Sexual and Reproductive Health Matters最新文献

Staying in a punishing place: online narratives about pregnancy and abortion in pre-liberalisation Ireland. 停留在一个惩罚的地方：在自由开放前的爱尔兰，关于怀孕和堕胎的网上叙述。

IF 3.3 2区医学

Sexual and Reproductive Health Matters Pub Date : 2025-12-01 Epub Date: 2025-05-16 DOI: 10.1080/26410397.2025.2481761

Niamh Skelly

{"title":"Staying in a punishing place: online narratives about pregnancy and abortion in pre-liberalisation Ireland.","authors":"Niamh Skelly","doi":"10.1080/26410397.2025.2481761","DOIUrl":"10.1080/26410397.2025.2481761","url":null,"abstract":"Restricted abortion access impinges on the human rights and health of a significant number of women globally. The reproductive justice framework, as well as recent calls for the normalisation of abortion, encourage examination of the deleterious effects of abortion restrictions. This study explores the self-generated, online narratives of women who experienced crises in pregnancy while living in a restrictive context, namely pre-2019 Ireland, and who did not travel for abortion care. Mental health and emotional experiences are a specific focus. From an archived version of posts to the In her Shoes - Women of the Eighth Facebook page made in 2018-2019 (N = 728), 96 personal narratives were sampled. Narratives that did not feature travel for abortion care (n = 25) were selected for thematic analysis, which was completed by a single researcher in 2024. Themes that emerged included waiting for intervention as a form of mental torture, fear during self-managed abortion, attempts to self-induce abortion driven by despair, and variation in the extent to which proceeding with the pregnancy was a choice. Most women who stayed in place had been constrained by circumstances in deciding to do so. These results enrich our understanding of the negative effects of restrictive contexts on women's emotional wellbeing. They also draw attention to those who are effectively trapped in restricted contexts and overlooked when the literature narrowly focuses on outward travel from restrictive contexts for abortion care.","PeriodicalId":37074,"journal":{"name":"Sexual and Reproductive Health Matters","volume":" ","pages":"2481761"},"PeriodicalIF":3.3,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12086944/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144015965","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Telehealth abortion services via Women on Web in Kenya (2013-2019): a descriptive analysis of the characteristics and motivations of the care seekers. 肯尼亚妇女网上远程医疗堕胎服务（2013-2019年）：对求助者特征和动机的描述性分析。

IF 3.3 2区医学

Sexual and Reproductive Health Matters Pub Date : 2025-12-01 Epub Date: 2025-06-04 DOI: 10.1080/26410397.2025.2500828

Mary Achieng Ouma, Anita Alaze, Kenneth Juma, Hazal Atay, Rebecca Gomperts, Céline Miani

{"title":"Telehealth abortion services via Women on Web in Kenya (2013-2019): a descriptive analysis of the characteristics and motivations of the care seekers.","authors":"Mary Achieng Ouma, Anita Alaze, Kenneth Juma, Hazal Atay, Rebecca Gomperts, Céline Miani","doi":"10.1080/26410397.2025.2500828","DOIUrl":"10.1080/26410397.2025.2500828","url":null,"abstract":"In Kenya, access to abortion is legally restricted and allowed under a limited set of conditions. Teleabortion service providers, such as Women on Web (WoW), provide safe and effective abortion care outside the formal health sector. This study explores the characteristics and motivations of individuals in Kenya who completed an online consultation on the WoW website in 2013-2019. We used anonymised data provided by WoW to describe participants' characteristics (n = 857) and their motivations for accessing the WoW online consultation (n = 449, since this information was only available for those who filled out the questionnaire from December 2017). Participants' median age was 23; 65.0% did not have children, and 80.9% had not had a previous abortion. Pregnancies were caused by failure (43.6%) or absence of contraceptive method (49.0%), or rape (6.0%). The most frequently reported reasons for accessing the online consultation were legal restrictions and abortion costs. Those were selected by about half the participants (respectively 235 and 222/449). Next came the wish to keep the abortion private or secret, which was selected by 34.5% and 26.0% of participants. Among more positively framed reasons, home comfort came first (23.6%), followed by wanting to deal with the abortion oneself (20.7%) and finding an abortion through WoW empowering (17.4%). Abortion-seekers turning to teleabortion services usually do so following failing or absent contraception and to get access to safe abortions, avoid stigma, and keep their privacy. Expansion of teleabortion services, within or outside formal healthcare services, could strengthen abortion-seekers' autonomy and agency in Kenya.","PeriodicalId":37074,"journal":{"name":"Sexual and Reproductive Health Matters","volume":" ","pages":"2500828"},"PeriodicalIF":3.3,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12138938/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144032585","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Experiences and perspectives on pregnancy and motherhood in elite athletes - a qualitative study. 优秀运动员怀孕和母性的经验和观点——一项定性研究。

