Abstract
To analyze the scientific evidence available on the sexual and reproductive health of riverine communities. Integrative review, conducted on the databases LILACS, MEDLINE; WEB OF SCIENCE and SCOPUS, including publications in Portuguese, English or Spanish, without an initial time limit and published until 2018. 11 studies were selected. The studies included are from the period 1993-2017. The results originated four analytical categories: sexual component, which gathered findings about sexually transmitted infections; reproductive component, which included family planning/fertility control, abortion and problems with pregnancy; environmental component, which presented issues with environmental contaminants and its reproductive implications; and the sociocultural component, which discussed gender, beliefs and social indicators. In this review, studies with a quantitative approach, from a female point of view and a biological perspective predominated. No study investigated the meanings and representations of SRH for the riverine communities. In addition, the findings show little evidence of thoughts and practices of people living in riverine communities regarding SRH issues, providing limited evidence.
Highlights
The conceptualization of reproductive health was marked by the International Conference on Population and Development, held by the United Nations in 1994, in Cairo, and the Fourth World Conference on Women, in Beijing, in 1995(1)
The findings show little evidence of thoughts and practices of people living in riverine communities regarding sexual and reproductive health (SRH) issues, providing limited evidence
The present study showed that the SRH of women and men living in riverine communities is a theme with limited evidence, requiring further investigation
Summary
The conceptualization of reproductive health was marked by the International Conference on Population and Development, held by the United Nations in 1994, in Cairo, and the Fourth World Conference on Women, in Beijing, in 1995(1). Men and women must be able to “have a satisfying and safe sex life and have the capability to reproduce and the freedom to decide if, when and how often to do so(2)”. This notion of reproductive health includes sexual health, which is presented as a possibility of enhancing the quality of life and personal relations, independently of reproduction and sexually transmitted infections (STIs)(2). It encompasses sexual expression, autonomy, and freedom, with no violence, discrimination or risk of unwanted diseases or pregnancies. This implies a positive approach to human sexuality, capable of providing pleasure and stimulating relationships(3)
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