Abstract

Objectives: Despite billions of dollars in funding spent each year on sexual and reproductive health and rights (SRHR) and HIV programming, sexual pleasure is insufficiently addressed. This paper therefore has three key aims: (1) to introduce the concept of sexual pleasure in SRHR programming, while providing context regarding investment and research, (2) to introduce and situate an upcoming systematic review and meta-analysis to quantify whether and to what extent incorporating sexual pleasure into SRHR interventions can improve health outcomes, and (3) to examine the key practical, methodological, and theoretical challenges in carrying out such a review. Methods: We undertook a literature review and analysis of conference abstract publications to highlight the 'pleasure gap' in evidence in sexual and reproductive health and rights programming and research. We detailed the scope, search strategy and challenges for our subsequent systematic review. Results: This paper and the subsequent review highlights the need to equip the SRHR and HIV fields to better meet the needs of communities by considering key reasons people have sex, and understand the challenges of undertaking a review of this nature. Conclusions: We conclude that this a focus on pleasure is particularly pertinent in the context of the Sustainable Development Goals and the ratification of the declaration on sexual pleasure at the 2021 World Congress of the World Association for Sexual Health.

 抽象的

目标：尽管每年在性健康和生殖健康及权利（SRHR）和艾滋病毒规划上花费了数十亿美元的资金，但性快感问题并未得到充分解决。因此，本文具有三个关键目标：(1) 在 SRHR 规划中引入性快感的概念，同时提供有关投资和研究的背景，(2) 介绍和定位即将进行的系统回顾和荟萃分析，以量化是否以及将性快感纳入 SRHR 干预措施可以在多大程度上改善健康结果，以及 (3) 检查进行此类审查时面临的关键实践、方法和理论挑战。方法：我们对会议摘要出版物进行了文献综述和分析，以强调性健康和生殖健康及权利规划和研究证据中的“快乐差距”。我们详细介绍了后续系统评价的范围、检索策略和挑战。结果：本文和随后的审查强调需要通过考虑人们发生性行为的关键原因来装备 SRHR 和 HIV 领域，以更好地满足社区的需求，并了解进行此类审查的挑战。结论：我们的结论是，在可持续发展目标和 2021 年世界性健康协会世界大会上批准性快感宣言的背景下，对快感的关注尤其相关。