Perspectives on Sexual and Reproductive Health最新文献

{"title":"Sexual Health Behaviors and Outcomes Among Middle-Aged and Older Disabled Adults in Britain.","authors":"Yoshiko Sakuma, Bernice Lin, Eneyi Kpokiri, Junead Khan, Huachun Zou, Joseph D Tucker, Tom Shakespeare, Hannah Kuper, Dan Wu","doi":"10.1111/psrh.70034","DOIUrl":"10.1111/psrh.70034","url":null,"abstract":"<p><strong>Background: </strong>Sexual health is crucial for well-being, yet research often overlooks middle-aged and older adults, as well as those with disabilities. This study explores the sexual health of disabled middle-aged and older adults in Britain.</p><p><strong>Objective: </strong>We aim to explain sexual behaviors and outcomes among disabled adults aged 45-74 in Britain.</p><p><strong>Methods: </strong>We conducted a secondary quantitative analysis using data from the third National Survey of Sexual Attitudes and Lifestyles (Natsal-3), a British population-representative survey. The study did not focus on a specific type of disability but rather included people who consider themselves to have a long-standing illness that limits their activity. The analysis incorporated variables on sexual behaviors and outcomes: bivariate analyses and multiple logistic regressions stratified by sex compared behaviors and outcomes by disability status.</p><p><strong>Results: </strong>Of 7082 participants included, 1906 were classified as being with limiting disability status. Adjusting for sociodemographic differences, compared to nondisabled individuals, those with limiting disability status adults were less likely to engage in sex in the last 4 weeks (aOR: 0.60, CI: 0.51-0.71) or be in a steady relationship (aOR: 0.69, CI: 0.59-0.80) and were more likely to report poorer sexual health outcomes, including having experienced coerced sex attempts (aOR:1.83, CI:1.48-2.27), had coerced sex (aOR: 1.64, CI:1.33-2.01), had their sex life affected by health in the last year (aOR: 5.08, CI:4.27-6.05), and sought help for their sex lives (aOR:1.73, CI:1.38-2.17).</p><p><strong>Conclusions: </strong>Middle-aged and older disabled adults in Britain are less likely to be sexually active, yet more likely to experience negative sexual health outcomes. The increased health-seeking behaviors and their vulnerability highlight the necessity for tailored sexual health services, extending into middle age and older adulthood.</p>","PeriodicalId":47632,"journal":{"name":"Perspectives on Sexual and Reproductive Health","volume":" ","pages":"453-469"},"PeriodicalIF":3.5,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12747597/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145001604","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":"Factors Influencing Contraceptive Use in Women Seeking First-Trimester Abortion Care: An Austrian Cross-Sectional Survey.","authors":"Anna Felnhofer, Lusine Yeghiazaryan, Franz Piribauer, Christian Fiala","doi":"10.1111/psrh.70045","DOIUrl":"10.1111/psrh.70045","url":null,"abstract":"<p><strong>Background: </strong>Coined the Contraceptive Paradox, unwanted pregnancies and abortions remain stable in most West-European countries despite the wide availability of highly effective contraception. Demographic and contextual reasons for ineffective (or no) contraceptive use in couples with no desire for a child have been described, yet data on women's concerns are scarce.</p><p><strong>Objective: </strong>This study evaluates a broad range of individual factors potentially determining insufficient/less or ineffective contraceptive use.</p><p><strong>Methods: </strong>N = 399 women post abortion in Vienna, Austria answered a questionnaire assessing demographics, use of contraception, fertility perception, desire to avoid a pregnancy, influence of family and friends, and attitudes toward hormones, the pharma industry, and naturalness. We used multivariate ordinal logistic regression (OLR), reporting Odds Ratios (OR) to identify factors determining contraceptive use (none vs. moderately effective vs. highly effective contraception). Additionally, decision trees served as a basis for hypothesis generation.</p><p><strong>Results: </strong>Hormone skepticism (OR when compared with no skepticism ranged from 0.07 for very large to 0.20 for low skepticism), a moderate desire to avoid a pregnancy (1.43), older age (0.98), being unemployed (1.93) and being single (OR = 2.63 for unstable relationship and 1.73 for stable relationship when compared with no relationship, respectively), were all associated with using no contraception. Decision trees suggested perceiving oneself and the partner as fertile and knowing that hormone-free contraception was important for friends and family as additional factors.</p><p><strong>Conclusions: </strong>Our findings may assist clinicians in better understanding women's attitudes and misconceptions. However, further research is needed to address potential dilemmas in women's contraceptive decision-making processes.