Gender, Power, and Health: Measuring and Assessing Sexual Relationship Power Equity Among Young Sub-Saharan African Women and Men, a Systematic Review,Trauma, Violence, & Abuse

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Gender, Power, and Health: Measuring and Assessing Sexual Relationship Power Equity Among Young Sub-Saharan African Women and Men, a Systematic Review
Trauma, Violence, & Abuse ( IF 6.595 ) Pub Date : 2020-12-23 , DOI: 10.1177/1524838020979676
Kalysha Closson ₁ , Jane Ndungu _{2,

3} , Mags Beksinska ₄ , Gina Ogilvie _{1,

5} , Janan J Dietrich _{6,

7} , Anne Gadermann _{1,

8} , Andrew Gibbs _{9,

10} , Mzikazi Nduna ₁₁ , Jenni Smit ₄ , Glenda Gray _{6,

9} , Angela Kaida ₁₂

Affiliation

School of Population and Public Health, 8166The University of British Columbia, Vancouver, British Columbia, Canada.
School of Behavioural & Lifestyle Sciences, 56723Nelson Mandela University, Port Elizabeth, South Africa.
Office of Engagement and Transformation, 56723Nelson Mandela University, Port Elizabeth, South Africa.
MatCH Research Unit (MRU), 37708Faculty of Health Sciences, University of the Witwatersrand, Durban, South Africa.
Women's Health Research Institute (WHRI), BC Women's Health Centre, Vancouver, British Columbia, Canada.
Perinatal HIV Research Unit (PHRU), Faculty of Health Sciences, 37707University of the Witwatersrand, Johannesburg, South Africa.
Health Systems Research Unit, South African Medical Research Unit, Cape Town, South Africa.
The Human Learning Project, 8166The University of British Columbia, Vancouver, British Columbia, Canada.
59097South African Medical Research Council, Cape Town, South Africa.
Centre for Rural Health, School of Nursing and Public Health, University of KwaZulu-Natal, Durban, South Africa.
Department of Psychology, 37707University of the Witwatersrand, Johannesburg, South Africa.
Faculty of Health Sciences, 1763Simon Fraser University, Burnaby, British Columbia, Canada.

Gender inequity, including low sexual relationship power (SRP), is an important determinant of intimate partner violence (IPV) and negative sexual, reproductive, and mental health. Different versions of the Sexual Relationship Power Scale (SRPS) are commonly used within youth studies to examine how gender inequities, including controlling behaviors, in heterosexual relationships impact the lives of young people in sub-Saharan Africa. This review aims to (1) describe definitions and measures of SRP within sub-Saharan African youth studies and (2) review and summarize associations between SRP equity, IPV, and sexual, reproductive, and mental health. After searching Pubmed, Ovid Med, Psych info, Web of Science, Google Scholar, and relevant research forums, 304 papers were identified, of which 29 papers based on 15 distinct studies (published 2004–2019) met our criteria for being youth-specific, conducted in sub-Saharan Africa, and including a quantitative measure of SRP. Details of each SRPS are described, including any adaptations and psychometric properties, as well as associations with IPV, sexual, reproductive, and mental health behaviors and outcomes. Results indicate that there are variations to the SRPS, and a paucity of evidence has detailed the psychometric properties of such measures within sub-Saharan African youth studies. Measures of SRP equity are associated with experiences (among women) and perpetration of (among men) IPV as numerous pathways to HIV risk; however, the evidence remains mixed. In order to address overlapping epidemics of violence against women and HIV, efforts are needed to ensure that measures, including the SRPS, are valid and reliable among highly affected populations.

中文翻译：

性别、权力和健康：衡量和评估撒哈拉以南非洲年轻女性和男性的性关系权力平等，系统评价

性别不平等，包括低性关系权力 (SRP)，是亲密伴侣暴力 (IPV) 和负面性、生殖和心理健康的重要决定因素。青年研究中通常使用不同版本的性关系权力量表（SRPS）来检查异性恋关系中的性别不平等，包括控制行为，如何影响撒哈拉以南非洲年轻人的生活。本综述旨在 (1) 描述撒哈拉以南非洲青年研究中 SRP 的定义和测量方法，以及 (2) 回顾和总结 SRP 公平、IPV 与性、生殖和心理健康之间的关联。搜索Pubmed、Ovid Med、Psych info、Web of Science、Google Scholar和相关研究论坛后，确定了304篇论文，其中基于 15 项不同研究（2004-2019 年发表）的 29 篇论文符合我们在撒哈拉以南非洲开展的针对青年的标准，并包括对 SRP 的定量测量。描述了每个 SRPS 的详细信息，包括任何适应和心理测量特性，以及与 IPV、性、生殖和心理健康行为和结果的关联。结果表明，SRPS 存在差异，并且缺乏证据详细说明撒哈拉以南非洲青年研究中此类措施的心理测量特性。SRP 公平性的衡量标准与经历（在女性中）和（在男性中）实施 IPV 相关，这是导致 HIV 风险的众多途径；然而，证据仍然喜忧参半。为了解决对妇女的暴力和艾滋病毒的重叠流行病，需要努力确保采取措施，

更新日期：2021-01-14

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