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BMJ Sexual & Reproductive Health最新文献

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Frequency and patterns of emergency contraceptive demand among users of a UK-based free online sexual and reproductive health service: an observational study using routinely collected health data. 英国免费在线性健康和生殖健康服务用户紧急避孕药具需求的频率和模式：使用常规收集的健康数据的观察性研究。
IF 3.4 3区 医学
BMJ Sexual & Reproductive Health Pub Date : 2025-05-28 DOI: 10.1136/bmjsrh-2025-202737
Paula Baraitser, Shaun Anthony Brown
{"title":"Frequency and patterns of emergency contraceptive demand among users of a UK-based free online sexual and reproductive health service: an observational study using routinely collected health data.","authors":"Paula Baraitser, Shaun Anthony Brown","doi":"10.1136/bmjsrh-2025-202737","DOIUrl":"https://doi.org/10.1136/bmjsrh-2025-202737","url":null,"abstract":"<p><strong>Objective: </strong>To describe patterns of oral emergency contraception (EC) orders among users of a free service, commissioned by the UK National Health Service, ordered online and delivered by post.</p><p><strong>Study design: </strong>Routinely collected anonymised data from an online sexual health service in the UK from 1 January to 31 December 2023 were analysed. The number of times EC was ordered and prescribed was calculated and the age and level of deprivation assigned to the postcode where the user resided were extracted. Individual time lines were developed for those prescribed more than 10 times in 12 months.</p><p><strong>Results: </strong>During 2023 there were 32 659 oral EC requests from 19 501 users, resulting in 29 073 prescriptions from 17 576 users. Ulipristal acetate (UPA) was prescribed in 90% of the orders. The majority of users (n=12 238; 69.63%) received EC once a year, 5237 (29.80%) received it more than once and 101 (0.57%) received it more than 10 times. The mean (SD) number of prescribed orders per user was 1.65 (1.49) and the highest was 29. Oral EC had been used in the previous week by 794 of the 17 576 users (4.5%) and nine (0.05%) were prescribed more than 150 mg of UPA in 30 days.</p><p><strong>Conclusions: </strong>A small group of people order EC repeatedly, sometimes within the same cycle, putting them at increased risk of pregnancy. A minority of people order doses of UPA of >150 mg in 30 days.</p>","PeriodicalId":9219,"journal":{"name":"BMJ Sexual & Reproductive Health","volume":" ","pages":""},"PeriodicalIF":3.4,"publicationDate":"2025-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144179678","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}
引用次数: 0
Adherence to first-trimester medication abortion in telemedicine versus in-person care: a prospective cohort study in Colombia, 2024. 远程医疗与现场护理中妊娠早期药物流产的依从性：2024年哥伦比亚的一项前瞻性队列研究
IF 3.4 3区 医学
BMJ Sexual & Reproductive Health Pub Date : 2025-05-16 DOI: 10.1136/bmjsrh-2025-202796
Biani Saavedra-Avendano, Karen Cárdenas-Garzón, Paola Montenegro-Ramírez, Guillermo Antonio Ortiz-Avendaño
{"title":"Adherence to first-trimester medication abortion in telemedicine versus in-person care: a prospective cohort study in Colombia, 2024.","authors":"Biani Saavedra-Avendano, Karen Cárdenas-Garzón, Paola Montenegro-Ramírez, Guillermo Antonio Ortiz-Avendaño","doi":"10.1136/bmjsrh-2025-202796","DOIUrl":"https://doi.org/10.1136/bmjsrh-2025-202796","url":null,"abstract":"","PeriodicalId":9219,"journal":{"name":"BMJ Sexual & Reproductive Health","volume":" ","pages":""},"PeriodicalIF":3.4,"publicationDate":"2025-05-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144085880","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}
引用次数: 0
Ending nuclear weapons, before they end us. 在核武器终结我们之前终结它们。
IF 3.4 3区 医学
BMJ Sexual & Reproductive Health Pub Date : 2025-05-15 DOI: 10.1136/bmjsrh-2025-202876
Chris Zielinski