IF 3.3 2区医学

Sexual and Reproductive Health Matters Pub Date : 2025-12-01 Epub Date: 2025-05-28 DOI: 10.1080/26410397.2025.2501832

Marlene Zahl Marken, Emilie Frederikke Mass Dalhaug, Lone Friis Thing, Frank Eirik Abrahamsen, Kari Bø, Lene Annette Hagen Haakstad

{"title":"Experiences and perspectives on pregnancy and motherhood in elite athletes - a qualitative study.","authors":"Marlene Zahl Marken, Emilie Frederikke Mass Dalhaug, Lone Friis Thing, Frank Eirik Abrahamsen, Kari Bø, Lene Annette Hagen Haakstad","doi":"10.1080/26410397.2025.2501832","DOIUrl":"10.1080/26410397.2025.2501832","url":null,"abstract":"Elite athletes routinely undertake strenuous training routines, which often involve high-intensity sessions. However, there are knowledge gaps in how they experience training during pregnancy and subsequent return to sport. Combined with inadequate financial and contractual safety, female athletes may jeopardise their careers when starting families. This study aimed to describe female athletes' experiences and perspectives related to pregnancy and motherhood within the context of elite sports in Norway. We interviewed five world-class athletes between October 2022 and April 2023, using a descriptive qualitative approach. Full interview transcripts were analysed based on a reflexive thematic analysis model. Five overarching themes were identified: (1) uncertainty, (2) lack of supportive networks, (3) physical capacity, (4) the impact of postpartum return to sports on maternal health, and (5) combining motherhood and elite sports. Our findings emphasise the challenges that Norwegian pregnant and postpartum athletes face in balancing motherhood with successful careers, highlighting the importance of providing adequate support systems to ensure their health and the well-being of their child.","PeriodicalId":37074,"journal":{"name":"Sexual and Reproductive Health Matters","volume":" ","pages":"2501832"},"PeriodicalIF":3.3,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12120862/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144043506","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Planned oocyte cryopreservation in Hong Kong: a potential prototype for mainland China. 香港计划中的卵母细胞冷冻保存：中国大陆的潜在原型。

IF 3.3 2区医学

Sexual and Reproductive Health Matters Pub Date : 2025-12-01 Epub Date: 2025-05-25 DOI: 10.1080/26410397.2025.2485547

Olivia My Ngan, Ernest Hy Ng, Yumeng Yue, Raymond Hw Li

{"title":"Planned oocyte cryopreservation in Hong Kong: a potential prototype for mainland China.","authors":"Olivia My Ngan, Ernest Hy Ng, Yumeng Yue, Raymond Hw Li","doi":"10.1080/26410397.2025.2485547","DOIUrl":"10.1080/26410397.2025.2485547","url":null,"abstract":"The advent of planned oocyte cryopreservation (planned OC) represents a pivotal transition from reactive infertility treatments to proactive fertility preservation, providing a contemporary solution for women aiming to synchronise their career aspirations with future fertility plans. While numerous developed Western nations have liberalised access to planned OC for diverse individuals, including opposite-sex married couples, same-sex married couples, and unmarried individuals, mainland China maintains stringent prohibitions, permitting it solely for medical reasons, due to medical, cultural, and ethical considerations. In contrast, Hong Kong, a major urban city in China, has adopted a more permissive approach, allowing access to planned OC for non-medical reasons among unmarried individuals. This article will delve into the evolving landscape of public attitudes, fertility-seeking behaviour, and regulatory governance in Hong Kong. It will reflect on the practices and challenges associated with implementing a more permissive policy on planned OC, aiming to extract valuable lessons for the broader Chinese context.","PeriodicalId":37074,"journal":{"name":"Sexual and Reproductive Health Matters","volume":"33 1","pages":"2485547"},"PeriodicalIF":3.3,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12107638/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144142542","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Acceptability of misoprostol-only medication abortion dispensed by mail-order or retail pharmacy: a qualitative study based on in-depth interviews in the United States. 通过邮购或零售药房分发的米索前列醇药物流产的可接受性：一项基于美国深度访谈的定性研究。

