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 From an archived version of posts to the In her Shoes - Women of the Eighth Facebook page made in 2018-2019 (N = 728), 96 personal narratives were sampled.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

Embracing complexity to challenge stigma: a qualitative analysis of representations of abortion in a Polish storytelling initiative. 拥抱复杂性，挑战耻辱：波兰叙事活动中堕胎表现的定性分析。

IF 2.6 2区医学

Sexual and Reproductive Health Matters Pub Date : 2025-12-01 Epub Date: 2025-08-15 DOI: 10.1080/26410397.2025.2535835

Alina Paczesna

{"title":"Embracing complexity to challenge stigma: a qualitative analysis of representations of abortion in a Polish storytelling initiative.","authors":"Alina Paczesna","doi":"10.1080/26410397.2025.2535835","DOIUrl":"10.1080/26410397.2025.2535835","url":null,"abstract":"Testimonies of abortion experiences are largely silenced in many contexts around the world, including Poland, and stigma affects how abortion is represented. Pro-choice initiatives, which support abortion rights, aim to challenge stigma through the sharing of personal abortion experiences (i.e. abortion storytelling). However, these initiatives may simultaneously construct normative hierarchies of abortion and stigmatise abortion stories which do not fit context-specific, politicised norms. This study draws on data purposefully sampled from a pro-choice abortion storytelling initiative in Poland, conducted between 2020 and 2021, and organised by the Abortion Dream Team (ADT; Aborcyjny Dream Team), an influential Polish organisation campaigning for abortion access and rights. By conducting a qualitative document analysis of 73 first-person abortion stories shared in this initiative, I explored how abortion was represented, and whether, and how, these representations challenged abortion stigma and its manifestation in normative hierarchies of abortion. Using reflexive thematic analysis, I identified four main themes. My findings show that abortion is represented as a valid decision, both a positive and challenging experience, and an embodied process. The stories shared in the ADT storytelling initiative challenge stigma and deconstruct normative hierarchies of abortion by representing abortion as a complex experience imbued with multiple, and often contradictory, meanings. This study highlights the existence of positive and non-stigmatising representations of abortion in Poland and shows that abortion storytelling can challenge dominant narratives around abortion. These findings therefore have broader significance, as they suggest that abortion storytelling may serve as an effective tool to destigmatise abortion and advance abortion rights. DOI:10.1080/26410397.2025.2535835.","PeriodicalId":37074,"journal":{"name":"Sexual and Reproductive Health Matters","volume":"33 1","pages":"2535835"},"PeriodicalIF":2.6,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12360049/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144856702","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

Unmet needs and new challenges in young women's sexual and reproductive health and rights: a qualitative study in Chile's Metropolitan Region. 青年妇女性健康和生殖健康及权利方面未满足的需求和新的挑战：在智利大都市区进行的定性研究。

IF 2.6 2区医学

Sexual and Reproductive Health Matters Pub Date : 2025-12-01 Epub Date: 2025-10-03 DOI: 10.1080/26410397.2025.2558272

Alexandra Obach, Michelle Sadler, Consuelo Robledo, Ciara Wright, Báltica Cabieses

{"title":"Unmet needs and new challenges in young women's sexual and reproductive health and rights: a qualitative study in Chile's Metropolitan Region.","authors":"Alexandra Obach, Michelle Sadler, Consuelo Robledo, Ciara Wright, Báltica Cabieses","doi":"10.1080/26410397.2025.2558272","DOIUrl":"10.1080/26410397.2025.2558272","url":null,"abstract":"In Chile, despite important advances in access to contraception and a steady reduction in unplanned pregnancy, longstanding barriers for young people to access sexual and reproductive health (SRH) and rights - rooted in a conservative and religious background - have been highlighted by recent socio-political movements, including the feminist student wave of 2018 and the social uprising of 2019. The COVID-19 pandemic further strained access, leading to the suspension of many in-person services. In this context, we conducted a qualitative study between 2020 and 2023 to explore young women's perceptions of sexuality and SRH, their interactions with the formal healthcare system, and the diverse resources they engage with to access support and care. 23 in-depth interviews were carried out with heterosexual and non-heterosexual women aged 18-25 in Chile's Metropolitan Region. The findings reveal a mismatch between young women's holistic understanding of sexuality - which includes emotional, biological, and political dimensions - and the healthcare system's reductionist, heteronormative, and risk-based approach, which became more visible after these societal upheavals. As a result, young women may use biomedical SRH services strategically for prescriptions and testing, while seeking more comprehensive support outside the formal system through virtual platforms, health professionals giving online support, and civil society organisations. The study concludes that systemic changes in the health system are needed to bridge these divides and uphold the sexual and reproductive rights of young women in Chile, especially those who identify as non-heterosexual. DOI: 10.1080/26410397.2025.2558272.","PeriodicalId":37074,"journal":{"name":"Sexual and Reproductive Health Matters","volume":" ","pages":"2558272"},"PeriodicalIF":2.6,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12498357/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145065403","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

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

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

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":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12305839/pdf/","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":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Association between Chinese youth's sources of sexual knowledge and sexual and reproductive health: a mediation analysis of sexual knowledge level. 中国青少年性知识来源与性健康与生殖健康的关系：性知识水平的中介分析

IF 2.6 2区医学

Sexual and Reproductive Health Matters Pub Date : 2025-12-01 Epub Date: 2025-08-08 DOI: 10.1080/26410397.2025.2517430

Xinye Zou, Kefan Xue, Siyu Zou, Angela Y Xiao, Wenzhen Cao, Kun Tang

{"title":"Association between Chinese youth's sources of sexual knowledge and sexual and reproductive health: a mediation analysis of sexual knowledge level.","authors":"Xinye Zou, Kefan Xue, Siyu Zou, Angela Y Xiao, Wenzhen Cao, Kun Tang","doi":"10.1080/26410397.2025.2517430","DOIUrl":"10.1080/26410397.2025.2517430","url":null,"abstract":"Changing sexual behaviours among Chinese youth have emerged along with China's rapid socioeconomic transition. In the context of enduring Confucian traditions and limited formal sexuality education, there is an increasing demand from Chinese youth for accessible and inclusive sexuality education. This research explores how young people in China seek out and engage with sexual knowledge within this shifting cultural landscape. While previous studies indicate that a lack of knowledge in sexual and reproductive health (SRH) is associated with risky sexual behaviours, investigations on how Chinese youth access SRH knowledge and its impact on their behaviours remain unclear. Based on the survey data collected in 2019-20, this cross-sectional study of 52,256 Chinese youth highlighted how young people access and apply sexual knowledge. Boys were more likely to learn from media (primarily pornography), while girls tended to rely on school-based education and parental communication. Mediation analyses were performed to explore the association between sources of sexual knowledge and sexual and reproductive health with a mediator of sexual knowledge scores. The results show that youth who acquired SRH knowledge from the media were more likely to engage in sexual intercourse and experience early sexual debut, while youth gaining SRH knowledge from school were less likely to have sexual intercourse and early debut. Sexual knowledge acquisition occurs not only in one setting but across various settings in young people's lives. This study provides insights for future sexuality education improvement through different learning sources and emphasises how young people's learning experiences impact their sexual behaviour.","PeriodicalId":37074,"journal":{"name":"Sexual and Reproductive Health Matters","volume":" ","pages":"2517430"},"PeriodicalIF":2.6,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12337732/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144776399","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