Perspectives on Sexual and Reproductive Health最新文献

{"title":"Perspectives on Contraceptives: Insights From Care Providers and Women With Lived Experiences of Unintended Pregnancy in the Netherlands.","authors":"Clair A Enthoven, Hanan El Marroun, Simone Griesbergen, Femke Truijens, Hilmar H Bijma, Pauline W Jansen","doi":"10.1111/psrh.70030","DOIUrl":"10.1111/psrh.70030","url":null,"abstract":"<p><strong>Objectives: </strong>This study aims to develop a greater understanding of why unintended pregnancies happen by exploring views on contraceptive use of both care providers and women with lived experience of an unintended pregnancy in the Netherlands.</p><p><strong>Methods: </strong>We interviewed seven care providers involved in the care of women with unintended pregnancy in a focus group and individually interviewed 10 women with unintended pregnancy. We used reflexive thematic analysis.</p><p><strong>Results: </strong>Four themes emerged around the understanding of (lack of) contraceptive use in unintended pregnancies: \"contraception perceived as unnecessary,\" \"psychosocial adversities,\" \"absence of suitable contraception,\" and \"failing contraception.\" Among the care providers, the first two themes were most clearly present. Among women with unintended pregnancy, the last two themes were mainly emphasized.</p><p><strong>Conclusions: </strong>Women with unintended pregnancies mention a lack of suitable contraceptive options and failing contraception as important factors for unintended pregnancy, whereas care providers view the perception of contraception as being unnecessary and psychosocial adversity as important factors in unintended pregnancies. These differences point to the importance of explicitly asking about and addressing the perspectives of women in contraceptive counseling.</p>","PeriodicalId":47632,"journal":{"name":"Perspectives on Sexual and Reproductive Health","volume":" ","pages":"350-357"},"PeriodicalIF":3.5,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12421086/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144974417","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}

{"title":"Emotional Touchpoints and Emotions of Childbirth: A Systematic Mixed Studies Review and Epistemic Network Analysis.","authors":"Yvonne J Kuipers, Yvonne Greig, Sandra Atencia Martinez, Maria King, Caroline Hollins Martin","doi":"10.1111/psrh.70022","DOIUrl":"10.1111/psrh.70022","url":null,"abstract":"<p><strong>Background: </strong>Emotional touchpoints are moments during perinatal care that evoke an emotional response in a woman. There is a lack of knowledge regarding the centrality of how touchpoints and emotions are framed in the real-life experiences of childbearing women.</p><p><strong>Aim: </strong>To explore how birth-related emotional touchpoints interact and how the emotions in the context of these healthcare experiences interact.</p><p><strong>Methods: </strong>We performed a systematic mixed studies review to capture childbearing women's prospective and retrospective reports of birth expectations and experiences. We conducted a literature search in CINAHL (EBSCO), Medline (EBSCO), PubMed, Web of Science, and Ovid, followed by hand searching and forward and backward citation searching from the included articles. We performed a quality appraisal using the Critical Appraisal Skills Program. We used Epistemic Network Analysis to model and visualize the connections and structure of the emotional touchpoints and the emotions.</p><p><strong>Results: </strong>We included 28 articles, showing overall moderate quality. We constructed two models, one of emotional touchpoints and one of emotions. The emotional touchpoints model showed a strong connection between Coping and the Process of Labor & Birth and between the Process of Labor & Birth and Beliefs (belief systems) about Labor & Birth. The primary emotions model showed strong connections between Joy and Fear, between Fear and Sadness and between Sadness and Joy.</p><p><strong>Conclusions: </strong>This paper illustrates how the multidimensionality of birth-related emotional touchpoints and the positive and negative emotions prospectively and retrospectively reported by pregnant and postpartum women were distilled-informing the conversation between care providers and childbearing women.</p>","PeriodicalId":47632,"journal":{"name":"Perspectives on Sexual and Reproductive Health","volume":" ","pages":"301-320"},"PeriodicalIF":3.5,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12421079/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144498396","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}

