Sexual & Reproductive Healthcare最新文献

{"title":"Correlates of very early sexual intercourse among adolescents in a Southeastern European country","authors":"Myzafer Kaçaj ,&nbsp;Gentiana Qirjako ,&nbsp;Iris Mone ,&nbsp;Enver Roshi ,&nbsp;Genc Burazeri","doi":"10.1016/j.srhc.2025.101116","DOIUrl":"10.1016/j.srhc.2025.101116","url":null,"abstract":"<div><h3>Background</h3><div>Early sexual intercourse can lead to increased risks of unintended pregnancies, and negative impacts on adolescents’ health. Our aim was to assess the prevalence and correlates of very early sexual intercourse (≤14 years) among adolescents in a Southeastern European country undergoing rapid transformations.</div></div><div><h3>Methods</h3><div>We carried out a cross-sectional study in Albania in 2022, which included a nationally representative sample of 1877 schoolchildren aged 15 years (about 55 % girls; overall response: ≈96 %). Data collection included age of commencement of sexual intercourse (if applicable) and important determinants of early sex comprising behavioural factors, health characteristics, child maltreatment indices and sociodemographic factors. Logistic regression assessed the association of very early sexual intercourse with covariates.</div><div><strong>Findings:</strong> Among 321 schoolchildren with lifetime sexual intercourse who also reported on age of commencement (≈17 % of the total), the prevalence of very early (≤14 years) sexual intercourse was ≈53 %. It was more prevalent in boys (P = 0.01), in children from more affluent families (P = 0.06), among lifetime smokers (P = 0.02), in children who never/rarely felt low (P = 0.06), and in children who reported lifetime physical abuse (P = 0.06), or lifetime sexual abuse (P = 0.10). In multivariable-adjusted logistic regression models, independent significant positive correlates of very early sexual intercourse included family affluence (OR = 1.8, 95 %CI = 1.0–3.1) and lifetime physical abuse (OR = 2.1, 95 %CI = 1.2–3.6).</div></div><div><h3>Conclusion</h3><div>Our study evidenced a substantial prevalence of very early sexual intercourse, especially among male adolescents, which is a cause of concern. Interventions should address child maltreatment and promote healthy family environments, alongside comprehensive sexual education tailored to the developmental needs of adolescents.</div></div>","PeriodicalId":54199,"journal":{"name":"Sexual & Reproductive Healthcare","volume":"45 ","pages":"Article 101116"},"PeriodicalIF":1.4,"publicationDate":"2025-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144169610","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Response to Whop and Butler","authors":"Melissa Bartick ,&nbsp;Hannah Dahlen ,&nbsp;Jenny Gamble ,&nbsp;Shawn Walker ,&nbsp;Roger Mathisen ,&nbsp;Karleen Gribble","doi":"10.1016/j.srhc.2025.101112","DOIUrl":"10.1016/j.srhc.2025.101112","url":null,"abstract":"","PeriodicalId":54199,"journal":{"name":"Sexual & Reproductive Healthcare","volume":"44 ","pages":"Article 101112"},"PeriodicalIF":1.4,"publicationDate":"2025-05-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144169750","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Navigating child adoption decision among women with infertility in Southern Ghana","authors":"Belinda Nana Ama Quartey ,&nbsp;Joseph Quartey ,&nbsp;Josephine M. Kyei ,&nbsp;Deborah Armah ,&nbsp;Florence Naab","doi":"10.1016/j.srhc.2025.101111","DOIUrl":"10.1016/j.srhc.2025.101111","url":null,"abstract":"<div><div>The traditional Ghanaian society is pro-natal, with childbearing as the ultimate purpose of marriage. However, infertility may impede this purpose, leading to the need for child adoption among couples. This study explored child adoption decisions among women with infertility in Southern Ghana. A qualitative descriptive exploratory design was used. Purposive and snowball sampling techniques were used to recruit eligible participants. Overall, 14 women with infertility were interviewed. Analyses of the data were conducted using content analysis after audio-recorded interviews were transcribed verbatim. The findings suggested that to navigate the decision to adopt a child in Southern Ghana, there are key factors and environmental factors influencing the decision of these women. The study revealed that child adoption is associated with stigma, and some cultural beliefs, which were described as impediments to their decision-making process. The findings suggest that discrimination, stigma, and cultural beliefs, are the obstacles to child adoption in Southern Ghana. As a result, there is a need for community engagement, particularly with traditional and religious leaders, on child adoption issues in Ghana.