Sexual health最新文献

{"title":"A scoping review of parent-based barriers to parent-child communication about sexuality.","authors":"Neelam Punjani, Shannon D Scott, Amber Hussain, Tammy Lu, Farah Bandali, Sheila McDonald, Lisa Allen Scott, Sonia Sultan, Megan Kennedy","doi":"10.1071/SH25076","DOIUrl":"10.1071/SH25076","url":null,"abstract":"<p><p>Background Parent-child communication about sexuality plays a critical role in promoting adolescents' sexual and reproductive health, yet such discussions are limited across diverse cultural contexts. Despite the importance of comprehensive sexuality, parents frequently face barriers that hinder open and accurate dialogue. This scoping review aims to map the literature on parent-based barriers to sexuality communication with children and youth. It seeks to identify the barriers parents encounter and the socio-cultural dynamics that influence these interactions globally. Methods Following the Joanna Briggs Institute framework and PRISMA-ScR guidelines, a comprehensive literature search was conducted across 8 databases, yielding 59 peer-reviewed studies from 2000 to 2024. Eligible studies explored parent-child communication on sexuality, focused on barriers and employed qualitative, quantitative or mixed-methods designs. Results Six key themes emerged as barriers: (1) parental discomfort and lack of confidence; (2) limited knowledge and educational gaps; (3) restrictive cultural and religious norms; (4) gendered expectations and communication disparities; (5) heteronormative assumptions excluding Two-Spirit, Lesbian, Gay, Bisexual, Transgender, Queer or Questioning, Intersex, Asexual (or Ally), plus other sexual and gender identities (2SLGBTQIA+) youth; and (6) concerns about judgment or misinterpretation. These barriers often stem from intergenerational silence, lack of training and societal stigma. Parents of children with disabilities or those identifying as gender-diverse faced additional challenges requiring tailored resources and clinical support. Conclusion Effective sexuality requires proactive, inclusive and culturally grounded parental engagement. Addressing structural and emotional barriers through tailored interventions, healthcare collaboration and educational toolkits is essential. This review underscores the need for future research, policy and health promotion efforts to support parent-based sexuality communication, especially for marginalized and under-resourced caregivers.</p>","PeriodicalId":22165,"journal":{"name":"Sexual health","volume":"22 ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145114200","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Shifting power dynamics in global health through youth engagement: a participatory mini-designathon.","authors":"P K Chima, Y Babatunde, S Vorkoper, J Durham, A Goi, J Iwelunmor, J D Tucker","doi":"10.1071/SH25025","DOIUrl":"https://doi.org/10.1071/SH25025","url":null,"abstract":"<p><p>Background Although youth engagement has long been explored in civic and political domains, it has only recently become a focus in global health. Traditional youth advisory approaches often suffer from unbalanced power dynamics, where adolescents and young adults are involved peripherally and tokenistically. This limits the relevance and impact of health interventions targeting young people, especially in low- and middle-income countries (LMICs). There is a need for practical, context-appropriate strategies that promote equity and power-sharing in youth engagement. Methods We developed and piloted a mini-designathon model - a condensed, in-person, design-thinking-based participatory approach that integrates the principles of youth participatory action research. This model was implemented as part of a broader engagement activity co-created with the Adolescent HIV Prevention and Treatment Implementation Science Alliance (AHISA)Youth Advisory Board. Teams of youth and adult researchers collaboratively produced creative outputs around the theme of youth engagement. The structure, implementation considerations, and participant feedback were analysed. Results The mini-designathon created a low-cost opportunity for youth and adult researchers to interact as peers in a structured, time-limited setting. Teams collaboratively produced creative outputs - including poems, dances, and illustrations - centred on youth engagement. Post-event feedback suggested that the activity was enjoyable, fostered discussion across age groups, and helped highlight the value of diverse perspectives. Conclusions Mini-designathons offer a practical, scalable tool to advance meaningful youth engagement in global health research. By embedding principles of equity and co-creation into participatory design, this model helps shift power dynamics and amplify youth voices, particularly in LMIC contexts. Further application and refinement of this approach can strengthen youth-adult partnerships and improve the design of interventions that affect young people's health and wellbeing.