{"title":"Fertility Concerns and Information Needs and Preferences of Australian Women With Chronic Kidney Disease: An Exploratory Qualitative Study.","authors":"Sara Holton, Craig Nelson, Elizabeth Manias, Bodil Rasmussen, Vicki Levidiotis","doi":"10.1111/psrh.70027","DOIUrl":"https://doi.org/10.1111/psrh.70027","url":null,"abstract":"<p><strong>Objective: </strong>Pregnancy is associated with adverse maternal and fetal outcomes for women with chronic kidney disease (CKD). Yet few women with CKD report receiving information about pregnancy and often experience difficulties making informed childbearing decisions and optimizing pregnancy outcomes. The aim of this study was to identify the fertility and childbearing concerns and related information needs and preferences of women with CKD living in Australia.</p><p><strong>Methods: </strong>We completed an exploratory qualitative study. Women with CKD, recruited from a public health service in metropolitan Melbourne, Australia, participated in an online discussion group hosted on WhatsApp. We analyzed the discussion group transcript for key findings.</p><p><strong>Results: </strong>Participants (N = 8) reported wanting children but often had fewer children than desired due to concerns about the impact of pregnancy on their CKD and the possible impact of CKD on a pregnancy or their child, including their baby inheriting CKD, how CKD medications may affect their baby, and the potential effects of a kidney transplant. Participants found it difficult to access relevant, up-to-date information about CKD and pregnancy.</p><p><strong>Conclusions: </strong>Women with CKD often have concerns about getting pregnant or having a baby but find it difficult to access information especially from their healthcare team. Women with CKD would benefit from relevant and current information provided at specific times such as before and after a kidney transplant or when considering pregnancy to assist them in making informed decisions and achieving their reproductive goals.</p>","PeriodicalId":47632,"journal":{"name":"Perspectives on Sexual and Reproductive Health","volume":"57 3","pages":"430-435"},"PeriodicalIF":3.5,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145030834","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}

{"title":"Investigating Change in Psychosocial Outcomes for Young Adults Experiencing Homelessness in Los Angeles With and Without Pregnancy Experiences.","authors":"Graham DiGuiseppi, Rupa Jose, Elizabeth J D'Amico, David J Klein, Anthony Rodriguez, Eric R Pedersen, Joan S Tucker","doi":"10.1111/psrh.70028","DOIUrl":"10.1111/psrh.70028","url":null,"abstract":"<p><strong>Context: </strong>Young adults experiencing homelessness (YAEH) have higher rates of pregnancy than stably housed young adults. Pregnant and parenting YAEH face several challenges, but little is known about outcome change over time.</p><p><strong>Methods: </strong>276 YAEH (aged 18-25, 28% female sex at birth) receiving services at drop-in centers in Los Angeles, California, participated in an intervention study to address substance use and sexual health. At each survey, participants reported whether they experienced pregnancy or got someone pregnant in the past 3 months. Regression models examined associations between pregnancy and several outcomes at 24 months (education, employment, income, health, substance use, service use, and housing), controlling for intervention and outcomes at baseline.</p><p><strong>Results: </strong>Fifty-six participants (20%, n = 26 female sex, n = 30 male sex) reported being pregnant or getting someone pregnant over the course of the study. For women, pregnancy was associated with higher odds of staying in transitional housing (OR = 5.01, 95% CI: 1.22-20.60) and emergency shelters (OR = 8.32, 95% CI: 1.57-44.02) at 24 months, controlling for baseline. For men, getting someone pregnant was associated with greater importance of cutting down alcohol use (b = 2.06, SE = 0.89, p = 0.02) and higher odds of education service use at 24 months (OR = 3.00, 95% CI: 1.16-7.79).</p><p><strong>Conclusions: </strong>Pregnancy may be associated with greater use of housing services among female YAEH, and increased importance of cutting down alcohol and use of education services among male YAEH. Continued support is needed to improve long-term outcomes of pregnant and parenting YAEH.</p><p><strong>Trial registration: </strong>ClinicalTrials.gov identifier: NCT03735784. https://clinicaltrials.gov/ct2/show/record/NCT03735784.</p>","PeriodicalId":47632,"journal":{"name":"Perspectives on Sexual and Reproductive Health","volume":" ","pages":"329-339"},"PeriodicalIF":3.5,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12360415/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144733971","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}