</p>","PeriodicalId":47632,"journal":{"name":"Perspectives on Sexual and Reproductive Health","volume":" ","pages":"533-543"},"PeriodicalIF":3.5,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12747652/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145534913","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":"Intimate Partner Violence in Mid-Adulthood in the United States: Patterns by Sexual Orientation and Sex Assigned at Birth.","authors":"Carolyn T Halpern, Meghan E Shanahan, Adia R Louden, Laurel Sharpless, Mallory W Turner, Sandra L Martin, Pooja Deshpande","doi":"10.1111/psrh.70039","DOIUrl":"10.1111/psrh.70039","url":null,"abstract":"<p><strong>Introduction: </strong>Population estimates of the prevalence of intimate partner violence (IPV) victimization and perpetration are limited for sexual minorities in mid-adulthood.</p><p><strong>Methods: </strong>We examined IPV prevalence estimates, and associations between sexual orientation and self-reported physical and sexual IPV experiences among 10,812 respondents ages 33-43 years who were in a current relationship and participated in Wave V of the National Longitudinal Study of Adolescent to Adult Health, a population-based US study. We conducted sex-stratified logistic regressions to model associations between sexual orientation and IPV, adjusted for age, race/ethnicity, highest educational attainment, and household income as percent of federal poverty level.</p><p><strong>Results: </strong>Ninety one percent of men and 80% of women self-identified as heterosexual. Prevalence ratios indicated greater victimization and perpetration among male and female sexual minorities compared to heterosexuals. In adjusted regression models, sexual minority men had higher odds of physical perpetration (AOR = 1.8) than heterosexuals. Among women, sexual minorities had higher odds of physical and sexual victimization (AORs = 1.8 and 1.8, respectively) than heterosexual females, and higher odds of physical perpetration (AOR = 1.9).</p><p><strong>Conclusions: </strong>Even into mid-adulthood, sexually minoritized groups have a disproportionate likelihood of experiencing both IPV perpetration and victimization compared to heterosexual peers. More work is needed to understand and address sources of these disparities.</p>","PeriodicalId":47632,"journal":{"name":"Perspectives on Sexual and Reproductive Health","volume":" ","pages":"579-588"},"PeriodicalIF":3.5,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145460287","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":"A Novel 8 Ps Framework for Addressing Complexities in Sexual Health Histories for US Healthcare Providers.","authors":"Brenice Duroseau, Ragan Johnson","doi":"10.1111/psrh.70037","DOIUrl":"10.1111/psrh.70037","url":null,"abstract":"<p><strong>Context: </strong>Healthcare providers play a vital role in promoting comprehensive, sex-positive sexual health care. In the United States (US), patient-provider communication frameworks for sexual health predominantly rely on collecting the sexual health history. The most notable framework, the US Centers for Disease Control and Prevention's 5 Ps framework, emphasizes how an individual's current and past behaviors can predict a client's susceptibility to poor sexual health outcomes. However, this behavior centric approach has the capacity to introduce bias, stigma, and shame, potentially hindering effective communication and preventative care. The National Coalition for Sexual Health's 6 Ps framework introduced \"Plus\" to include sexual satisfaction as an integral part of sexual health communication.</p><p><strong>Methods: </strong>Building on these existing frameworks, we developed an expanded model designed to reorient providers toward a paradigm that fosters more inclusive and affirming sexual health discussions, improves patient-provider communication and connection, and acknowledges the broader social and structural determinants that shape sexual well-being and vulnerability to human immunodeficiency virus (HIV) and other sexually transmitted infections (STIs).</p><p><strong>Results: </strong>We propose an expanded 8 Ps sexual health history that introduces \"Proximity,\" which refers to the influence of one's living and sexual environment, and \"Perspectives,\" highlighting how personal beliefs fundamentally shape behaviors.</p><p><strong>Conclusion: </strong>Fortifying the sexual health discussions between providers and patients with non-behavioral context, such as geographical determinants of health and understanding of sexual health in general, that increase vulnerability to HIV and other STIs can begin to address the limitations in the prior frameworks.