{"title":"Ending nuclear weapons, before they end us.","authors":"Chris Zielinski","doi":"10.1136/bmjsrh-2025-202876","DOIUrl":"https://doi.org/10.1136/bmjsrh-2025-202876","url":null,"abstract":"","PeriodicalId":9219,"journal":{"name":"BMJ Sexual & Reproductive Health","volume":" ","pages":""},"PeriodicalIF":3.4,"publicationDate":"2025-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144076042","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}
引用次数: 0
Expanding insurance coverage to include newly available over-the-counter contraceptives in the United States. 扩大保险范围，将美国新上市的非处方避孕药纳入保险范围。
IF 3.4 3区 医学
BMJ Sexual & Reproductive Health Pub Date : 2025-04-29 DOI: 10.1136/bmjsrh-2024-202381
Sarah Munro, Catherine L Satterwhite, Megha Ramaswamy
{"title":"Expanding insurance coverage to include newly available over-the-counter contraceptives in the United States.","authors":"Sarah Munro, Catherine L Satterwhite, Megha Ramaswamy","doi":"10.1136/bmjsrh-2024-202381","DOIUrl":"10.1136/bmjsrh-2024-202381","url":null,"abstract":"","PeriodicalId":9219,"journal":{"name":"BMJ Sexual & Reproductive Health","volume":" ","pages":""},"PeriodicalIF":3.4,"publicationDate":"2025-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142388138","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}
引用次数: 0
Undergraduate midwifery contraception training in England and Wales. 英格兰和威尔士的本科助产士避孕培训。
IF 3.4 3区 医学
BMJ Sexual & Reproductive Health Pub Date : 2025-04-29 DOI: 10.1136/bmjsrh-2024-202461
Gillian Matthews, Claire Cousins, Lesley Regan, Edward Mullins
{"title":"Undergraduate midwifery contraception training in England and Wales.","authors":"Gillian Matthews, Claire Cousins, Lesley Regan, Edward Mullins","doi":"10.1136/bmjsrh-2024-202461","DOIUrl":"10.1136/bmjsrh-2024-202461","url":null,"abstract":"","PeriodicalId":9219,"journal":{"name":"BMJ Sexual & Reproductive Health","volume":" ","pages":""},"PeriodicalIF":3.4,"publicationDate":"2025-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142458417","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}
引用次数: 0
Providers' perspectives on the barriers to post-20-week Ground C abortion in Scotland. 苏格兰医疗服务提供者对 20 周后 Ground C 人工流产障碍的看法。
IF 3.4 3区 医学
BMJ Sexual & Reproductive Health Pub Date : 2025-04-29 DOI: 10.1136/bmjsrh-2024-202529
Lucy Grieve, Jeni Harden, Nicola Boydell
{"title":"Providers' perspectives on the barriers to post-20-week Ground C abortion in Scotland.","authors":"Lucy Grieve, Jeni Harden, Nicola Boydell","doi":"10.1136/bmjsrh-2024-202529","DOIUrl":"10.1136/bmjsrh-2024-202529","url":null,"abstract":"","PeriodicalId":9219,"journal":{"name":"BMJ Sexual & Reproductive Health","volume":" ","pages":""},"PeriodicalIF":3.4,"publicationDate":"2025-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142715402","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}
引用次数: 0
Implementing routinely discussing and offering local anaesthesia for intrauterine device insertions. 对宫内节育器置入实施常规讨论并提供局部麻醉。
IF 3.4 3区 医学
BMJ Sexual & Reproductive Health Pub Date : 2025-04-16 DOI: 10.1136/bmjsrh-2024-202672
Hannat Akintomide, Catherine McLoughlin, Nataliya Brima, Kathryn Mary Clement
{"title":"Implementing routinely discussing and offering local anaesthesia for intrauterine device insertions.","authors":"Hannat Akintomide, Catherine McLoughlin, Nataliya Brima, Kathryn Mary Clement","doi":"10.1136/bmjsrh-2024-202672","DOIUrl":"https://doi.org/10.1136/bmjsrh-2024-202672","url":null,"abstract":"","PeriodicalId":9219,"journal":{"name":"BMJ Sexual & Reproductive Health","volume":" ","pages":""},"PeriodicalIF":3.4,"publicationDate":"2025-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143966063","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}
引用次数: 0
The digital transformation of sexual and reproductive health care. 性健康和生殖健康保健的数字化转型。
IF 3.4 3区 医学
BMJ Sexual & Reproductive Health Pub Date : 2025-04-11 DOI: 10.1136/bmjsrh-2025-202735
Paula Baraitser
