Disrupted prevention: condom and contraception access and use among young adults during the initial months of the COVID-19 pandemic. An online survey.
Disrupted prevention: condom and contraception access and use among young adults during the initial months of the COVID-19 pandemic. An online survey.
复制标题
DOI：
10.1136/bmjsrh-2020-200975
复制
发表时间：
2021-10
影响因子：
3.3
通讯作者：
Mitchell KR
中科院分区：
文献类型：
--
作者：
Lewis R;Blake C;Shimonovich M;Coia N;Duffy J;Kerr Y;Wilson J;Graham CA;Mitchell KR
英国对COVID-19的初步应对措施包括迅速收缩面对面的性与生殖健康（SRH）服务，并广泛使用远程解决方案。这项研究试图说明青年人在艾滋病流行的最初几个月获得和使用避孕套和避孕药具的经历。我们分析了2020年6月至7月进行的一项在线调查中的数据，包括开放文本回复，该调查以2005年居住在苏格兰的16-24岁年轻人为方便样本。在使用安全套和避孕措施的人群中，四分之一的人报告说，COVID-19缓解措施对他们的获取或使用产生了影响。公开文本答复揭示了预防工作中断的情况，包括改变性风险承担和预防做法、不想要的避孕途径、性传播感染检测需求得不到满足，以及从免费提供转向商业销售的避孕套和避孕措施。在获得免费避孕套和避孕药具方面，与流行病有关的障碍包括：（1）对获得性健康和生殖健康护理的合法性的不确定性和对需求的自我审查;（2）对流行病期间从保健专业人员那里获得的性健康和生殖健康护理和咨询与常规做法之间的差异感到困惑;（3）现有的获得障碍加剧，同时减少了引导性健康和生殖健康护理的社会支持和资源。在COVID-19背景下，性传播感染和预防怀孕方面新出现的障碍有可能破坏积极的性健康和生殖健康做法，并扩大年轻人中的不平等。随着性健康和生殖健康服务在不断变化的流行病限制措施中得到恢复，应与年轻人共同创建支持安全套导航和避孕服务的信息。
The initial response to COVID-19 in the UK involved a rapid contraction of face-to-face sexual and reproductive health (SRH) services and widespread use of remote workarounds. This study sought to illuminate young people’s experiences of accessing and using condoms and contraception in the early months of the pandemic. We analysed data, including open-text responses, from an online survey conducted in June–July 2020 with a convenience sample of 2005 16–24-year-olds living in Scotland. Among those who used condoms and contraception, one quarter reported that COVID-19 mitigation measures had made a difference to their access or use. Open-text responses revealed a landscape of disrupted prevention, including changes to sexual risk-taking and preventive practices, unwanted contraceptive pathways, unmet need for sexually transmitted infection (STI) testing, and switches from freely provided to commercially sold condoms and contraception. Pandemic-related barriers to accessing free condoms and contraception included: (1) uncertainty about the legitimacy of accessing SRH care and self-censorship of need; (2) confusion about differences between SRH care and advice received from healthcare professionals during the pandemic compared with routine practice; and (3) exacerbation of existing access barriers, alongside reduced social support and resources to navigate SRH care. Emerging barriers to STI and pregnancy prevention within the context of COVID-19 have the potential to undermine positive SRH practices, and widen inequalities, among young people. As SRH services are restored amid evolving pandemic restrictions, messaging to support navigation of condom and contraception services should be co-created with young people.
影响因子：
26.1
作者：
Wilkinson TA;Kottke MJ;Berlan ED
通讯作者：
Berlan ED
影响因子：
168.9
作者：
Wellings, Kaye;Jones, Kyle G.;Johnson, Anne M.
通讯作者：
Johnson, Anne M.
影响因子：
5.2
作者：
McAuley, A.
通讯作者：
McAuley, A.