BMJ Sexual & Reproductive Health最新文献

{"title":"Evaluation of an online health professional resource supporting the provision of medication abortion care in Canada.","authors":"Minh Cam Duong, Efrat Czerniak, Aashay Mehta, Rachel Chiu, Wendy V Norman, Abdul-Fatawu Abdulai","doi":"10.1136/bmjsrh-2026-203275","DOIUrl":"10.1136/bmjsrh-2026-203275","url":null,"abstract":"","PeriodicalId":9219,"journal":{"name":"BMJ Sexual & Reproductive Health","volume":" ","pages":"269-275"},"PeriodicalIF":3.2,"publicationDate":"2026-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148307159","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":"Geographical variation in use of hormonal long-acting reversible contraceptives in Australia between 2018 and 2021: Analysis of national dispensing data.","authors":"Gizat M Kassie, Kailash Thapaliya, Danielle Mazza, Sharon James, Kirsten I Black, Luke E Grzeskowiak","doi":"10.1136/bmjsrh-2025-202984","DOIUrl":"10.1136/bmjsrh-2025-202984","url":null,"abstract":"","PeriodicalId":9219,"journal":{"name":"BMJ Sexual & Reproductive Health","volume":" ","pages":"254-261"},"PeriodicalIF":3.2,"publicationDate":"2026-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145891717","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":"Factors influencing the acceptability of contragestion among reproductive-aged women in Hong Kong.","authors":"Tsz Ching Lee, Yu Wing Tong, Sue Seen-Tsing Lo, Barbara Wai Kwan Fung, Sharon Cameron, Ernest Hung Yu Ng, Raymond Hang Wun Li","doi":"10.1136/bmjsrh-2026-203217","DOIUrl":"10.1136/bmjsrh-2026-203217","url":null,"abstract":"","PeriodicalId":9219,"journal":{"name":"BMJ Sexual & Reproductive Health","volume":" ","pages":"249-253"},"PeriodicalIF":3.2,"publicationDate":"2026-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147762769","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":"Cervical screening care for women living with the impact of sexual violence and abuse: a systematic review.","authors":"Ceryl T Davies, Kalpa Pisavadia, Sion Williams, Deb Fitzsimmons, Helen Weatherly, Rhiannon T Edwards","doi":"10.1136/bmjsrh-2026-203225","DOIUrl":"10.1136/bmjsrh-2026-203225","url":null,"abstract":"","PeriodicalId":9219,"journal":{"name":"BMJ Sexual & Reproductive Health","volume":" ","pages":"306-314"},"PeriodicalIF":3.2,"publicationDate":"2026-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148435040","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":"Adolescents' experiences accessing emergency contraception in Australian community pharmacies: a qualitative study.","authors":"Susan Saldanha, Herrah Naveed, Danielle Mazza, Anisa Rojanapenkul Assifi","doi":"10.1136/bmjsrh-2026-203355","DOIUrl":"https://doi.org/10.1136/bmjsrh-2026-203355","url":null,"abstract":"","PeriodicalId":9219,"journal":{"name":"BMJ Sexual & Reproductive Health","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2026-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149167197","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":"Design and development of AbortionCareTXT, a text message programme for individuals undergoing medication abortion.","authors":"Melissa Brooks, Hannah Richardson, Abdul-Fatawu Abdulai, Patricia Janssen, Sarah Munro, Justine Dol","doi":"10.1136/bmjsrh-2026-203281","DOIUrl":"https://doi.org/10.1136/bmjsrh-2026-203281","url":null,"abstract":"<p><strong>Background: </strong>In Canada, medication abortion accounts for approximately 30% of the 100 000 annual abortions. Despite the advantages of privacy and autonomy, many individuals report feeling unprepared and uninformed about the medication abortion process. Mobile health (mHealth) tools offer a promising avenue for delivering discreet evidence-based support, yet remain underused in abortion care. This study aimed to develop and refine AbortionCareTXT, a text message-based programme providing timely evidence-based information and emotional support for individuals undergoing medication abortion in Canada.</p><p><strong>Methods: </strong>Guided by user-centred intervention development principles, four rounds of semi-structured interviews were conducted with abortion providers and pregnancy-capable people. Participants reviewed and provided feedback on message content, tone, timing and usability, which informed revisions to the programme.</p><p><strong>Results: </strong>Twelve abortion providers and 13 pregnancy-capable people (46.2% with abortion experience) participated. Key modifications across all rounds included simplified language, added reassurance and enhanced privacy and symptom guidance. The final programme consists of 28 messages delivered over 6 weeks, covering information, support, frequently asked questions, emergency care and reminder content aligned with the usual clinical course.</p><p><strong>Conclusion: </strong>The results suggest that a structured text-based intervention may be acceptable to both pregnancy-capable people and abortion providers and can address information, emotional and practical needs. AbortionCareTXT may enhance users' sense of being informed and enhance the patient experience. Future research will evaluate the programme's feasibility and real-world impact.</p>","PeriodicalId":9219,"journal":{"name":"BMJ Sexual & Reproductive Health","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2026-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149126621","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":"Contraceptive and hormonal medication decision-making for pregnancy prevention and gynaecological symptoms: a systematic review and conceptual framework.","authors":"Elena Proffitt, Disha Dhar, Lois Harvey-Pescott, Eleanor Brown, Abigail McNiven, Ammaarah Felix, Egrada De Lima, Yasmin Rahman, Julia V Bailey, Katy Vincent, Jennifer A Hall, Rose Stevens, Kelly Dickson","doi":"10.1136/bmjsrh-2026-203239","DOIUrl":"https://doi.org/10.1136/bmjsrh-2026-203239","url":null,"abstract":"<p><strong>Background: </strong>There has been a decline in the number of contraceptive appointments and prescriptions in the UK. Existing evidence explores the impact of access, barriers and awareness on contraception use. However, less is known about the nuance of how individuals make these decisions. This review aimed to synthesise recent UK evidence on those assigned female at birth's attitudes, experiences and decision-making around contraception and hormonal medication for pregnancy prevention and/or gynaecological reasons.