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 From an archived version of posts to the In her Shoes - Women of the Eighth Facebook page made in 2018-2019 (N = 728), 96 personal narratives were sampled.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":"","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":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Dissecting autonomy in a resource-constrained setting: a descriptive qualitative study of women's decisions on the surgical treatment of early breast cancer in northern Sri Lanka. 在资源受限的环境中剖析自主权：斯里兰卡北部妇女对早期乳腺癌手术治疗决定的描述性定性研究。

IF 3.3 2区医学

Sexual and Reproductive Health Matters Pub Date : 2025-12-01 Epub Date: 2025-05-14 DOI: 10.1080/26410397.2025.2494396

Ramya Kumar, Gopikha Sivakumar, Dhivya Thuseetharan, Chrishanthi Rajasooriyar

{"title":"Dissecting autonomy in a resource-constrained setting: a descriptive qualitative study of women's decisions on the surgical treatment of early breast cancer in northern Sri Lanka.","authors":"Ramya Kumar, Gopikha Sivakumar, Dhivya Thuseetharan, Chrishanthi Rajasooriyar","doi":"10.1080/26410397.2025.2494396","DOIUrl":"10.1080/26410397.2025.2494396","url":null,"abstract":"Breast cancer treatment is a contested space in which therapeutic decisions often collide with women's values and preferences. In northern Sri Lanka, mastectomy remains the mainstay of surgical treatment of early breast cancer (EBC) despite evidence of equivalent survival following breast conserving surgery (BCS) and radiotherapy. This study explores autonomy in decision-making among women with EBC who were eligible for BCS and underwent mastectomy in northern Sri Lanka. A descriptive qualitative study was carried out among 15 women referred for adjuvant therapy to Tellippalai Trail Cancer Hospital in Jaffna district after having a mastectomy for EBC. Participants were recruited between January and May 2022 until data saturation was reached. Data were gathered through semi-structured interviews, which were transcribed in Tamil, translated into English, coded using QDA Miner Lite software, and analysed thematically. Women's autonomy in EBC treatment decisions is limited by various factors in northern Sri Lanka. The hospital setting is not conducive to informed decision-making, and women do not receive sufficient information. Neither survival rates nor risks/benefits of the surgical options are discussed in a systematic way. Although many women appear to be satisfied with their involvement in decision-making, their decisions are guided by incomplete information and fears of spread/recurrence communicated by treating teams. In the absence of policies and protocols to support patient autonomy, women \"choose\" the more invasive option: mastectomy. While it behoves medical professionals to provide evidence-based information, governments and the global health community must support strengthening healthcare systems to advance women's health and rights in lower-resource settings.","PeriodicalId":37074,"journal":{"name":"Sexual and Reproductive Health Matters","volume":"33 1","pages":"2494396"},"PeriodicalIF":3.3,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12082724/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144042379","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

The end-of-treatment process in medically assisted reproduction: a qualitative study of healthcare professionals' views. 医学辅助生殖治疗过程的结束：医疗保健专业人员观点的定性研究。

IF 3.3 2区医学

Sexual and Reproductive Health Matters Pub Date : 2025-12-01 Epub Date: 2025-05-16 DOI: 10.1080/26410397.2025.2494412

Federica Bonazza, Lidia Borghi, Sara Molgora, Elena Vegni, Daniela Leone

{"title":"The end-of-treatment process in medically assisted reproduction: a qualitative study of healthcare professionals' views.","authors":"Federica Bonazza, Lidia Borghi, Sara Molgora, Elena Vegni, Daniela Leone","doi":"10.1080/26410397.2025.2494412","DOIUrl":"10.1080/26410397.2025.2494412","url":null,"abstract":"In the medically assisted reproduction (MAR) pathway, one of the most complex phases is the end of the treatment. Unlike other medical contexts, there is no biological endpoint in the MAR setting. This absence makes the decision to end MAR treatment extremely challenging for both patients and healthcare professionals. Accordingly, our research aimed to examine the process related to the end of MAR treatment, as devised by healthcare professionals. Our sample included physicians, biologists, and psychologists aged ≥18 years with specialised training in assisted reproduction. Data were collected through four focus groups (in February-May 2023), focusing on the topic of the end of treatment (EoT) and its definition. Data were collected and analysed according to the principles of Grounded Theory. The findings shed light on the attributes and components related to the end of the treatment process. The central category \"the end of treatment\" consists of a definition of what is considered the end of treatment and the associated decision-making process. In the phase leading up to the EoT, the process is influenced by contextual and proximal factors, which interact and influence each other. To cope with and manage the EoT, healthcare providers adopt spontaneous strategies that lead to positive or negative outcomes. End-of-treatment management is a key facet of clinical practice. This contribution increased knowledge about EoT and highlighted healthcare professionals' perspectives, which should be considered for the implementation of best practice points and respect for patients' rights to the highest attainable standard of mental and physical health.","PeriodicalId":37074,"journal":{"name":"Sexual and Reproductive Health Matters","volume":" ","pages":"2494412"},"PeriodicalIF":3.3,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144056791","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