</div></div>","PeriodicalId":54199,"journal":{"name":"Sexual & Reproductive Healthcare","volume":"45 ","pages":"Article 101111"},"PeriodicalIF":1.4,"publicationDate":"2025-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144169609","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The regulation and practice of midwifery prescribing around the world: A scoping review of regulations and literature","authors":"Kirsten Small ,&nbsp;Chanelle Warton ,&nbsp;Jennifer Fenwick ,&nbsp;Kathleen Baird ,&nbsp;Caroline Homer ,&nbsp;Zoe Bradfield","doi":"10.1016/j.srhc.2025.101109","DOIUrl":"10.1016/j.srhc.2025.101109","url":null,"abstract":"<div><h3>Background</h3><div>The authority to prescribe medications has been extended to midwives in many countries. Understanding how midwifery prescribing is used, whether it is effective, and how it is regulated can inform the development of midwifery prescribing.</div></div><div><h3>Aim</h3><div>To describe regulatory standards for midwifery prescribing in high-income English-speaking countries and identify insights from research regarding midwife prescribing.</div></div><div><h3>Methods</h3><div>A scoping review using the Joanna Briggs Institute methodology. Literature searches targeted 1. Grey literature relating to professional standards, regulations, and / or legislation regarding midwifery prescribing in selected high-income countries; 2. Peer-reviewed empirical research regarding midwifery prescribing.</div></div><div><h3>Findings</h3><div>In some jurisdictions, educational preparation for midwifery prescribing is completed in the primary midwifery degree, with all midwives having prescribing authority; in others, a separate course provides the entry point for a subset of the midwifery workforce. Models of midwifery prescribing have moved to more autonomous prescribing over time.</div><div>Midwives used their prescribing authority in diverse ways. No research directly examined safety and effectiveness. However, approaches expected to produce safe and effective prescribing were demonstrated. Access to care was improved when independent midwifery prescribing was available.</div></div><div><h3>Discussion</h3><div>Midwifery prescribing is well embedded around the world but has not been as comprehensively evaluated as other forms of non-medical prescribing. Non-medical prescribing by other health professionals has expanded over time, with evidence of better outcomes compared to medical prescribing. Barriers to midwifery prescribing reflect those impacting other non-medical prescribers.</div></div><div><h3>Conclusion</h3><div>Addressing barriers to midwifery prescribing offers an effective means to enhance maternity care provision.</div></div>","PeriodicalId":54199,"journal":{"name":"Sexual & Reproductive Healthcare","volume":"44 ","pages":"Article 101109"},"PeriodicalIF":1.4,"publicationDate":"2025-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144084017","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Assessment of menstrual material needs as a measure of health and menstrual equity in the postpartum period","authors":"Bronwyn S. Bedrick ,&nbsp;Sonia Hamilton ,&nbsp;Carolyn Sufrin","doi":"10.1016/j.srhc.2025.101108","DOIUrl":"10.1016/j.srhc.2025.101108","url":null,"abstract":"<div><h3>Objective</h3><div>To evaluate lochia management needs in a diverse cohort of postpartum individuals admitted for delivery at two large urban hospitals in the United States and to assess the association between immigration and menstrual needs.</div></div><div><h3>Methods</h3><div>English- or Spanish-speaking individuals delivering a live-born infant were recruited in this cross-sectional study via convenience sampling. We modified the Menstrual Practice Needs Scale to evaluate participant menstrual practices, menstrual poverty, preparedness for postpartum lochia, and experiences discussing menstrual material access with their healthcare team.</div></div><div><h3>Results</h3><div>There were 123 participants, 60 of whom were immigrants. Twenty-seven women (22 %) experienced menstrual poverty, and 10 were unsure if they had adequate materials to manage lochia. Women with an annual household income at or below the poverty level (p = 0.0004) or who had moved (p = 0.009) or experienced food insecurity (p &lt; 0.0001) in the last year were more likely to have experienced menstrual poverty than those who had not. Half of participants never received lochia counseling. Only 15 women (12 %) had been asked by a healthcare member whether they had enough menstrual materials, but over a third wanted to discuss how to obtain them. The majority of women wanted to receive lochia management materials from their prenatal clinic and from the hospital.