</p>","PeriodicalId":22165,"journal":{"name":"Sexual health","volume":"22 ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145113583","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Access to gender-affirming hormone therapy is positively associated with uptake of STI testing.","authors":"Ruby Lucas, Emerson Dusic, Jessie M Garcia Gutiérrez, Audren J K Bambilla, Daphne Suen, Nathaniel M Widmann, Aleks Martin, Alic Shook, Baer Karrington, Deborah Schwarz, Genya Shimkin, Vanessa Grandberry, Xero Xanadu, Marta G Wilson-Barthes, Timothy Souza, Stephaun Wallace, Renee Heffron, Omar Galarraga, Don Operario, Kristi E Gamarel, Arjee Restar","doi":"10.1071/SH24238","DOIUrl":"https://doi.org/10.1071/SH24238","url":null,"abstract":"<p><p>Background Gender-affirming medical care access may improve the STI care continuum for transgender and nonbinary communities. This study examined the association between gender-affirming hormone therapy (GAHT) and uptake of STI testing. Methods The Priority Assessment in Trans Health Project is a community-informed study developed by trans Washingtonians. Data were collected from March to May 2023 through community organizations and media platforms. All recruited participants were included in analysis. Descriptive statistics with chi-squared tests (α =0.05) were conducted to compare group differences. An adjusted multivariable regression model measured the association between current GAHT and STI testing. Differences across STI status were measured descriptively. Results Compared with individuals who did not receive an STI test (n =59), those who had received an STI test in the past year (n =738) were more likely to be: aged 25-29years (48% vs 24%), a woman (86% vs 37%), have private health insurance (81% vs 42%) and currently be using GAHT (78% vs 32%). Individuals who tested positive for an STI (n =34) were more likely to be aged 18-24years (24% vs 11%) and to have public health insurance (50% vs 16%) than those who did not test positive for an STI. GAHT use was significantly associated with increased odds of STI testing engagement (OR4.48, 95% CI: 2.01, 10.26, P =0.0003). Conclusion Our findings suggest the need to explore factors influencing medical gender affirmation and uptake of STI testing and other sexual and reproductive services, and support that access to gender-affirming services can be leveraged for STI prevention.</p>","PeriodicalId":22165,"journal":{"name":"Sexual health","volume":"22 ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145114222","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Barriers and facilitators to engagement with the PrEP care continuum among sexual minority men in China: a systematic review.","authors":"Chenglin Hong, Liying Wang, Yilin Wang, Yuqing Wang, Lingxiao Chen, Frank Y Wong, Jane M Simoni, Ian W Holloway, Steven A John","doi":"10.1071/SH25021","DOIUrl":"https://doi.org/10.1071/SH25021","url":null,"abstract":"<p><p>Sexual minority men (SMM) in China are disproportionately affected by the HIV epidemic, yet utilization of HIV prevention services, such as pre-exposure prophylaxis (PrEP), remains low. This systematic review summarizes the barriers and facilitators to the PrEP care continuum among Chinese SMM using thematic analysis. Following PRISMA guidelines, a comprehensive literature search was conducted in English and Chinese databases, including PubMed, EMBASE, Web of Science, PsycINFO, CINAHL, CNKI and WanFang. From 820 records, 50 studies met inclusion criteria, revealing five key themes: (1) sexual behaviors and perceived HIV risk; (2) PrEP-related stigma and homophobia; (3) history of HIV and other STI care engagement; (4) perceptions of PrEP efficacy, side-effects and adherence, and (5) structural and access barriers, including cost, health insurance and residential status. Improving PrEP uptake among Chinese SMM requires addressing sexual risk behaviors, societal stigma and structural barriers. Comprehensive education around PrEP, stigma reduction and financial support are crucial. Targeted public health initiatives and policy changes are necessary to enhance PrEP awareness, accessibility and adherence among Chinese SMM. Additionally, integrating PrEP education into existing HIV/STI care frameworks, and fostering supportive environments within healthcare settings can further mitigate barriers. There is a need to explore and promote alternative PrEP modalities, including on-demand (event-driven) PrEP and long-acting injectable PrEP, to better meet the diverse needs of Chinese SMM. Collaboration between government, healthcare providers and community organizations is essential to develop and implement effective strategies for increasing PrEP uptake and ensuring sustained HIV prevention efforts among Chinese SMM.