://www.ncbi.nlm.nih.gov/pubmed/35148319
http://dx.doi.org/10.1371/journal.pone.0261034
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