</div></div><div><h3>Conclusions</h3><div>Despite a high rate of menstrual poverty, women were rarely asked about access to menstrual supplies. These women want to discuss how to acquire menstrual materials with their healthcare team. Standardized screening and discussions about postpartum lochia may help to reduce postpartum menstrual poverty.</div></div>","PeriodicalId":54199,"journal":{"name":"Sexual & Reproductive Healthcare","volume":"44 ","pages":"Article 101108"},"PeriodicalIF":1.4,"publicationDate":"2025-05-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144070697","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Impact of timed and targeted counselling on the maternal health continuum of care outcomes in Northern Uganda: A propensity score matched analysis","authors":"Douglas Zibugu ,&nbsp;Jessica Gubbels ,&nbsp;John Bosco Asiimwe ,&nbsp;Gerards Sanne","doi":"10.1016/j.srhc.2025.101107","DOIUrl":"10.1016/j.srhc.2025.101107","url":null,"abstract":"<div><h3>Objective</h3><div>Improving maternal health is key to saving lives of women who would otherwise die due to pregnancy and childbirth related complications, especially in developing countries. The timed and targeted counseling (ttC) approach, delivered by community health workers, is a behavioural change counseling approach for improving maternal health. This approach focuses on giving stage appropriate messages to pregnant women regarding the timing of antenatal care visits, where to deliver and postnatal care. The purpose of this study therefore is to examine the impact of ttC on the maternal health continuum of care outcomes in Northern Uganda.</div></div><div><h3>Methods</h3><div>A cross-sectional quasi-experimental design with propensity score matching (PSM) analysis was used with retrospective data collection comparing an intervention group(Aber subcounty) to a comparison group (Otwal subcounty) in Northern Uganda. PSM was done to determine the causal relation between ttC and the maternal health outcomes. The primary outcome measures were having four or more antenatal care visits(4+ ANC), delivery at the advised place of delivery(PoD) and having(at least one) postnatal care(PNC) visit.</div></div><div><h3>Results</h3><div>The PSM analysis showed that participants receiving ttC were significantly more likely to have 4 + ANC attendance (OR = 15.61, 95 % CI 9.4–25.8), PoD (OR = 2.36, 95 % CI 1.4–4.1) and PNC (OR = 1.67, 95 % CI 1.0–2.7) than participants receiving care as usual.</div></div><div><h3>Conclusion</h3><div>Implementation of ttC in similar low resource settings likely leads to improved maternal health continuum of care outcomes and therefore the government of Uganda should integrate ttC into its already existing health care system for more effective maternal health.</div></div>","PeriodicalId":54199,"journal":{"name":"Sexual & Reproductive Healthcare","volume":"44 ","pages":"Article 101107"},"PeriodicalIF":1.4,"publicationDate":"2025-05-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144106645","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Distance to abortion facilities and depressive symptoms among reproductive-aged women of color after Dobbs","authors":"Abhery Das ,&nbsp;Allison Stolte ,&nbsp;Devoja Ganguli ,&nbsp;Samantha Gailey","doi":"10.1016/j.srhc.2025.101106","DOIUrl":"10.1016/j.srhc.2025.101106","url":null,"abstract":"<div><h3>Introduction</h3><div>Studies report greater mental distress among reproductive-aged women following <em>Dobbs v. Jackson Women’s Health Organization</em>. The impacts of abortion restrictions, however, may differ by racial/ethnic identity. <em>Dobbs</em> may exacerbate adverse mental health among women of color due to longstanding reproductive injustice. We therefore examine whether greater distance to abortion facilities differentially impacts depressive symptoms among reproductive-aged women of color, relative to white women, after <em>Dobbs</em>.</div></div><div><h3>Methods</h3><div>As our exposure, we categorized weighted distance to the nearest abortion facility (0–25, 25–50, 50–100, 100 + miles). For our outcome, we use the Patient Health Questionnaire-2, a measure of depressive symptoms, among 191,680 reproductive aged (18–49) women of color. We use surveys from August 2020 – July 2023 from the nationally representative US Census Household Pulse Survey.