如何导航盲点：在性与生殖健康及权利规划和研究中的乐趣

How to Navigate a Blind spot: Pleasure in Sexual and Reproductive Health and Rights Programming and Research

——原载《国际性健康杂志》网络版2021年10月18日——

<International Journal of Sexual Health>, Published online: Oct 18, 2021

【摘要】目的：尽管每年在性与生殖健康及权利 (SRHR) 和HIV规划方面投入了数十亿美元的资金，但性快感并未得到充分解决。因此，本文具有三个关键目标：(1) 在SRHR计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评价和荟萃分析，以量化是否和将性快感纳入SRHR干预措施的程度在多大程度上可以改善健康结果，以及 (3) 检查在进行此类审查时的关键实践、方法和理论挑战。方法：我们对会议摘要出版物进行了文献回顾和分析，以突出性和生殖健康及权利规划和研究中证据中的“愉悦差距”。我们详细说明了后续系统评价的范围、搜索策略和挑战。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，并了解进行这种性质的审查的挑战。结论：我们得出的结论是，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，对快感的关注尤为重要。

【关键词】性与生殖健康及权利；艾滋病毒与艾滋病；性健康促进；乐趣；艾滋病毒预防；避孕；计划生育

[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.

[Keywords] Sexual and reproductive health and rights; HIV & AIDS; sexual health promotion; pleasure; HIV prevention; contraception; family planning

论文原文：Anne Philpott, Gerda Larsson, Arushi Singh, Mirela Zaneva & Lianne Gonsalves (2021). How to Navigate a Blind spot: Pleasure in Sexual and Reproductive Health and Rights Programming and Research. International Journal of Sexual Health, Published online: Oct 18, 2021. https://doi.org/10.1080/19317611.2021.1965690