IF 2.6 2区医学

Sexual and Reproductive Health Matters Pub Date : 2025-12-01 Epub Date: 2025-07-25 DOI: 10.1080/26410397.2025.2522567

Dana M Johnson, Sruthi Ramaswamy, Rebecca Gomperts

{"title":"Acceptability of misoprostol-only medication abortion dispensed by mail-order or retail pharmacy: a qualitative study based on in-depth interviews in the United States.","authors":"Dana M Johnson, Sruthi Ramaswamy, Rebecca Gomperts","doi":"10.1080/26410397.2025.2522567","DOIUrl":"10.1080/26410397.2025.2522567","url":null,"abstract":"The WHO recommends two medication abortion regimens, either misoprostol used with mifepristone or misoprostol-only. Both regimens are recognised as safe and effective, but in the United States (US) most abortions are completed using mifepristone and misoprostol. Given current political hostility to abortion, restrictions on mifepristone, and the long-term legal strategy to restrict nationwide access to the combined mifepristone and misoprostol regimen, more people in the US may use misoprostol-only regimens. Globally research has documented experiences with misoprostol-only abortions, but what are the experiences among people living in the US? We conducted a thematic analysis of 31 in-depth interviews with people who self-managed their abortion using misoprostol acquired from a mail-order or retail pharmacy between May and June 2020. We examine the acceptability of using misoprostol for medication abortion across three domains: the medication regimen, the mode of delivery of medications, and the overall model of care. We find that individual perceptions of misoprostol were shaped by both prior and informed knowledge. Picking up misoprostol from a retail pharmacy fostered familiarity, and having a prescription legitimised the service as an authentic medication provider. Receiving medications from the mail-order delivery model met preferences for privacy and anonymity. In reflections on the overall model, satisfaction was high across participants, but those who were adolescents at the time of their abortion had a distinct unmet need for emotional support compared to older participants. These results contribute to a growing evidence base on the acceptability of misoprostol-only regimens and mail-order and retail pharmacy service delivery models.","PeriodicalId":37074,"journal":{"name":"Sexual and Reproductive Health Matters","volume":" ","pages":"2522567"},"PeriodicalIF":2.6,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12302387/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144334062","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Not just reproductive: a roundtable on addressing gynaecological health through the life course in South Asia. 不仅仅是生殖：关于解决南亚整个生命过程中妇科健康问题的圆桌会议。

IF 2.6 2区医学

Sexual and Reproductive Health Matters Pub Date : 2025-12-01 Epub Date: 2025-07-25 DOI: 10.1080/26410397.2025.2521031

Sapna Desai, Kaosar Afsana, Neymat Chadha, Dipti Govil, Neha Mankani, Ramya Kumar

引用次数: 0

Lessons from Catalonia: advancing sexual and reproductive rights through feminist policymaking and governance. 加泰罗尼亚的经验教训：通过女权主义决策和治理推进性权利和生殖权利。

IF 2.6 2区医学

Sexual and Reproductive Health Matters Pub Date : 2025-12-01 Epub Date: 2025-07-28 DOI: 10.1080/26410397.2025.2529072