{"title":"Enhancing Youth Access to Reproductive Health Services in Rural Communities Through Clinical and Educational Interventions in Upstate New York, USA.","authors":"Laith Abu Lekham, Olivia Catalano, Omar Abueed, Ellen Hey, Yong Wang, Mohammad T Khasawneh","doi":"10.1111/psrh.70033","DOIUrl":"https://doi.org/10.1111/psrh.70033","url":null,"abstract":"<p><strong>Introduction: </strong>Access to sexual and reproductive health care has been a critical issue affecting public health outcomes, particularly for the youth population. This project identified common barriers to accessing sexual and reproductive health care for youth in rural areas and applied multiple educational and clinical interventions that helped enhance access to care.</p><p><strong>Methodology: </strong>We designed a three-year-long program at Finger Lakes Community Health (FLCH) in rural upstate New York that involved youth, their parents or caregivers, educators, and medical professionals to improve youth access to care. Using results from a survey with 1155 youth participants to determine the barriers to care, we designed the program to overcome the fear of seeking help, basic facts ignorance, transportation issues, parental opposition, and financial issues. We implemented multiple interventions, including providing adequate education and school services, ensuring privacy and confidentiality, changing work hours, establishing phone and online services, facilitating transportation, and reducing cost barriers.</p><p><strong>Results: </strong>The results were dramatic. Sexual and reproductive health visits to FLCH from youth in the region increased significantly from 280 in 2017 to 1100 in 2019. Even during the COVID-19 pandemic, when the number of visits slightly decreased, visits were still better than before 2018. In 2023, the number of reproductive health visits was 990, which is 3.5 times the visits in 2017.</p><p><strong>Discussion: </strong>This study emphasizes the substantial role that tailored interventions can play in enhancing reproductive health access for youth in rural areas, significantly promoting healthcare equity and service utilization. These interventions reduce healthcare use inequities and foster potential improved public health outcomes. While our study did not directly measure clinical outcomes, the substantial increase in utilization represents an important step toward achieving them and underscores the need for further research to evaluate resulting health outcomes.</p>","PeriodicalId":47632,"journal":{"name":"Perspectives on Sexual and Reproductive Health","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2025-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144974385","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}

{"title":"Linkage Matters: Integrating Sexual and Reproductive Health and Substance Use Treatment.","authors":"J Rogers, J McDuff, M Black-Watson, L McGovern, A Osei","doi":"10.1111/psrh.70032","DOIUrl":"https://doi.org/10.1111/psrh.70032","url":null,"abstract":"<p><strong>Introduction: </strong>Sexual and reproductive health (SRH) is a critical component of overall well-being, yet individuals with substance use disorder (SUD) often face significant barriers to accessing SRH services-and vice versa. SRH settings offer important opportunities to identify and address SUD needs through screening and referral, whereas SUD treatment settings can serve as key access points for SRH care. The Link Study was developed as a cross-training intervention to strengthen collaboration and care coordination between SRH and SUD providers.</p><p><strong>Methods: </strong>We designed a curriculum covering core elements of SRH and SUD care, emphasizing person-centered practices, trauma-informed approaches, and evidence-based screening and referral tools. Thirty-five providers from three SRH and SUD site pairs participated. Evaluation included pre- and post-training knowledge surveys, site-level screening and referral data, and provider focus groups. We used confidence intervals to assess changes in quantitative outcomes and conducted thematic analysis of qualitative data.</p><p><strong>Results: </strong>Providers demonstrated consistent increases in self-reported knowledge across key domains. Two of the three SRH and SUD sites showed statistically significant improvements in screening practices. Although referral rates did not change significantly, sites reported meaningful updates to workflows, tools, and policies to support integration. All sites sustained cross-sector provider relationships for at least 6 months post-training.</p><p><strong>Discussion: </strong>The Link Study showed promising gains in provider knowledge, improvements in screening practices, and lasting collaboration across SRH and SUD service sectors. Findings highlight the potential of cross-disciplinary training and technical assistance to build integrated care pathways and strengthen community-based health systems.</p>","PeriodicalId":47632,"journal":{"name":"Perspectives on Sexual and Reproductive Health","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2025-08-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144859734","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}

{"title":"Reproductive Decision-Making: What Type of Social Support do Women Living in Victoria, Australia Seek and Are They Satisfied?","authors":"Hayley McKenzie, Greer Lamaro Haintz, Carly Dennis, Melissa Graham","doi":"10.1111/psrh.70031","DOIUrl":"https://doi.org/10.1111/psrh.70031","url":null,"abstract":"<p><strong>Aim: </strong>This paper describes the social support women aged 25-35 years living in Victoria, Australia draw on during the reproductive decision-making process specific to the type of support they seek and their satisfaction with that support.</p><p><strong>Methods: </strong>We conducted a cross-sectional study that collected data through an online questionnaire administered via Qualtrics. This included both closed- and open-ended questions, exploring women's experiences of receiving social support for reproductive decision-making, the types of support they sought, and their satisfaction with the support received. Using convenience sampling, we recruited 234 women aged 25-35 years.</p><p><strong>Results: </strong>The women highlighted a myriad of factors that influenced their experiences of seeking and receiving support (or not), both positively and negatively. These included individual or micro-level factors (e.g., interpersonal relationships); contextual factors (e.g., issue and/or time-dependent); and macro/societal level factors (e.g., social attitudes and norms). The type of support depends on the reproductive decision, with women employing strategies to enhance their satisfaction with support.</p><p><strong>Conclusion: </strong>These findings are important to inform and advocate for future public health and social policy to support women's decision-making and overall health and wellbeing related to their reproductive autonomy.</p>","PeriodicalId":47632,"journal":{"name":"Perspectives on Sexual and Reproductive Health","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2025-08-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144838251","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}

