Data extraction dates.

The field of women’s health, specifically maternal and child health, have recently pushed for male partners to be included in interventions. Currently, there are gaps in understanding how engaging men in these interventions might impact women’s mental wellbeing. The objective of this systematic review was to examine the evidence of the mental health impact on women of engaging male partners in health interventions in low and -middle-income countries. We conducted a systematic review of existing literature on women’s health interventions that engage male partners and report mental health outcomes at the end of the intervention. The protocol for this systematic review is registered with the PROSPERO database of systematic reviews (CRD42023450412). A tailored search strategy was conducted for both peer-reviewed publications and grey literature. Fourteen peer-reviewed full-text articles fulfilled the inclusion criteria and their quality was appraised. No grey literature fulfilled the inclusion criteria. Studies were compared on key elements of the 1) intervention, 2) men’s engagement methods and measurement, and 3) reported and assessed women’s mental health outcomes. Studies engaged male partners in a variety of ways, including separate concurrent interventions for men and women, joint interventions in which couples went to the intervention sessions together, and a mix of both joint and concurrent intervention components. The majority of studies measured men’s engagement by taking attendance. This systematic review presents critical insights into how men are engaged in women’s health interventions and its impact on women’s mental health. There is a dearth of research on this topic and most interventions only measure men’s engagement programmatically through taking attendance.

女性健康领域，尤其是母婴健康（maternal and child health）方向，近年来愈发呼吁将男性伴侣纳入健康干预项目中。当前学界对于让男性伴侣参与此类干预项目会如何影响女性精神健康状况仍存在认知空白。本系统综述（systematic review）的研究目标为：探究低收入和中等收入国家中，让男性伴侣参与女性健康干预项目对女性精神健康产生影响的相关证据。我们针对已发表的相关文献开展了系统综述，文献主题为纳入男性伴侣参与的女性健康干预项目，且该类项目会在干预结束后报告女性精神健康结局指标。本系统综述的研究方案已在系统综述注册数据库PROSPERO（注册号：CRD42023450412）完成注册。我们针对同行评议文献和灰色文献（grey literature）制定了定制化检索策略。共有14篇同行评议全文文献符合纳入标准，并完成了质量评价。无符合纳入标准的灰色文献。本研究从三大核心维度对纳入的研究进行了对比分析：1）干预项目本身；2）男性伴侣的参与方式与测量手段；3）所报告并评估的女性精神健康结局指标。现有研究纳入男性伴侣的方式多种多样，包括为男性和女性分别开展同步干预、让夫妻共同参与干预课程的联合干预，以及同时包含联合干预与同步干预两种模式的混合干预方案。绝大多数研究通过签到记录来量化男性伴侣的参与情况。本系统综述为男性伴侣如何参与女性健康干预项目，以及该参与模式对女性精神健康的影响提供了关键见解。当前该主题的研究仍较为匮乏，且多数干预项目仅通过签到记录这一程序化方式来衡量男性伴侣的参与情况。