The holistic health status of Chinese homosexual and bisexual adults: a scoping review protocol (Preprint)
BACKGROUND There is a considerable number of homosexual and bisexual Chinese, while their health conditions have not received sufficient attention compared with general population. Referring to World Health Organization (WHO)’s definition, holistic health is a comprehensive concept incorporating physical, mental, and social well-being. However, existing research seems inadequate and unbalanced on the holistic health of this population, especially many studies only focus on sexually transmitted infections (STI) and relating prevention interventions. Apart from these, the health status of these sexual minorities from a holistic perspective remains unclear. OBJECTIVE This scoping review aims to comprehensively examine all available literature and will be the first to map the existing evidence on the holistic health of homosexual and bisexual Chinese. METHODS This proposed scoping review has been structured according to standard framework recommended by Joanna Briggs Institute (JBI). Pilot searches of PubMed in English and SinoMed in Chinese were completed to identify all relevant search terms or keywords, then a comprehensive search strategy has been carried out across all relevant databases centering on health care, psychology, nursing and social science, including totally 20 electronic databases covering both English and traditional as well as simplified Chinese. Screening and study selection has been independently conducted by two reviewers and consulting a third senior reviewer based on consensus needs. Data will be extracted using a structured data form and a narrative synthesis of the findings will be used. RESULTS The final database search has been conducted in May 2020, and totally yielded 14811 references from January 1st 2001 to May 31st 2020. After removing 4227 duplicates, there are 10584 references remained for further screen. As of May 2021, the full-text screening is just completed, and data extraction and charting is in progress. This review is projected to be completed by Fall 2021. CONCLUSIONS There is no systematically reviewed evidence available or underway review on the holistic health of either homosexual or bisexual Chinese, so this scoping review will serve as the first and most comprehensive way to map the existing evidence and draw a big picture of their health conditions. Results of this review can be used to inform scholars of existing health issues and other major needs, then to provide scientific references for the development of person-centered culturally sensitive programs with Chinese characteristics. CLINICALTRIAL This protocol has been registered within Open Science Framework (https://osf.io/82r7z) on April 27, 2020.