Sexual and Reproductive Health Matters最新文献_第5页

From conception to care: a systematic review of the impact of the climate crisis on reproductive justice. 从受孕到护理：气候危机对生殖正义影响的系统回顾。

IF 2.6 2区医学

Sexual and Reproductive Health Matters Pub Date : 2025-12-01 Epub Date: 2025-12-15 DOI: 10.1080/26410397.2025.2576365

Martina Yopo Díaz, Valentina Gómez Aguirre, Loreto Watkins

{"title":"From conception to care: a systematic review of the impact of the climate crisis on reproductive justice.","authors":"Martina Yopo Díaz, Valentina Gómez Aguirre, Loreto Watkins","doi":"10.1080/26410397.2025.2576365","DOIUrl":"10.1080/26410397.2025.2576365","url":null,"abstract":"The climate crisis poses major challenges to reproductive justice. Climate-related events and natural disasters are severely impacting sexual and reproductive rights as well as the ability of individuals to become parents and care for their children. Through a systematic review conducted using the PRISMA method, this article addresses the impact of the climate crisis on the three core principles of reproductive justice: (1) the right not to have a child; (2) the right to have a child; and (3) the right to parent children in safe and healthy environments. While the review found no empirical studies addressing how the climate crisis impacts the right not to have children, the findings suggest that hurricanes, floods, heatwaves, droughts, and coastal erosion are associated with greater intentions of remaining childless and having fewer children, increasing fetal mortality and preterm births, decreasing new-born sex ratios and birth weight, rising birth risks, declining birth rates, and increasing challenges to parenting and childcare. We argue that the climate crisis fundamentally undermines reproductive justice by preventing individuals from fully and equitably exercising their reproductive rights to have children and to parent in safe and sustainable environments. In doing so, we stress that the climate crisis should be considered when addressing the challenges of reproductive justice and that addressing these challenges requires implementing policies that not only seek to mitigate the effects of climate disruptions but also strengthen the capacity of individuals and communities to adapt to changing environmental conditions, ensuring more sustainable reproductive futures.","PeriodicalId":37074,"journal":{"name":"Sexual and Reproductive Health Matters","volume":" ","pages":"2576365"},"PeriodicalIF":2.6,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12707084/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145349024","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 limits of preconception care for global health. 孕前保健对全球健康的限制。

IF 2.6 2区医学

Sexual and Reproductive Health Matters Pub Date : 2025-12-01 Epub Date: 2025-05-23 DOI: 10.1080/26410397.2025.2499329

Miranda R Waggoner, Michelle Pentecost

{"title":"The limits of preconception care for global health.","authors":"Miranda R Waggoner, Michelle Pentecost","doi":"10.1080/26410397.2025.2499329","DOIUrl":"10.1080/26410397.2025.2499329","url":null,"abstract":"Global health programmes aimed at reducing maternal and childhood mortality and morbidity are increasingly employing the concept of \"preconception care\" - an approach that the World Health Organization defines as interventions that occur before women (or couples) conceive and that address factors that could lead to poor birth outcomes. While the goal of improving maternal and child health outcomes is a vital one that is most assuredly shared by all in the global health community, the concept of preconception care is not without its limits and has significant drawbacks. From a gender rights and equity perspective, the preconception care framework has the potential to introduce harms and risks to women and people capable of getting pregnant. In this article, we summarise the key concerns about preconception care for global health in the twenty-first century. We recommend alternative frameworks that do not revolve around conception and have the potential to benefit all, including women, men, people who can get pregnant, people who do not want to get pregnant, pregnant individuals, and children.","PeriodicalId":37074,"journal":{"name":"Sexual and Reproductive Health Matters","volume":" ","pages":"2499329"},"PeriodicalIF":2.6,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12107648/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144032454","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

Capturing pregnancy recognition trajectories: a critical reflection of new quantitative measures tested in Ethiopia, Malawi, Nigeria and Zambia. 捕捉妊娠识别轨迹：对埃塞俄比亚、马拉维、尼日利亚和赞比亚测试的新定量措施的重要反映。

IF 2.6 2区医学

Sexual and Reproductive Health Matters Pub Date : 2025-12-01 Epub Date: 2025-09-01 DOI: 10.1080/26410397.2025.2531684