</p>","PeriodicalId":22165,"journal":{"name":"Sexual health","volume":"22 ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145114190","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The awareness and preferences in PrEP access, type of service delivery, and willingness to pay among men who have sex with men in the Philippines: a discrete choice experiment.","authors":"Rodenie Arnaiz Olete, Patrick Eustaquio, Warittha Tieosapjaroen, Kate Leyritana, Michael Cassell, Jason J Ong, Heather-Marie A Schmidt, Nittaya Phanuphak, Curtis Chan, Benjamin R Bavinton","doi":"10.1071/SH25070","DOIUrl":"https://doi.org/10.1071/SH25070","url":null,"abstract":"<p><p>Background The Philippines has witnessed a 550% increase in HIV cases between 2010 and 2023, disproportionately affecting men who have sex with men (MSM). Despite the national rollout of pre-exposure prophylaxis (PrEP) in 2021, uptake remains limited, with structural and individual barriers, such as PrEP-associated cost and stigma influencing engagement. This study explores Filipino MSM's preferences for PrEP service attributes to inform person-centered HIV prevention strategies. Methods A cross-sectional online survey, as part of the PrEP APPEAL multicountry study, was conducted among MSM in the Philippines in May to November 2022. A discrete choice experiment embedded in the survey assessed preferences for six PrEP service attributes, including type, access location, cost, side-effects, visit frequency and additional services. Preferences were analyzed using random parameters logit and latent class models. Results Among 2282 MSM respondents (mean age=28.8years, s.d.=7.9), 68.9% had heard of PrEP, yet only 18.3% were current users. In the pooled analysis, cost, PrEP type, and side-effects were the most influential attributes. MSM preferred free oral PrEP but willing to pay up to Philippine Peso (PHP) 1000 (AUD 25) per month (β =0.06, P =0.032), services accessed through community-led clinics (β =0.12, P =0.001), and yearly clinic visits (β =0.14, P Conclusions Despite growing awareness, uptake among Filipino MSM remains limited. Findings highlight diverse user preferences, reinforcing the need for differentiated, person-centered PrEP models. Expanding community-based access, ensuring affordability and integrating user-informed features can optimize uptake, whereas sustainable financing and phased rollout of newer modalities are essential for national scale-up.</p>","PeriodicalId":22165,"journal":{"name":"Sexual health","volume":"22 ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145113557","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Metabolic safety of gender-affirming hormonal treatment in transgender females.","authors":"Charalampos Milionis, Konstantina Barouti, Vassiliki Papadopoulou, Foteini Pouliasi, Efthymia Karlafti, Sofia Makrydima, Stavroula Karampa, Evaggelia Venaki, Eftychia Koukkou","doi":"10.1071/SH25113","DOIUrl":"https://doi.org/10.1071/SH25113","url":null,"abstract":"<p><p>Background Gender incongruence results from the mismatch between gender identity and thesex assigned at birth. The process of gender affirmation includes a series of procedures during which the transgender individual acquires phenotypic features of the desired sex. Hormonal therapy for transgender women aims to suppress endogenous androgens and replace them with estrogens. The present study sought to investigate the safety of feminizing therapy in transgender women in relation to somatometric and metabolic parameters. Methods The medical records of transgender women who received oral estradiol valerate and a gonadotropin-releasing hormone (GnRH) agonist for at least 18months were reviewed. The study population had estradiol levels within the normal limits of the follicular phase of cisgender women of reproductive age and suppressed blood testosterone levels after 18months of treatment. Changes in body mass index, glycemic and lipid profiles, hemoglobin and hematocrit, and liver function tests were examined. The paired t -test was used for statistical analysis. Results The mean blood estradiol and testosterone levels after approximately 18months of treatment were 85.65pg/mL and 24ng/dL, respectively. There was a statistically significant increase in blood triglycerides as well as a statistically significant decrease in hemoglobin and hematocrit. However, none of the participants developed severe hypertriglyceridemia or anemia. No significant changes were found in blood cholesterol (total, high-density lipoprotein, and low-density lipoprotein cholesterol), glucose, and liver enzymes. Conclusions Treatment with oral estradiol valerate and an intramuscular GnRH agonist is used in daily clinical practice to promote feminizing physical changes in transgender women. However, the possibility of side effects is not well documented. The present study demonstrated that achieving estradiol and testosterone levels within therapeutic targets is important for the safety of gender-affirming therapy.