Experiences of Indigenous peoples living with pelvic health conditions: A scoping review

Abstract

AbstractBackgroundPelvic health conditions significantly impact quality of life and are prevalent in the general population. Urinary and fecal incontinence, pelvic organ prolapse, and pelvic pain are examples of pelvic health conditions. A scoping review was conducted to understand what is currently known about pelvic health conditions experienced by Indigenous populations worldwide. To date, no such review has been reported.MethodsA scoping review methodology was used. In June 2023, a search was conducted, and then updated in February 2024, capturing both primary and grey literature. An iterative process of abstract and full text screening was conducted by two reviewers before proceeding to data extraction. Inclusion criteria focused on English publications and reports of pelvic health conditions experienced by Indigenous peoples. Data was collected in Google Sheets, and then underwent descriptive statistical analysis. Publications that provided qualitative data were analyzed using thematic analysis.ResultsA total of 203 publications were included in the analysis. Several patterns emerged regarding publication region, gender and age representation, pelvic health conditions reported, and representation of Indigenous peoples. Notable gaps were a lack of publications from China, Russia, and Nordic countries, minimal representation of gender diverse populations, few publications reporting on auto-immune and bowel conditions, and limited mention of trauma-informed and culturally safe approaches.ConclusionsThis study highlights gaps in the current literature around gender representation, bowel and auto-immune conditions, regional representation, and the use of safety frameworks, which may inform future research initiatives. It also summarizes the existing literature, which may inform clinical and health system-level decision making.