Sexual and Reproductive Health Matters最新文献_第2页

Interests and preferences regarding family planning self-care interventions: cross-sectional surveys with Kenyan and Nigerian women. 关于计划生育自我保健干预的兴趣和偏好：肯尼亚和尼日利亚妇女的横断面调查。

IF 3.3 2区医学

Sexual and Reproductive Health Matters Pub Date : 2025-12-01 Epub Date: 2026-06-24 DOI: 10.1080/26410397.2026.2681342

Funmilola M OlaOlorun, Fredrick Makumbi, Simon Peter Sebina Kibira, Elena Lebetkin, Ndola Prata, Philip Anglewicz, Peter Gichangi, Elizabeth Omoluabi, Aisha Siewe, Mary Thiongo, Musa Sani Zakirai, Aurélie Brunie

{"title":"Interests and preferences regarding family planning self-care interventions: cross-sectional surveys with Kenyan and Nigerian women.","authors":"Funmilola M OlaOlorun, Fredrick Makumbi, Simon Peter Sebina Kibira, Elena Lebetkin, Ndola Prata, Philip Anglewicz, Peter Gichangi, Elizabeth Omoluabi, Aisha Siewe, Mary Thiongo, Musa Sani Zakirai, Aurélie Brunie","doi":"10.1080/26410397.2026.2681342","DOIUrl":"10.1080/26410397.2026.2681342","url":null,"abstract":"Self-care interventions for family planning encourage women to play a central role in their own health care. This study assesses women's interests and preferences related to mobile access to information and products amenable to self-administration, and examines factors associated with preferred place of access. We added a module to the female questionnaire of the cross-sectional Performance Monitoring for Action survey in Kenya (n = 9,489) and in two Nigerian states (Kano (n = 1,144) and Lagos (n = 1,426)) between November 2021 and January 2022. We analysed data on interests and preferences related to mobile access to information and various places of access for oral contraceptive pills, emergency contraception, and DMPA subcutaneous self-injection and fitted multinomial regression models to examine the factors associated with preferred place of access for each contraceptive product. Across sites, 69-85% of women were interested in accessing family planning and fertility information on their own. Among them, 88-90% were interested in receiving information via voice/text and 49-72% through social media. The preferred access point across products and sites was the health facility (56-82% of women), with some interest in other sources. Across sites, 71% or more of respondents said engaging with a provider was \"very/somewhat important\" when starting or while using all three methods. Multivariable analyses revealed differences in preferred place of access between subgroups of potential end users. Findings highlight opportunities for self-care interventions through health facilities and other access points and the need for multipronged tailored interventions that offer a range of touchpoints with the health system to enable choice.","PeriodicalId":37074,"journal":{"name":"Sexual and Reproductive Health Matters","volume":" ","pages":"2681342"},"PeriodicalIF":3.3,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13295108/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148139187","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

Imbalances in authorship, geographic and institutional contexts, and funding sources in research on gender approaches to sexual and reproductive health in Africa: a scoping review. 非洲性健康和生殖健康性别方法研究的作者、地理和机构背景以及供资来源方面的不平衡：范围审查。

IF 3.3 2区医学

Sexual and Reproductive Health Matters Pub Date : 2025-12-01 Epub Date: 2026-04-17 DOI: 10.1080/26410397.2026.2616137

Woldekidan Amde, Kéfilath Bello, Tanya Jacobs, Tk Sundari Ravindran, Asha S George

{"title":"Imbalances in authorship, geographic and institutional contexts, and funding sources in research on gender approaches to sexual and reproductive health in Africa: a scoping review.","authors":"Woldekidan Amde, Kéfilath Bello, Tanya Jacobs, Tk Sundari Ravindran, Asha S George","doi":"10.1080/26410397.2026.2616137","DOIUrl":"10.1080/26410397.2026.2616137","url":null,"abstract":"National research leadership is critical for generating locally responsive knowledge, especially grounded in gender approaches, given its engagement with local social contexts. We conducted a focused analysis of a scoping review to examine patterns in authorship, geographic and institutional contexts, and funding sources, in studies that apply gender approaches to sexual and reproductive health (SRH) across Africa. The review examined 45 publications in PubMed and Scopus (2012-2022) and included consultation with African gender and health experts. Our analysis revealed unequal distribution of papers across sub-regions in Africa (48.9% were based in Southern Africa, 37.8% in Eastern Africa, 11.1% in Western Africa, and 2.1% in Northern Africa). The distribution of articles by first and last authors' country of residence depicted disparity between authors in high-income countries and those in Africa, and between authors based in South Africa and those stationed in the rest of Africa (USA 46.7%, Europe 17.8%, Canada 2.2%, South Africa 22.2%, and the rest of Africa 11.1%). Similarly, unequal patterns exist regarding the distribution of last authors (USA 42.9%, Europe 9.5%, Canada 4.8%, South Africa 28.6%, and the rest of Africa 14.3%). One-fifth of the papers feature no local authors. Funding sources show a stark difference, with just 9.4% of the funding coming from Africa, exclusively South Africa, and the rest originating from high-income countries (USA 36.5%, UK 14.1%, Canada 8.2%, and Sweden 5.9%). The authors call for ensuring local ownership and leadership of research in Africa, increasing domestic investment and addressing disparities across sub-regions.","PeriodicalId":37074,"journal":{"name":"Sexual and Reproductive Health Matters","volume":" ","pages":"2616137"},"PeriodicalIF":3.3,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13094261/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145991061","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