{"title":"Stratified Access and Experiences of Maternal Health Care in the United States-Mexico Border Region.","authors":"Carina Heckert, Andrea Daniella Mata","doi":"10.1111/psrh.70007","DOIUrl":"10.1111/psrh.70007","url":null,"abstract":"<p><strong>Introduction: </strong>The United States (US) state of Texas uses two publicly funded programs to cover pregnant people-Medicaid for Pregnant Women and Children's Health Insurance Program (CHIP) Perinatal. While Medicaid offers more comprehensive coverage than CHIP Perinatal, it only includes US citizens and legally qualified residents. This tiered access to care, determined primarily by immigration status, generates stratified access. This paper explores how stratified access factors into reproductive experiences.</p><p><strong>Methodology: </strong>Thirty-two pregnant and postpartum women who identified as first- or second-generation immigrants and had public insurance or no insurance coverage participated in a semi-structured in-depth interview. Interview questions explored topics related to immigration and border policies more broadly. This piece analyzes themes that emerged in relation to the type of healthcare coverage participants were able to access during pregnancy.</p><p><strong>Results: </strong>Participants had a range of immigration statuses that factored into their eligibility for health programs. During pregnancy, 12 had CHIP Perinatal, 15 had Medicaid, and five had no coverage. Key themes shaping experiences of care included bureaucratic barriers in navigating health programs, inadequate coverage that reinforced health vulnerabilities, and feelings of limited autonomy.</p><p><strong>Discussion: </strong>Women's narratives highlight the ways immigration status generates barriers to receiving health care coverage, including coverage for programs that individuals are entitled to regardless of immigration status. The type of coverage that a pregnant woman has dictates how comprehensive her care is and the degree to which she experiences coverage gaps outside of pregnancy.</p>","PeriodicalId":47632,"journal":{"name":"Perspectives on Sexual and Reproductive Health","volume":" ","pages":"211-218"},"PeriodicalIF":3.4,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143651209","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}

{"title":"Documenting a New World: Research Submitted to the National Abortion Federation's 48th Annual Meeting (May 2-5, 2025, California).","authors":"Alice Mark, Angel M Foster, Gabriela Aguilar, Tiffany Hailstorks, Rachel Jones, Melissa Madera, Sarah Prager","doi":"10.1111/psrh.70010","DOIUrl":"10.1111/psrh.70010","url":null,"abstract":"","PeriodicalId":47632,"journal":{"name":"Perspectives on Sexual and Reproductive Health","volume":" ","pages":"241-278"},"PeriodicalIF":3.4,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144121195","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}

{"title":"Desire for Sterilization Reversal in Delaware, US: The Roles of LARC Use, Personal Abortion Acceptability, and Economic Disadvantage.","authors":"Mieke C W Eeckhaut, Michael S Rendall, Heide M Jackson","doi":"10.1111/psrh.70014","DOIUrl":"10.1111/psrh.70014","url":null,"abstract":"<p><strong>Objective: </strong>To investigate the pathways that may elevate risks of desire for sterilization reversal, specifically through nonuse of long-acting reversible contraception (LARC), viewing abortion as unacceptable for oneself, and being economically disadvantaged.</p><p><strong>Methods: </strong>We used chi-squared tests and binary logistic models to analyze data on 3422 women, including 299 sterilized women, from a population-representative sample of Delaware women aged 18-44 in 2021. We estimated models for female sterilization use and for desire for sterilization reversal.</p><p><strong>Results: </strong>Among sterilized Delaware women aged 18-44, 28% report desiring sterilization reversal. In multivariate models, those who had never used LARC were more likely to have been sterilized (OR = 1.62; 95% CI = 1.09-2.40), although not more likely to desire sterilization reversal if sterilized. Women who viewed abortion as unacceptable for themselves were not more likely to be sterilized, but they were more likely to desire sterilization reversal if sterilized (OR = 2.42; 95% CI = 1.09-5.36). Economically disadvantaged women were both more likely to be sterilized (OR = 7.56; 95% CI = 4.51-12.68) and more likely, if sterilized, to desire sterilization reversal (OR = 3.88; 95% CI = 1.18-12.74).</p><p><strong>Conclusion: </strong>We find varied pathways linking a woman's nonuse of LARC, her personal nonacceptability of abortion, and her economic disadvantage to increased risk of desiring sterilization reversal. Economic disadvantage is easily the greatest risk factor. We interpret these findings through a conceptual framework of constrained choice.</p>","PeriodicalId":47632,"journal":{"name":"Perspectives on Sexual and Reproductive Health","volume":" ","pages":"162-174"},"PeriodicalIF":3.4,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144318381","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}