Women's health and rights in conflict: the impact of renewed violence in Lebanon. 冲突中妇女的健康和权利：黎巴嫩暴力再起的影响。

IF 3.3 2区医学

Sexual and Reproductive Health Matters Pub Date : 2025-05-16 DOI: 10.1080/26410397.2025.2506263

Faysal El Kak

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 : 2025-05-07 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":"https://doi.org/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":"1-17"},"PeriodicalIF":3.3,"publicationDate":"2025-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","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":"","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 : 2025-05-07 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":"https://doi.org/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":"1-22"},"PeriodicalIF":3.3,"publicationDate":"2025-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","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":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The limits of preconception care for global health. 孕前保健对全球健康的限制。

IF 3.3 2区医学

Sexual and Reproductive Health Matters Pub Date : 2025-04-29 DOI: 10.1080/26410397.2025.2499329

Miranda R Waggoner, Michelle Pentecost

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 : 2025-04-28 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":"https://doi.org/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 1994-2023 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":"1-19"},"PeriodicalIF":3.3,"publicationDate":"2025-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","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":"","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 color 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 : 2025-04-16 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 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 color 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 Baum","doi":"10.1080/26410397.2025.2494418","DOIUrl":"https://doi.org/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 color. Using data from a 2021-2022 cross-sectional survey of 727 people aged 13-50 and 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 color.","PeriodicalId":37074,"journal":{"name":"Sexual and Reproductive Health Matters","volume":" ","pages":"1-29"},"PeriodicalIF":3.3,"publicationDate":"2025-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","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":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Mapping the evidence on interventions that mitigate the health, educational, social and economic impacts of child marriage and address the needs of child brides: a systematic scoping review. 绘制关于减轻童婚对健康、教育、社会和经济影响以及解决童养媳需求的干预措施的证据：系统范围审查。

IF 3.3 2区医学

Sexual and Reproductive Health Matters Pub Date : 2025-01-08 DOI: 10.1080/26410397.2024.2449310

Shatha Elnakib, Ahmed K Ali, Kate Mieth, Venkatraman Chandra-Mouli

{"title":"Mapping the evidence on interventions that mitigate the health, educational, social and economic impacts of child marriage and address the needs of child brides: a systematic scoping review.","authors":"Shatha Elnakib, Ahmed K Ali, Kate Mieth, Venkatraman Chandra-Mouli","doi":"10.1080/26410397.2024.2449310","DOIUrl":"10.1080/26410397.2024.2449310","url":null,"abstract":"More than 650 million women alive today were married as children. Relative to efforts to prevent child marriage, efforts to support child brides have received much less attention. This review set out to map and describe interventions that support child brides. We performed a scoping review using seven electronic databases coupled with a grey literature search in January 2022. Data were extracted using a piloted extraction tool and findings were reported in narrative synthesis. A total of 34 projects were included in our review. Most projects focused on improving sexual and reproductive health (SRH) knowledge and behaviours among child brides, which was often achieved through a combination of SRH education, counselling and information provision, along with linkages to SRH services. Some interventions were health facility-based and aimed at improving responsiveness of health service providers to the needs of child brides. Very few described economic interventions as one component of a broader health intervention, and only three interventions focused on improving girls' educational outcomes. We also note the paucity of media-based interventions, despite their popularity among adolescents. Over time, interventions addressing the needs of child brides have increased, but the preponderance of evidence has focused on SRH interventions, with interventions that couple education with adolescent-friendly health services demonstrating promise. Interventions addressing other areas of health and social wellbeing of this group, such as mental health, sexual health, and economic independence, have been overlooked in comparison. The review highlights the need for additional empirical evidence on what works to support child brides.","PeriodicalId":37074,"journal":{"name":"Sexual and Reproductive Health Matters","volume":" ","pages":"1-38"},"PeriodicalIF":3.3,"publicationDate":"2025-01-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142956413","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