Rethinking abortion law reform in Malawi: a multi-method study. 马拉维堕胎法改革的反思：一项多方法研究。

IF 3.3 2区医学

Sexual and Reproductive Health Matters Pub Date : 2025-12-01 Epub Date: 2026-08-21 DOI: 10.1080/26410397.2026.2702233

Carmen Hall, Judith Daire, Delia Hendrie, Genesis Chorwe-Sungani

{"title":"Rethinking abortion law reform in Malawi: a multi-method study.","authors":"Carmen Hall, Judith Daire, Delia Hendrie, Genesis Chorwe-Sungani","doi":"10.1080/26410397.2026.2702233","DOIUrl":"10.1080/26410397.2026.2702233","url":null,"abstract":"Despite decades of sustained advocacy, Malawi retains one of the world's most restrictive criminal abortion laws. A draft Termination of Pregnancy Bill, developed in 2015 to propose semi-liberal reform to Malawi's abortion law, has yet to be enacted. In contrast, similar or less intensive advocacy efforts have resulted in liberalisation of abortion laws in other low- and middle-income countries (LMICs), including Zambia, South Africa, and Ethiopia. This qualitative case study examines the policy processes adopted by advocates and identifies potential pathways for abortion law reform in Malawi. Employing a multi-method approach, we conducted document analysis using the READ approach and semi-structured interviews with 14 key informants actively or formerly involved in Malawi's abortion law reform process. Data was analysed thematically using Bacchi's (2009) \"What's the problem represented to be?\" (WPR) theoretical framework. The findings revealed evidence-informed strategies aimed at strengthening future advocacy efforts: coordinated advocacy integrating established and emerging organisations; ongoing demographic and lived-experience evidence to counter stereotypes and expose harms; careful reframing of language (e.g. replacing \"Termination of Pregnancy Bill\" with motherhood-aligned titles); intensive community engagement via trusted local champions; strategic timing mindful of political cycles and U.S. funding pressures (including the reinstated Global Gag Rule); further litigation to clarify and expand existing legal scope; and adequate funding to counter well-resourced opposition and sustain rural outreach. Drawing comparative insights from surrounding Sub-Saharan African countries, we discuss drivers of reform and propose targeted strategies to advance abortion law liberalisation in Malawi and reduce mortality related to unsafe abortion. DOI: 10.1080/26410397.2026.2702233.","PeriodicalId":37074,"journal":{"name":"Sexual and Reproductive Health Matters","volume":" ","pages":"2702233"},"PeriodicalIF":3.3,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13501753/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148593805","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

Constructing criminality: a thematic analysis of national news media reporting on self-managed abortion criminalisation in the United States. 建构犯罪：美国国家新闻媒体对自我管理的堕胎定罪报道的专题分析。

IF 2.6 2区医学

Sexual and Reproductive Health Matters Pub Date : 2025-12-01 Epub Date: 2025-11-10 DOI: 10.1080/26410397.2025.2572890

Hayley V McMahon, Naya Pearce, Alexis J Smith, India C Stevenson, Grace E Howard, Sara K Redd, Whitney S Rice

{"title":"Constructing criminality: a thematic analysis of national news media reporting on self-managed abortion criminalisation in the United States.","authors":"Hayley V McMahon, Naya Pearce, Alexis J Smith, India C Stevenson, Grace E Howard, Sara K Redd, Whitney S Rice","doi":"10.1080/26410397.2025.2572890","DOIUrl":"10.1080/26410397.2025.2572890","url":null,"abstract":"Self-managed abortion (SMA) is prevalent in the United States (US) and has become increasingly common since the 2022 Supreme Court ruling in Dobbs v. Jackson Women's Health Organization that allowed states to enact early abortion bans. Although SMA is legal in nearly every US state, the number of people who have been arrested for alleged participation in SMA has continued to grow in recent years. Reproductive justice advocates have identified news media portrayals of these cases as a likely contributor to adverse legal outcomes for criminalised individuals; however, researchers have not yet investigated this. Therefore, we aimed to qualitatively assess the ways in which national news media outlets depict instances of SMA criminalisation. We identified 41 articles published by the top five national newspapers between 2000 and 2023 and conducted a reflexive thematic analysis. Our analysis revealed concerning patterns in news media coverage, in which journalists frequently personified the fetus as a victim while vilifying the criminalised person, undermined the character of the criminalised person through selected personal histories, and promoted the presumption of guilt by treating biased police statements as objective accounts. These findings contribute to the literature by describing the ways in which reproductive injustice is legitimised through news media and provide empirical support for reproductive justice advocates' calls for more responsible journalism in news media coverage of SMA criminalisation.","PeriodicalId":37074,"journal":{"name":"Sexual and Reproductive Health Matters","volume":" ","pages":"2572890"},"PeriodicalIF":2.6,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12604113/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145293971","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