Joe Strong, Ann M Moore, Ernestina Coast, Onikepe Owolabi, Tamara Fetters

{"title":"Capturing pregnancy recognition trajectories: a critical reflection of new quantitative measures tested in Ethiopia, Malawi, Nigeria and Zambia.","authors":"Joe Strong, Ann M Moore, Ernestina Coast, Onikepe Owolabi, Tamara Fetters","doi":"10.1080/26410397.2025.2531684","DOIUrl":"10.1080/26410397.2025.2531684","url":null,"abstract":"The experiences and timings of pregnancy recognition trajectories have significant impacts on pregnancy-related care. Understanding individuals' contextually informed trajectories is crucial to their reproductive rights and service delivery needs. While many studies take pregnancy recognition as a starting point, capturing the complexities and nuances of these trajectories has received much less attention. This paper critically reflects on new approaches to capturing pregnancy recognition trajectories in two studies conducted between 2018 and 19, one in Nigeria with women aged 18 and over (n = 394), and a three-country study with adolescents aged 10-19 in Ethiopia, Malawi, and Zambia (n = 313). Pregnancy recognition trajectories were complex and involved multiple physical, material, and psychological recognition factors. Adolescents in the three-country study cited predominantly between two and four factors that led to their pregnancy recognition, with a range of one to seven factors. In the Nigerian study, 43.4% of respondents named two factors that led them to recognise they were pregnant, with a range of one to five factors. As pregnancy recognition is the starting point for many public health actions and interventions, it is imperative that future survey tools better capture this complex and poorly understood process. Our analyses suggest that questions should include response categories that capture physical, material, and psychological contributors to pregnancy recognition, including open-ended responses to capture heretofore unidentified aspects of this process. Questions on the duration of time between recognition factors would be beneficial, as well as an understanding of what factors were most important to an individual when recognising a pregnancy.","PeriodicalId":37074,"journal":{"name":"Sexual and Reproductive Health Matters","volume":" ","pages":"2531684"},"PeriodicalIF":2.6,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12404079/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144822803","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

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 : 2025-12-01 Epub Date: 2025-06-06 DOI: 10.1080/26410397.2025.2506263

Faysal El Kak

引用次数: 0

Mapping the missing: a scoping review identifying critically underrepresented LGBTQI+ youth within online sexual, reproductive, and transgender healthcare research. 绘制缺失：一项范围审查，确定在线性、生殖和跨性别医疗保健研究中严重代表性不足的LGBTQI +青年。

IF 3.3 2区医学

Sexual and Reproductive Health Matters Pub Date : 2025-12-01 Epub Date: 2026-06-22 DOI: 10.1080/26410397.2026.2679359

Julie McLeod, Claudia S Estcourt, Paul Flowers, Jo Gibbs, Jennifer MacDonald

{"title":"Mapping the missing: a scoping review identifying critically underrepresented LGBTQI+ youth within online sexual, reproductive, and transgender healthcare research.","authors":"Julie McLeod, Claudia S Estcourt, Paul Flowers, Jo Gibbs, Jennifer MacDonald","doi":"10.1080/26410397.2026.2679359","DOIUrl":"10.1080/26410397.2026.2679359","url":null,"abstract":"Online sexual, reproductive, and transgender healthcare can overcome barriers to care among lesbian, gay, bisexual, trans, queer/questioning, intersex, and other (LGBTQI+) youth and address disproportionately poor sexual and reproductive health outcomes. However, LGBTQI+ youth are heterogenous and online healthcare spans broad health topics and online platforms. To map recent research and identify gaps, we conducted a scoping review, following Joanna Briggs Institute methodology, using the Participants (LGBTQI+ youth aged 10-35 years), Concept (online sexual, reproductive, and transgender healthcare), Context (high-income countries) eligibility framework. We searched nine databases for recent literature (2018-2024), two reviewers screened studies using Rayyan, and data were extracted to Excel and analysed descriptively (N = 132 included papers). Most papers (89/132) were from distinct studies; 43/132 were from 15 studies. There were quantitative (57/132), qualitative (41/132), and mixed methods studies (34/132). Most focused on sexual healthcare (95/132) including HIV/STI prevention (68/95) and HIV management (10/95); 30/132 on transgender healthcare; and only 3/132 on reproductive healthcare. Most targeted young men who have sex with men (79/132) or trans and gender-diverse youth (44/132). Only 4/132 targeted young sexual minority women. Almost all were from the US (119/132). Amid a global shift to delivering healthcare online, this timely review provides the first comprehensive map of critical blind spots, highlighting the urgency of research on reproductive health, sexual wellbeing, and sexual minority women. Addressing these gaps is essential for providing equitable healthcare and reducing health disparities. These findings can guide the delivery of online healthcare that meets the needs of all LGBTQI+ youth.","PeriodicalId":37074,"journal":{"name":"Sexual and Reproductive Health Matters","volume":" ","pages":"2679359"},"PeriodicalIF":3.3,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13288906/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148057345","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