</p>","PeriodicalId":22165,"journal":{"name":"Sexual health","volume":"22 ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145114195","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prevalence of problematic pornography use: a meta-analysis.","authors":"Peter K H Chew, Yong Jie Yow, Charlize S Y Tan","doi":"10.1071/SH25054","DOIUrl":"10.1071/SH25054","url":null,"abstract":"<p><p>At least one narrative review has examined cross-cultural differences in the prevalence rates of problematic pornography use (PPU). However, the data were not synthesised statistically, precluding an identification of the pooled prevalence rate of PPU. The current study aimed to address the limitation by conducting a meta-analysis to statistically synthesise the prevalence rates of PPU among the general population. A comprehensive search was conducted on the databases ProQuest, PsycArticles, and PubMed from inception to 11 October 2024. The data was analysed using Meta-Essentials, and the random effects model was used to obtain the pooled estimate of the effect size. A total of 22 articles were included (total N =31,566). An overall pooled prevalence rate of 13.00% (95% CI: 8.00-19.00%) was found for PPU across general and subpopulations (e.g. students). However, significant heterogeneity was found across the prevalence rates, and they could be explained by region of the study, sample type (representative sample vs convenience sample), and the type of PPU instrument used. Limitations of the study include the inclusion of studies with Ad hoc scales in the meta-analysis and the modest impact of publication bias on the results. Future research directions include examining the forbidden fruit effect for PPU and examining potential interaction effects between key variables (e.g. region of the study, type of PPU instrument used) in predicting prevalence rates.</p>","PeriodicalId":22165,"journal":{"name":"Sexual health","volume":"22 ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145113457","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Co-creating inclusive sexual health services for middle-aged and older adults, including disabled people, in England: an innovative participatory approach within the field of sexual health.","authors":"Hayley Conyers, Yoshiko Sakuma, Tracey Jannaway, Alex Cowan, Joseph D Tucker, Eneyi E Kpokiri, Dan Wu","doi":"10.1071/SH25022","DOIUrl":"https://doi.org/10.1071/SH25022","url":null,"abstract":"<p><p>Background Middle-aged and older adults, including disabled people, are rarely engaged in helping to develop sexual health services to meet their needs. We used co-creation as a promising participatory strategy to develop ideas to inform more inclusive sexual health services for middle-aged and older adults in England. Methods During April and May 2023, we recruited participants to take part in our co-creation workshops and interviews. The research team partnered with active community leaders with lived experience to co-design and co-organise sessions. Discussion topics were developed iteratively, centred on participant input, to ensure the sessions were accessible and appropriate for the focus population. Implementation of the co-creation workshops and one-to-one interviews was evaluated by gathering community facilitators' reflections on how they felt about their experience as facilitators and the success of the workshops. Reflections Overall, co-creation activities are well-accepted and highly valuable means to engage middle-aged and older adults. We are identifying three strengths and four challenges worth noting. As for strengths, they entail: (1) shared informed decision-making; (2) co-leadership for conducting the research activities; and (3) importance of co-facilitation; and for challenges: (1) ensuring the venue/information is accessible to all; (2) recruitment of middle-aged and older adults for a stigmatised research topic; (3) need more time for co-creation sessions to make sure equal opportunity to contribute; and (4) integrating co-creation into existing community activities. Conclusion Co-creation is crucial for inclusive health services, but underexplored in sexual health research involving middle-aged, older and disabled individuals. This study emphasises shared ownership, which enables the offering of practical guidance for researchers and healthcare professionals.