</p>","PeriodicalId":47632,"journal":{"name":"Perspectives on Sexual and Reproductive Health","volume":" ","pages":"598-605"},"PeriodicalIF":3.5,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145356535","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":"Exploring Undergraduates' Attitudes Toward Sterilization as Contraception in the Northeastern United States: A Brief Report.","authors":"K Olivia Mock, Devika Patel, Anne Moyer","doi":"10.1111/psrh.70044","DOIUrl":"10.1111/psrh.70044","url":null,"abstract":"<p><strong>Objective: </strong>This study analyzed young adults' understanding of and thoughts about permanent contraception amidst increased demand for sterilization in this population following changes in abortion and contraception access in the United States (US).</p><p><strong>Methods: </strong>Undergraduate students at a northeastern US university (N = 53) completed an online questionnaire assessing opinions about sterilization and factors they believed physicians should consider before performing sterilization. Quantitative analysis explored whether attitudes toward vasectomy versus tubal ligation differed by capacity to become pregnant. We used inductive thematic analysis to interpret qualitative data.</p><p><strong>Results: </strong>There were no differences in attitudes toward sterilization methods by capacity to become pregnant. However, participants estimated posttubal ligation regret would be significantly more prevalent than postvasectomy regret. Key qualitative themes included patient-centered care, regret, and sociocultural influences.</p><p><strong>Conclusions: </strong>This study revealed young adults value bodily autonomy in reproductive choices, regardless of permanence or potential regret, factors some providers weigh heavily. Whether interest in sterilization among this population increases or remains static, it is important for healthcare providers to be aware of these attitudes when handling requests from younger adults.</p>","PeriodicalId":47632,"journal":{"name":"Perspectives on Sexual and Reproductive Health","volume":" ","pages":"439-445"},"PeriodicalIF":3.5,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12747615/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145453622","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":"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":"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":"492-505"},"PeriodicalIF":3.5,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12747613/pdf/","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":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Decline of Abortion in Spain Over the Last Decade.","authors":"Miguel Requena, Mikolaj Stanek","doi":"10.1111/psrh.70036","DOIUrl":"10.1111/psrh.70036","url":null,"abstract":"<p><strong>Objective: </strong>To analyze how shifts in population composition and variations in the behavior of different sociodemographic groups have changed abortion practices in Spain between 2011 and 2021.</p><p><strong>Methods: </strong>We used data from the Voluntary Terminations of Pregnancies register and Spanish Population and Housing Censuses to examine abortion rates and demographic characteristics of women aged 12-52. We used Poisson regression models and the Oaxaca-Blinder decomposition technique to estimate the contributions of shifts in population structure and variations in behaviors to changes in abortion rates.</p><p><strong>Results: </strong>We found that 40% of the decline was due to changes in sociodemographic characteristics. Specifically, the relative reduction in the number of younger women in the population and the increase in women's education levels significantly contributed to the decline in abortion rates, while the influx of immigrant women offset some of this reduction. The reduction not explained by these factors was attributed to behavioral changes, with significant reductions in the likelihood of undertaking an abortion also occurring among women under 35, immigrants from non-high-income countries, and lower-educated women.</p><p><strong>Conclusions: </strong>The study highlights the importance of including changes in the sociodemographic composition of populations in analyses of shifts in abortion rates. It also shows that behavioral changes are not uniform, and that the primary driver of change in abortion rates in Spain is the reduction in abortion rates among the subgroups that had the highest initial rates, leading to a gradual flattening of the differences between women of different ages, education levels, and migratory backgrounds.</p>","PeriodicalId":47632,"journal":{"name":"Perspectives on Sexual and Reproductive Health","volume":" ","pages":"544-556"},"PeriodicalIF":3.5,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12747617/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145287290","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":"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":"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":"589-597"},"PeriodicalIF":3.5,"publicationDate":"2025-12-01","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":"The Association Between Family Planning and Psychological Distress in Individuals With Minoritized Gender Identities in Germany: A Cross-Sectional Study During the COVID-19 Pandemic.","authors":"Falk Batz, Alaleh Zati