</div></div><div><h3>Results</h3><div>We find that, after the <em>Dobbs</em> decision, women of color—but not white women—who live farthest from abortion facilities (100 + miles) show slightly greater depressive symptoms (Coeff: 0.10; SE: 0.04; p = 0.014) than those who live closest (0–25 miles).</div></div><div><h3>Discussion</h3><div>Increased distance to abortion facilities may invoke feelings of restricted bodily autonomy and overall disempowerment that degrade the mental health of reproductive-aged women of color.</div></div>","PeriodicalId":54199,"journal":{"name":"Sexual & Reproductive Healthcare","volume":"44 ","pages":"Article 101106"},"PeriodicalIF":1.4,"publicationDate":"2025-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144070696","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Midwives’ experiences and challenges in addressing intimate partner violence: A qualitative study at youth clinics in Stockholm","authors":"Mabel Zamora Hernandez ,&nbsp;Terese Stenfors ,&nbsp;Karolina Sörman ,&nbsp;Caroline Hurtig ,&nbsp;Mia Barimani","doi":"10.1016/j.srhc.2025.101105","DOIUrl":"10.1016/j.srhc.2025.101105","url":null,"abstract":"<div><h3>Objective</h3><div>This study aimed to investigate midwives’ experiences of asking adolescents at youth clinics about their experiences of intimate partner violence (IPV).</div></div><div><h3>Methods</h3><div>This qualitative interview study used semi-structured questions and inductive reflexive thematic analysis. Purposeful sampling focused on midwives working in youth clinics in the Stockholm region. Of the 29 youth clinics approached, nine agreed to participate, resulting in 24 midwives participating. Data were collected through semi-structured interviews and analyzed using reflexive thematic analysis by Braun and Clarke’s six-phase framework.</div></div><div><h3>Results</h3><div>The findings are presented in three main themes with nine sub-themes. Midwives face challenges in addressing violence, balancing their sense of duty with the need to create a safe environment for youth. Strategies for detecting and asking about IPV varied, with midwives employing different approaches and facing organizational challenges. The need for professional development and clear guidelines was emphasized, highlighting the importance of collegial support and established routines.</div></div><div><h3>Conclusion</h3><div>Youth clinics are essential for identifying adolescents exposed to violence, with midwives ideally positioned to support those affected by IPV. However, midwives face challenges in inquiring about IPV and require appropriate conditions, including tools, training, time, and clear procedures. Enhanced training and support for midwives could improve the identification and management of IPV. Further research is needed to explore how various tools can facilitate midwives in inquiring about IPV and to understand youths’ perspectives on being asked about violence.</div></div>","PeriodicalId":54199,"journal":{"name":"Sexual & Reproductive Healthcare","volume":"44 ","pages":"Article 101105"},"PeriodicalIF":1.4,"publicationDate":"2025-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143928664","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Letter to the Editor in response to: “Reconsidering “inclusive language:” Consequences for healthcare and equitableness of a growing linguistic movement to address gender identity with a path forward”","authors":"Lisa J. Whop ,&nbsp;Tamara L. Butler","doi":"10.1016/j.srhc.2025.101103","DOIUrl":"10.1016/j.srhc.2025.101103","url":null,"abstract":"","PeriodicalId":54199,"journal":{"name":"Sexual & Reproductive Healthcare","volume":"44 ","pages":"Article 101103"},"PeriodicalIF":1.4,"publicationDate":"2025-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143916827","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Every two minutes, one woman dies during pregnancy and birth – We are failing mothers","authors":"Rikke Damkjær Maimburg ,&nbsp;Eugene Declercq,&nbsp;Joan Combellick","doi":"10.1016/j.srhc.2025.101104","DOIUrl":"10.1016/j.srhc.2025.101104","url":null,"abstract":"","PeriodicalId":54199,"journal":{"name":"Sexual & Reproductive Healthcare","volume":"44 ","pages":"Article 101104"},"PeriodicalIF":1.4,"publicationDate":"2025-05-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143924837","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}