Tània Verge, Montserrat Pineda-Lorenzo

{"title":"Lessons from Catalonia: advancing sexual and reproductive rights through feminist policymaking and governance.","authors":"Tània Verge, Montserrat Pineda-Lorenzo","doi":"10.1080/26410397.2025.2529072","DOIUrl":"10.1080/26410397.2025.2529072","url":null,"abstract":"As sexual and reproductive rights (SRR) face mounting threats globally, Catalonia's National Strategy for Sexual and Reproductive Rights showcases how democratic governments can expand SRR through feminist policymaking and governance. Building on the region's robust public health infrastructure, systemic inequalities have been addressed and care standards improved with innovative policies. Grounded in intersectional feminism and a rights-based approach that prioritises bodily autonomy, universality, accessibility and participation, SRR have been embedded not only into health policies but also into education, workplaces and community frameworks. Key lessons from this experience highlight the importance of feminist expertise and leadership in driving impactful change. Framing SRR as human rights broadens their scope and facilitates collaboration across cabinet portfolios, while institutionalising policies within extant frameworks and services seeks to ensure their sustainability beyond political cycles. Furthermore, transformative SRR policies need not be cost-prohibitive; redesigning public services and training health professionals to deliver empathetic care can also yield significant results. Public engagement and participatory policymaking empower citizens and stakeholders, fostering accountability and a culture of advocacy. Catalonia's bold and inclusive model, coupled with robust responses to the anti-gender movement, offers a blueprint for governments and advocacy organisations worldwide. [192].","PeriodicalId":37074,"journal":{"name":"Sexual and Reproductive Health Matters","volume":" ","pages":"2529072"},"PeriodicalIF":2.6,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144561428","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Global progress in abortion law reform: a comparative legal analysis since the International Conference on Population and Development (1994-2023). 堕胎法改革的全球进展：自国际人口与发展会议以来的比较法律分析（1994-2023）。

IF 3.3 2区医学

Sexual and Reproductive Health Matters Pub Date : 2025-12-01 Epub Date: 2025-05-23 DOI: 10.1080/26410397.2025.2499324

Katy Mayall, Laurenne Ajayi, Caitlin Gruer

{"title":"Global progress in abortion law reform: a comparative legal analysis since the International Conference on Population and Development (1994-2023).","authors":"Katy Mayall, Laurenne Ajayi, Caitlin Gruer","doi":"10.1080/26410397.2025.2499324","DOIUrl":"10.1080/26410397.2025.2499324","url":null,"abstract":"As 2024 marked the 30th anniversary of the International Conference on Population and Development, which recognised unsafe abortion as a human rights and public health imperative, it is an apt time to assess global progress on abortion law reform. By mapping changes to abortion laws for 199 nations and semi-autonomous territories from 1994 to 2023 and coupling this with population data, this article demonstrates that the past three decades have been marked by an overwhelming trend towards the liberalisation of abortion laws across all regions, resulting in over 825 million women of reproductive age living under expanded grounds for legal abortion. Notably, a potential sea change has occurred in abortion law reform in the past five years, with countries increasingly liberalising their laws to permit abortion on request instead of adopting more incremental approaches. More countries have reformed their laws to permit abortion on request in the past five years than in the 25 preceding years. Yet, significant disparities continue to exist across regions. Countries banning abortion altogether or narrowly permitting abortion when the pregnant person's life is at risk are concentrated in Africa, Asia, and Latin America, including in resource-scarce contexts where abortion seekers are doubly disadvantaged by restrictive laws and limited access to healthcare, including post-abortion care. It is critical that law and policymakers and public health authorities recognise that restrictive abortion laws are out of step with global norms and support progress towards the liberalisation of abortion laws, particularly towards permitting abortion on request.","PeriodicalId":37074,"journal":{"name":"Sexual and Reproductive Health Matters","volume":" ","pages":"2499324"},"PeriodicalIF":3.3,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12107661/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144004913","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Assessing the impact of the Dobbs v. Jackson decision on abortion attitudes by abortion identity labels: a mixed-methods longitudinal study. 通过堕胎身份标签评估多布斯诉杰克逊案对堕胎态度的影响：一项混合方法的纵向研究。

IF 2.6 2区医学

Sexual and Reproductive Health Matters Pub Date : 2025-12-01 Epub Date: 2025-07-25 DOI: 10.1080/26410397.2025.2518669

Xiana Bueno, Lucrecia Mena-Meléndez, Brandon L Crawford, Ronna C Turner, Wen-Juo Lo, Kristen N Jozkowski