Zehni, Eva Lermer, Maximilian Berger, Lennard Schröder, Joachim Behr, Sven Mahner, Christian J Thaler, Pichit Buspavanich","doi":"10.1111/psrh.70038","DOIUrl":"10.1111/psrh.70038","url":null,"abstract":"<p><strong>Background: </strong>Among transgender and gender diverse (TGD) individuals there is an increasing desire for parenthood. TGD individuals must overcome unique legal, social and physiological obstacles to realize their desire to become parents. Indeed, since the onset of the COVID-19 pandemic, TGD individuals have experienced a significantly higher prevalence of anxiety and depression, which may be strenuous to all areas of life, including family planning. The aim of this study was to evaluate the impact of the COVID-19 pandemic in Germany on decisions regarding family formation in TGD compared to cisgender individuals, and what role psychological distress might play in this.</p><p><strong>Methods: </strong>The online survey included general demographic questions, domain-specific questions including gender identity and sexual orientation, questions related to psychological distress, the desire for parenthood as well as motives for and against parenthood.</p><p><strong>Results: </strong>The desire for parenthood was lower and the level of depressive symptoms was higher in TGD (n = 187) than in cisgender individuals (n = 2135) during the COVID-19 pandemic. Moreover, the desire for parenthood was associated with a lower level of depressive symptoms, younger age, having one or more children and living in an urban area. Further associations are higher scores in the desire for emotional stabilization, as well as lower scores in fear of personal constraints and the desire for social recognition.</p><p><strong>Conclusion: </strong>Our findings revealed that TGD individuals reported significantly higher levels of depressive symptoms compared to cisgender participants and expressed a lower desire for parenthood. These results highlight the need for targeted support from social services and health care providers, particularly in times of crisis such as the COVID-19 pandemic. Tailored interventions are essential to address the mental health burden and to reduce the additional hurdles TGD individuals face when considering parenthood.</p>","PeriodicalId":47632,"journal":{"name":"Perspectives on Sexual and Reproductive Health","volume":" ","pages":"567-578"},"PeriodicalIF":3.5,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12747643/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145453583","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":"Trends in Hospital Abortion During the First 2 Years of COVID-19 in Quebec, Canada: Results From a Population-Based Observational Study.","authors":"Nathalie Auger, Aimina Ayoub, Émilie Brousseau, Shu Qin Wei, Antoine Lewin, Thuy Mai Luu","doi":"10.1111/psrh.70042","DOIUrl":"10.1111/psrh.70042","url":null,"abstract":"<p><strong>Purpose: </strong>We investigated the extent to which the COVID-19 pandemic affected hospital abortion rates in a Canadian setting.</p><p><strong>Methods: </strong>We obtained all abortions between 2012 and 2022 from hospital discharge data in the Maintenance and Use of Data for the Study of Hospital Clientele database for Quebec, Canada. The exposure was the pandemic (March 2020 to March 2022) compared with the preceding period (January 2012 to February 2020). The outcome included hospital-based abortions versus other pregnancy admissions. We examined if the pandemic affected monthly hospital abortion rates using interrupted time series regression. We estimated risk ratios (RRs) and 95% confidence intervals (CIs) for the association between the pandemic and hospital-based abortions, accounting for pandemic wave, abortion method, gestational age, and other patient characteristics.</p><p><strong>Results: </strong>There were 21,675 hospital abortions in total, including 4177 (19.3%) during the pandemic. Abortion rates decreased by 1.2 per 1000 pregnancies the first month of the pandemic and continued to decrease by 0.15 per 1000 every month thereafter. Compared with the preceding year, patients were less likely to have a hospital abortion anytime during the pandemic (RR 0.88, 95% CI 0.84-0.93), particularly during the third (RR 0.81, 95% CI 0.74-0.88) and fourth (RR 0.82, 95% CI 0.75-0.89) waves. The decrease was most apparent for instrumentation abortions, abortions before 14 weeks of gestation, and abortions among patients aged ≥ 40 years or who were socioeconomically advantaged.</p><p><strong>Conclusions: </strong>The pandemic was associated with fewer hospital abortions before 14 weeks, as well as among older or socioeconomically advantaged patients.</p>","PeriodicalId":47632,"journal":{"name":"Perspectives on Sexual and Reproductive Health","volume":" ","pages":"446-452"},"PeriodicalIF":3.5,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12747609/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145557777","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}