Feasibility of Sexual Health and Contraceptive Web Services for Adolescents and Young Adults: Retrospective Study of a Pilot Program on Reunion Island.

IF 2.1 Q2 PEDIATRICS
Danielle Reynaud, Nicolas Bouscaren, Emmanuelle Cartron, Catherine Marimoutou
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引用次数: 0

Abstract

Background: Sexual health indicators for adolescents and young adults (AYAs) aged between 13 and 25 years are particularly poor on Reunion Island. Access to accurate information as well as sexual health and contraceptive services are vital to maintaining sexual well-being. Teleconsultations offer a promising approach to addressing the sexual health and contraceptive needs of AYAs who are more susceptible to engaging in unprotected sexual intercourse. However, the literature on digital sexual health services for this demographic group is limited.

Objective: This study aims to describe the feasibility of a pilot sexual health and contraceptive teleconsultation web service used by AYAs on Reunion Island.

Methods: A descriptive, retrospective study was conducted at the Reunion Island University Hospital Center using a convenient sample. Eligible participants were informed about the program through various communication channels, including seminars for health care professionals, radio broadcasts, posters, flyers, press articles, videos, and social media posts. AYAs accessed a web-based platform named SEXTUOZE from December 15, 2021, to September 30, 2022, that offered sexual health information and teleconsultations. Data collected included participant and teleconsultation characteristics, patient satisfaction, and the quality of completeness of medical records.

Results: A total of 22 teleconsultations were scheduled and 7 were completed, all via synchronous video communication (duration: median 35 min). Overall, 4731 sessions were generated on the SEXTUOZE website. Reasons cited for accessing the web services were to seek sexual health advice (8/22, 36%), receive an initial birth control prescription (12/22, 55%), and inquire about condom prescriptions (2/22, 9%).

Conclusions: While teleconsultation use for sexual health was initially low, it rose toward the end of the study period. Considering all elements of the implementation theory, future research should design interventions that not only are more operative and tailored but also ensure their adoption and sustainability in various health contexts.

为青少年提供性健康和避孕网络服务的可行性:留尼汪岛试点项目的回顾性研究。
背景:在留尼汪岛,13 至 25 岁青少年的性健康指标特别低。获得准确的信息以及性健康和避孕服务对于保持性健康至关重要。远程咨询为满足青少年的性健康和避孕需求提供了一种很有前景的方法,因为他们更容易发生无保护的性行为。然而,针对这一人口群体的数字化性健康服务的文献却很有限:本研究旨在描述留尼汪岛青少年使用的性健康和避孕远程咨询试点网络服务的可行性:方法:在留尼汪岛大学医院中心进行了一项描述性、回顾性研究,采用了方便抽样的方法。符合条件的参与者通过各种交流渠道了解了该计划,包括医护人员研讨会、广播、海报、传单、新闻报道、视频和社交媒体帖子。2021 年 12 月 15 日至 2022 年 9 月 30 日期间,青少年访问了一个名为 SEXTUOZE 的网络平台,该平台提供性健康信息和远程咨询。收集的数据包括参与者和远程会诊的特征、患者满意度以及医疗记录的完整性质量:共安排了 22 次远程会诊,完成了 7 次,全部通过同步视频通信进行(持续时间:中位数 35 分钟)。在 SEXTUOZE 网站上共生成了 4731 次会诊。访问网站服务的原因包括:寻求性健康建议(8/22,36%)、接受首次节育处方(12/22,55%)和咨询安全套处方(2/22,9%):虽然性健康远程咨询的使用率最初较低,但在研究期结束时有所上升。考虑到实施理论的所有要素,未来的研究应设计出更具操作性和针对性的干预措施,并确保其在各种健康环境中的采用和可持续性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
JMIR Pediatrics and Parenting
JMIR Pediatrics and Parenting Medicine-Pediatrics, Perinatology and Child Health
CiteScore
5.00
自引率
5.40%
发文量
62
审稿时长
12 weeks
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