{"title":"Assessing the impact of the Dobbs v. Jackson decision on abortion attitudes by abortion identity labels: a mixed-methods longitudinal study.","authors":"Xiana Bueno, Lucrecia Mena-Meléndez, Brandon L Crawford, Ronna C Turner, Wen-Juo Lo, Kristen N Jozkowski","doi":"10.1080/26410397.2025.2518669","DOIUrl":"10.1080/26410397.2025.2518669","url":null,"abstract":"Landmark legislative events can shift public opinion. We conducted a longitudinal survey examining abortion attitudes before and after Dobbs v. Jackson which overturned Roe v. Wade in 2022. Wave 1 (N = 1,014) was conducted in June 2022, and Wave 2 (N = 792) in October-November 2022. Using bivariate analyses, we assessed people's attitudes towards the Dobbs decision and potential changes in abortion attitudes over time, across different abortion identity sub-groups (e.g. pro-life, pro-choice). Results indicate that people were informed about (90%) and disagreed (56%) with the decision, and did not report or experience a change in attitudes after the decision (68-73%). However, among those who did change, respondents were more inclined to endorse legal abortion after the decision (19-22%) than indicate abortion should not be legal (6-13%). Through analysing open-ended data, we found that participants more inclined to endorse legal abortion described the ruling as eroding personal rights, government intrusion, and threatening access to healthcare. Participants less inclined to endorse legal abortion indicated the ruling reinforced their belief in defending fetal rights. While not necessarily advocating outright illegality, such participants favoured stricter regulations. Notably, people who identified as \"both/neither/prefer not to answer\" tended to disagree with the Dobbs decision and lean towards greater endorsement of legal abortion. Uncertainty regarding (dis)agreement with the Dobbs decision was also higher among people who identified as pro-life and \"both/neither/prefer not to answer\" than among those who identified as pro-choice. These findings highlight important nuances that exist in abortion attitudes beyond the perceived dichotomy of the pro-life/pro-choice spectrum.","PeriodicalId":37074,"journal":{"name":"Sexual and Reproductive Health Matters","volume":" ","pages":"2518669"},"PeriodicalIF":2.6,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12302401/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144303049","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Preferred use of contraceptive methods and reasons for non-use: a cross-sectional survey of a sample of Black, Indigenous, and people of colour in the United States. 首选避孕方法的使用和不使用的原因：美国黑人、土著和有色人种样本的横断面调查。

IF 3.3 2区医学

Sexual and Reproductive Health Matters Pub Date : 2025-12-01 Epub Date: 2025-06-27 DOI: 10.1080/26410397.2025.2494418

Alexandra Wollum, Katherine Key, Carmela Zuniga, Charon Asetoyer, Maricela Cervantes, Sung Yeon Choimorrow, Raquel Z Rivera, Janette Robinson Flint, Sarah E Baum

{"title":"Preferred use of contraceptive methods and reasons for non-use: a cross-sectional survey of a sample of Black, Indigenous, and people of colour in the United States.","authors":"Alexandra Wollum, Katherine Key, Carmela Zuniga, Charon Asetoyer, Maricela Cervantes, Sung Yeon Choimorrow, Raquel Z Rivera, Janette Robinson Flint, Sarah E Baum","doi":"10.1080/26410397.2025.2494418","DOIUrl":"10.1080/26410397.2025.2494418","url":null,"abstract":"Use of preferred contraceptive methods is a measure of reproductive autonomy, yet barriers persist across the United States in accessing preferred methods of contraception, with disparities in access among communities of colour. Using data from a 2021-2022 cross-sectional survey of 727 people aged 13-50 living in the United States who identified as Asian American, Native Hawaiian, or Pacific Islander (29%); Black or African American (34%), Indigenous (13%), and Latina/Latinx (31%), we examined those who were not using their preferred contraceptive method(s), including the preferred method type and the reasons for not using this method(s). We ran an adjusted logistic regression to test the association between the quality of the last health care interaction related to contraception and the use of a non-preferred method. Thirty-seven percent of respondents preferred a contraceptive method they were not currently using. Among current contraceptive users, long-acting methods were preferred most often, while non-current contraceptive users desired long-acting and short-acting hormonal methods equally. Respondents most often cited concerns about side effects/health risks (65%) and financial/logistical reasons (42%) as the top reasons for not using their preferred method(s). Those who reported receiving higher quality care in a recent contraceptive visit were more likely to be using the method they wanted to be using. Use of a preferred contraceptive method may increase when receiving high-quality counselling and care. Strategies to improve access to preferred methods should address side effects and health concerns, as well as financial and logistical barriers among Black, Indigenous, and people of colour.","PeriodicalId":37074,"journal":{"name":"Sexual and Reproductive Health Matters","volume":" ","pages":"2494418"},"PeriodicalIF":3.3,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12203685/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144031328","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0