Contraceptive access in displacement settings: a quantitative study of Syrians displaced to Türkiye. 在流离失所环境中获得避孕药具：对流离失所的叙利亚人进行的定量研究。

IF 3.3 2区医学

Sexual and Reproductive Health Matters Pub Date : 2025-12-01 Epub Date: 2026-02-25 DOI: 10.1080/26410397.2025.2607838

Rosanna Le Voir

{"title":"Contraceptive access in displacement settings: a quantitative study of Syrians displaced to Türkiye.","authors":"Rosanna Le Voir","doi":"10.1080/26410397.2025.2607838","DOIUrl":"10.1080/26410397.2025.2607838","url":null,"abstract":"Access to contraception for displaced populations is both lifesaving and a right. This paper argues that displacement demands a separate analytical lens from other mobilities and crisis contexts. I offer a framework, based on established concepts and available evidence, to understand different aspects of contraceptive access in displacement. I then use the case study of Syrians displaced to Türkiye, a population for whom data quality and availability is comparably better than other displacement settings, as a worked example to test the framework using empirical analysis of nationally representative survey data. I analyse contraceptive use and reasons for non-use as a proxy for access among married women, optimising data from the Syrian sample of the 2018 Türkiye Demographic and Health Survey (n = 1736) and the 2006 Syria Multiple Indicator Cluster Survey (n = 13,619). The results show that the most relevant dimensions of the framework that constrained access to displaced women's preferred methods of contraception were cognitive accessibility and perceived quality of care, specifically fear of side effects and other health concerns. A minority of women who were currently using contraception still faced barriers in accessing their preferred method, suggesting limits to contraceptive autonomy. This case study offers theoretically transferable findings about data and evidence for other displacement settings. Notably, the present data landscape on the sexual and reproductive health of displaced populations does not adequately capture issues around contraceptive access and understandings will remain partial with the currently available metrics.","PeriodicalId":37074,"journal":{"name":"Sexual and Reproductive Health Matters","volume":" ","pages":"2607838"},"PeriodicalIF":3.3,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12943824/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145913268","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

A complex legacy: USAID, population control, and reproductive justice in Africa. 复杂的遗产：美国国际开发署、非洲的人口控制和生殖正义。

IF 3.3 2区医学

Sexual and Reproductive Health Matters Pub Date : 2025-12-01 Epub Date: 2026-03-11 DOI: 10.1080/26410397.2026.2633926

Nimrod Muhumuza, Nana Koomson

{"title":"A complex legacy: USAID, population control, and reproductive justice in Africa.","authors":"Nimrod Muhumuza, Nana Koomson","doi":"10.1080/26410397.2026.2633926","DOIUrl":"10.1080/26410397.2026.2633926","url":null,"abstract":"USAID's interventions have contributed significantly to improving maternal and child health, preventing HIV, and combating child marriage and gender-based violence. However, the agency's dissolution has highlighted the urgent need to reckon with its population control history. USAID's covert population control initiatives in the Global South were predicated on the flawed premise that burgeoning populations, rather than structural inequalities, were the primary cause of poverty and underdevelopment in those territories. These population policies, advanced by USAID in the early years of its work, resulted in violations of sexual and reproductive rights and were designed to secure Western access to agricultural land and mineral wealth on the African continent. Given this troubling history, this article argues that USAID must formally confront its past through institutional acknowledgement, establishment of comprehensive reparative mechanisms, and prioritisation of indigenous sexual and reproductive health and rights (SRHR) programming alongside domestic resource mobilisation.","PeriodicalId":37074,"journal":{"name":"Sexual and Reproductive Health Matters","volume":" ","pages":"2633926"},"PeriodicalIF":3.3,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12981252/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146229016","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

Exploring barriers, facilitators, and preferences for the uptake of contraceptive methods among adolescents aged 15-19 years in Neno district, Malawi: a qualitative study. 探索马拉维尼奥地区15-19岁青少年使用避孕方法的障碍、促进因素和偏好：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: 2026-08-12 DOI: 10.1080/26410397.2026.2702243

Abraham Ngwira, Faith C Adigwe, Maxwell Mhlanga, Matamando Mwendera, Moses Banda Aron, Fabien Munyaneza