</p>","PeriodicalId":22165,"journal":{"name":"Sexual health","volume":"22 ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145114170","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Towards zero discrimination: a survey on HIV-related stigma and discrimination among healthcare providers in a medical center in Southern Taiwan.","authors":"Han Siong Toh, Hui-Chun Ku, Wang-Ping Chen, Hui-Chuan Wang, Hung-Jen Tang, Chia-Te Liao","doi":"10.1071/SH24172","DOIUrl":"https://doi.org/10.1071/SH24172","url":null,"abstract":"<p><p>Background HIV-related stigma and discrimination among healthcare providers deter people living with or at high risk of HIV (PLHIV and key populations) from seeking and adhering to care. Understanding its determinants is essential for targeted interventions. Methods We administered the validated Measuring HIV Stigma and Discrimination Among Workers in Health Facilities Questionnaire to staff of an HIV-designated teaching hospital in Taiwan. Descriptive statistics were followed by multivariable logistic regression models adjusting for gender, age, years in service, infectious diseases ward experience, the number of PLHIV cared for in the past 12months and personal training program. Model diagnostics included variance inflation factors and Hosmer-Lemeshow tests. A post-stratification weighting sensitivity analysis was performed to correct the 84% female sample toward the hospital's 70% female workforce. Results Of 550 respondents, 42% had cared for PLHIV in the previous year, and 8.4% worked in the infectious diseases ward. Unnecessary precautions were reported by 90.1%, worry about occupational HIV acquisition by 83.3%, negative attitudes toward PLHIV by 70.2%, professional refusal toward key populations by 38.0% and observed discriminatory behaviors by 34.7%. In adjusted analyses, HIV-related training was associated with lower fear of infection (aOR 0.35), reduced observed stigma (aOR 0.50) and higher willingness to serve key populations (aOR 2.36). Infectious diseases ward experience also reduced fear (aOR 0.38). Age showed a marginal protective effect on fear, whereas gender and prior contact with PLHIV were not significant. Weighted estimates were consistent, supporting robustness of findings. Conclusions HIV-related stigma remains pervasive among healthcare providers, with lack of HIV-specific training and limited clinical exposure being risk factors. Tailored education, ongoing surveillance and further interventions are urgently needed within healthcare facilities to promote a friendly medical environment for equitable care for PLHIV.</p>","PeriodicalId":22165,"journal":{"name":"Sexual health","volume":"22 ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145114049","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"What information women want about intrauterine devices and contraceptive implants and where they want to receive this information: findings from an Australian online survey.","authors":"Jacqueline Coombe, Ximena Camacho, Digsu N Koye, Cassandra Caddy","doi":"10.1071/SH25056","DOIUrl":"https://doi.org/10.1071/SH25056","url":null,"abstract":"<p><p>Background Information about contraceptive options is important for informed decision making. We aimed to understand the information needs and preferences of potential users of intrauterine devices and contraceptive implants, methods that are underutilised in Australia. Methods We conducted an online survey of Australian women aged 18-45years. The survey comprised mostly close-ended questions, with a few opportunities for free-text comments. Results In total, 1745 women participated in the survey. Participants had a mean age of 31years; most identified as heterosexual (67%) and said that they were in a relationship (71%). Overwhelmingly, participants said that the most important information they wanted to know prior to using a contraceptive implant or intrauterine device was potential side effects (97%), signs that something is wrong (91%), effectiveness (90%), cost (87%), how and where to access the method (82%) and the experiences of other people who have used the method (81%). Most participants said that they go to their healthcare provider for information about contraception (86%). However, 78% said they also turn to the internet, and 15% said they use social media. When asked to indicate their preferred source of contraceptive information, participants reported their healthcare provider (93%), the internet (65%), friends (42%) and social media (20%). Conclusions Our findings suggest that those considering using contraceptive implants and intrauterine devices have clear information needs, and this information should be provided to consumers during contraceptive counselling by a healthcare provider. Although healthcare providers are a preferred and trusted source of information, participants also reported seeking information from the internet.</p>","PeriodicalId":22165,"journal":{"name":"Sexual health","volume":"22 ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145114124","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}