Abstract

We conducted a scoping review to map the extent, range and nature of the scientific research literature on the reproductive health (RH) of transgender and gender diverse assigned female at birth and assigned male at birth persons. A research librarian conducted literature searches in Ovid MEDLINE®, Ovid Embase, the Cochrane Library, PubMed, Google Scholar, Gender Studies Database, Gender Watch, and Web of Science Core Collection. The results were limited to peer-reviewed journal articles published between 2000 and 2018 involving human participants, written in English, pertaining to RH, and including disaggregated data for transgender and gender diverse people. A total of 2197 unique citations with abstracts were identified and entered into Covidence. Two independent screeners performed a title and abstract review and selected 75 records for full-text review. The two screeners independently extracted data from 37 eligible articles, which were reviewed, collated, summarised, and analysed using a numerical summary and thematic analysis approach. The existing scientific research literature was limited in terms of RH topics, geographic locations, study designs, sampling and analytical strategies, and populations studied. Research is needed that: focuses on the full range of RH issues; includes transgender and gender diverse people from the Global South and understudied and multiply marginalised subpopulations; is guided by intersectionality; and uses intervention, implementation science, and community-based participatory research approaches. Further, programmes, practices, and policies that address the multilevel barriers to RH among transgender and gender diverse people addressed in the existing scientific literature are warranted.

 抽象的

我们进行了范围界定审查，以绘制关于跨性别者和性别多样化指定出生女性和指定出生男性的生殖健康 (RH) 的科学研究文献的程度、范围和性质。一位研究馆员在 Ovid MEDLINE®、Ovid Embase、Cochrane 图书馆、PubMed、Google Scholar、性别研究数据库、性别观察和 Web of Science 核心合集中进行了文献检索。结果仅限于 2000 年至 2018 年间发表的、涉及人类参与者、以英语撰写、与 RH 有关的同行评审期刊文章，包括跨性别者和性别多样化人士的分类数据。总共识别出 2197 个带摘要的独特引文并输入 Covidence。两名独立筛选人员进行了标题和摘要审查，并选择了 75 条记录进行全文审查。两位筛选者独立地从 37 篇符合条件的文章中提取数据，并使用数值总结和主题分析方法对这些文章进行审查、整理、总结和分析。现有的科学研究文献在 RH 主题、地理位置、研究设计、抽样和分析策略以及研究人群方面受到限制。需要进行以下研究： 重点关注全方位的 RH 问题；包括来自南半球的跨性别者和性别多样化人群以及未得到充分研究和多重边缘化的亚人群；以交叉性为指导；并使用干预、实施科学和基于社区的参与性研究方法。此外，有必要制定计划、实践和政策来解决现有科学文献中提到的跨性别者和性别多样化人群中生殖健康的多层次障碍。