{"title":"The digital transformation of sexual and reproductive health care.","authors":"Paula Baraitser","doi":"10.1136/bmjsrh-2025-202735","DOIUrl":"https://doi.org/10.1136/bmjsrh-2025-202735","url":null,"abstract":"","PeriodicalId":9219,"journal":{"name":"BMJ Sexual & Reproductive Health","volume":" ","pages":""},"PeriodicalIF":3.4,"publicationDate":"2025-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143969976","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}
引用次数: 0
Reflections and future directions for patient and public involvement and engagement (PPIE) in abortion research and service improvement. 堕胎研究和服务改进中患者和公众参与和参与（PPIE）的反思和未来方向。
IF 3.4 3区 医学
BMJ Sexual & Reproductive Health Pub Date : 2025-04-09 DOI: 10.1136/bmjsrh-2024-202441
Nicola Boydell, Rebecca Blaylock
{"title":"Reflections and future directions for patient and public involvement and engagement (PPIE) in abortion research and service improvement.","authors":"Nicola Boydell, Rebecca Blaylock","doi":"10.1136/bmjsrh-2024-202441","DOIUrl":"10.1136/bmjsrh-2024-202441","url":null,"abstract":"","PeriodicalId":9219,"journal":{"name":"BMJ Sexual & Reproductive Health","volume":" ","pages":"83-85"},"PeriodicalIF":3.4,"publicationDate":"2025-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142909304","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}
引用次数: 0
A revisit of knowledge, attitude and practice of emergency contraception in Hong Kong. 重新审视香港人对紧急避孕的认识、态度和做法。
IF 3.4 3区 医学
BMJ Sexual & Reproductive Health Pub Date : 2025-04-09 DOI: 10.1136/bmjsrh-2024-202331
Yat Yee Shizuka Chan, Siu Fan Rebecca Wan, Hang Wun Raymond Li, Sue Seen-Tsing Lo
{"title":"A revisit of knowledge, attitude and practice of emergency contraception in Hong Kong.","authors":"Yat Yee Shizuka Chan, Siu Fan Rebecca Wan, Hang Wun Raymond Li, Sue Seen-Tsing Lo","doi":"10.1136/bmjsrh-2024-202331","DOIUrl":"10.1136/bmjsrh-2024-202331","url":null,"abstract":"<p><strong>Objectives: </strong>To revisit women's knowledge, attitudes and practices (KAP) regarding emergency contraception (EC) in Hong Kong. The research sought to provide insights for improving the accessibility and quality of EC services.</p><p><strong>Study design: </strong>A cross-sectional study, where self-administered questionnaires were distributed at a major community sexual and reproductive health service in Hong Kong over a 3-month period between July 2023 and October 2023. Descriptive and regression analyses were used.</p><p><strong>Results: </strong>Of 1127 respondents, the majority (n=1057, 93.8%) reported using contraception and 513 (45.6%) had used EC. The main contraceptive methods used were male condoms and oral contraceptive pills. The majority (n=1035, 91.8%) of respondents demonstrated awareness about EC and 938 (83.2%) participants correctly reported the timeframe for oral EC. Around two-thirds reported the internet as being their leading source of EC knowledge. Over 93% of respondents advocated for enhancing public awareness. Acceptance of non-traditional means of obtaining EC, such as over-the-counter provision (51.3%), pharmacy provision (49.8%) and telemedicine consultation (43.1%), were higher than face-to-face EC consultations (32.9%).</p><p><strong>Conclusions: </strong>Family planning service users' characteristics and KAP regarding EC have significantly changed over the last 20 years. Women now demonstrate greater awareness, knowledge and openness regarding EC, indicating improved readiness for more liberal delivery of EC nowadays. This study highlights the need for restructuring EC service provision in Hong Kong to address women's changing preferences and contraceptive needs, and to minimise barriers to EC access. We recommend reclassifying emergency contraceptive pills as non-prescription drugs in Hong Kong to align with international practice.</p>","PeriodicalId":9219,"journal":{"name":"BMJ Sexual & Reproductive Health","volume":" ","pages":"122-128"},"PeriodicalIF":3.4,"publicationDate":"2025-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142280457","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}
引用次数: 0
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