{"title":"Exploring barriers, facilitators, and preferences for the uptake of contraceptive methods among adolescents aged 15-19 years in Neno district, Malawi: a qualitative study.","authors":"Abraham Ngwira, Faith C Adigwe, Maxwell Mhlanga, Matamando Mwendera, Moses Banda Aron, Fabien Munyaneza","doi":"10.1080/26410397.2026.2702243","DOIUrl":"10.1080/26410397.2026.2702243","url":null,"abstract":"Adolescent contraception is important in reducing sexually transmitted infections and teenage pregnancies. However, its uptake remains low at 10% in Neno district, despite various interventions promoting free access. A phenomenological qualitative study was carried out in the district to explore the barriers, facilitators and preferences for the uptake of contraceptive methods among adolescents aged 15-19. Five focus group discussions and 18 in-depth interviews were carried out with adolescents, parents, healthcare workers, community leaders and youth volunteers. Data was collected in Chichewa, translated into English, and analysed using thematic analysis. Three key themes appeared: (1) a climate of restriction: stigma, misinformation, and systemic barriers; (2) agency and support: navigating pathways to contraceptive uptake; and (3) the paradox of acknowledged risk and sustained resistance. Adolescents in Neno faced socio- cultural barriers, health facility limitations and informational gaps, alongside individual and external facilitators like education and peer influence. Adolescent choices were shaped by ease of use, sexual desires and economic hardships. Therefore, an integrated approach involving healthcare workers, policymakers, and non-governmental organisations (NGOs) is crucial to improving contraceptive uptake in Neno.","PeriodicalId":37074,"journal":{"name":"Sexual and Reproductive Health Matters","volume":" ","pages":"2702243"},"PeriodicalIF":3.3,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13470908/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148431128","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 African coalition for research and communication on abortion: shifting power, building capacity, defending rights. 非洲堕胎研究与传播联盟：转移权力，建设能力，捍卫权利。

IF 3.3 2区医学

Sexual and Reproductive Health Matters Pub Date : 2025-12-01 Epub Date: 2026-03-06 DOI: 10.1080/26410397.2026.2622222

Naa Dodoo, Akanni Akinyemi, Pierre Akilimali, Wina Sangala, Oladimeji Ogunoye, Beniel Agossou, Akinrinola Bankole, Delayehu Bekele, Georges Guiella, Jewelle Methazia, Ritah Mukashyaka, Margarate Munakampe, Onikepe Owolabi, Susheela Singh

引用次数: 0

Abortion stigma amongst the public in high-income countries: a mixed-method systematic review. 高收入国家公众对堕胎的耻辱感：一项混合方法的系统评价。

IF 3.3 2区医学

Sexual and Reproductive Health Matters Pub Date : 2025-12-01 Epub Date: 2026-04-20 DOI: 10.1080/26410397.2026.2622203

Jana Niemann, Marie Bernard, Dennis Jepsen, Nadja Freymüller, Laura Weinhold, Céline Miani, Claudia Luck-Sikorski

{"title":"Abortion stigma amongst the public in high-income countries: a mixed-method systematic review.","authors":"Jana Niemann, Marie Bernard, Dennis Jepsen, Nadja Freymüller, Laura Weinhold, Céline Miani, Claudia Luck-Sikorski","doi":"10.1080/26410397.2026.2622203","DOIUrl":"10.1080/26410397.2026.2622203","url":null,"abstract":"The public plays a central role in producing and sustaining abortion stigma by shaping dominant narratives, reinforcing moral norms, and passing judgment on individuals associated with abortion. These collective attitudes are expressed through social exclusion and symbolic condemnation - practices that shape both personal experiences and structural access to care. This mixed-methods systematic review updates the state of research by synthesising recent evidence from high-income countries (HICs), with particular focus on how the public enact and experience abortion stigma. We conducted a mixed-methods systematic review of peer-reviewed quantitative and qualitative studies published since 2015, following international standards for systematic reviews. Due to heterogeneity in measurement, quantitative and qualitative data were narratively synthesised. Methodological quality was assessed using standardised appraisal tools for both quantitative and qualitative research. Nineteen studies were included (12 qualitative, 7 quantitative). Quantitative findings reveal that abortion stigma in HICs persists at moderate levels and is associated with religiosity, political conservatism, lower income, and male gender. Qualitative studies demonstrate how stigma is enacted, perceived, and anticipated across diverse social settings, highlighting prevailing stereotypes and uncovering experiences of verbal harassment and social exclusion. Abortion stigma remains deeply embedded within the public. By updating and expanding on the previous work, this review underscores the need for targeted, group-specific stigma reduction strategies and more robust instruments for capturing stigma.","PeriodicalId":37074,"journal":{"name":"Sexual and Reproductive Health Matters","volume":" ","pages":"2622203"},"PeriodicalIF":3.3,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13097179/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146143816","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