</p><p><strong>Methods: </strong>Five academic databases and six online sources were systematically searched. Included studies were published in English from 2015 onwards and contained primary data on contraceptive decision-making for pregnancy prevention and/or gynaecological treatment in the UK. Studies were critically appraised for methodological reliability and usefulness in answering the review question. Data were coded deductively, inductively grouped conceptually and mapped onto a conceptual framework.</p><p><strong>Results: </strong>Twenty-one studies met the inclusion criteria. There were ten qualitative, seven mixed methods and four quantitative studies with more focusing on pregnancy prevention (n=10) than on gynaecological management (n=5) and six focusing on both. The synthesis of substantive decision drivers from both quantitative and qualitative data demonstrates that decision-making is shaped by how methods felt in relation to the body; effects; seeking and navigating information; pressure and reproductive autonomy; and risk perception and desire. A decision-making conceptual framework was developed demonstrating the impact of contextual factors and the process of decision-making.</p><p><strong>Conclusions: </strong>Contraceptive and hormonal medication decision-making is a dynamic process shaped by complex trade-off balances, trial-and-error processes, evolving needs and individual contexts. Individuals often want to involve and trust others by sharing the decision-making process. Healthcare consultations must recognise the complexity of choice and use, and support contraceptive and hormonal medication decision-making across the life course.</p>","PeriodicalId":9219,"journal":{"name":"BMJ Sexual & Reproductive Health","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2026-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149079925","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":"Sexual and reproductive health needs of young adults with chronic conditions in the USA and Canada: a scoping review.","authors":"Salima Meherali, Saba Nisa, Yared Asmare Aynalem, Claire Tellier, Megan Kennedy, Lisa Hartling, Shannon Scott, Anam Shahil-Feroz, Ashley Vandermorris, Amanda Steiman, Janani Kassiri, Deborah M Levy, Kambiz Norozi, Laura Kirkpatrick, Wendy V Norman, Michael Khoury, Simone Lebeuf","doi":"10.1136/bmjsrh-2026-203398","DOIUrl":"https://doi.org/10.1136/bmjsrh-2026-203398","url":null,"abstract":"<p><strong>Introduction: </strong>Young adults with chronic conditions, including epilepsy, congenital heart disease (CHD) and systemic lupus erythematosus (SLE), face unique sexual and reproductive health (SRH) challenges. Limited access to age-appropriate information, inconsistent counselling and systemic inequities contribute to unmet needs and suboptimal reproductive outcomes. Evidence on SRH in this population remains limited. This review maps existing literature and identifies barriers, facilitators and gaps in SRH care across these conditions.</p><p><strong>Methods: </strong>This review followed Joanna Briggs Institute (JBI) methodology for scoping reviews. A search was conducted in MEDLINE, Embase, CINAHL, PsycINFO, Scopus and grey literature for studies published from inception through October 2025. Using Covidence, three reviewers completed screening. Data on study characteristics, participants, SRH needs, barriers, facilitators and key findings were extracted and synthesised descriptively and narratively. The protocol is registered on the Open Science Framework (https://doi.org/10.17605/OSF.IO/5SWTY).</p><p><strong>Results: </strong>21 studies met eligibility criteria, focusing on young adults aged 10-24 years with epilepsy, CHD or SLE from Canada and the USA. Participants consistently reported unmet SRH needs around contraception, pregnancy planning and reproductive risks, with counselling often delayed or inadequate. Barriers included limited provider guidance, stigma, fear of complications, fragmented care, transition gaps and racial/socioeconomic inequities. Facilitators included young adult-centred education and multidisciplinary care. Males and gender-diverse populations remain underrepresented.</p><p><strong>Conclusion: </strong>SRH remains insufficiently addressed among young adults with chronic conditions, requiring inclusive research, equitable policies and integrated clinical approaches.</p>","PeriodicalId":9219,"journal":{"name":"BMJ Sexual & Reproductive Health","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2026-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149058561","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":"Opportunities, needs and barriers to preconception health and access to preferred contraception: a qualitative study of underserved migrant women.","authors":"Majel McGranahan, Felicity Boardman, Shahla Ahmed, Lovepreet Kaur, Neha Pathak, Oyinlola Oyebode","doi":"10.1136/bmjsrh-2026-203367","DOIUrl":"10.1136/bmjsrh-2026-203367","url":null,"abstract":"<p><strong>Background: </strong>Nearly a third of women (we have used the terms women/woman but recognise that not all pregnant or birthing people identify as women) who give birth in England and Wales are migrants (born outside the UK). Preconception health inequalities exist between underserved migrant women and UK-born women, but evidence for why they occur is scant. We aimed to explore the opportunities, needs and barriers to contraception and preconception health among underserved migrant women.</p><p><strong>Methods: </strong>Twenty interviews and two focus groups were undertaken with 38 migrant women (asylum seekers, refugees and those with no recourse to public funds) aged 18-49 years from a diverse range of countries living in England. Those in non-English languages (Kurdish Sorani, Dari, Farsi, Arabic, Turkish and Punjabi) were undertaken with an interpreter or by community researchers in their own language. Data were analysed thematically.</p><p><strong>Results: </strong>The women described traumatic life experiences and cultural pressures to have children. Awareness of preconception health and contraception varied. Most women preferred non-hormonal contraception. Many had never heard of sexual health clinics and believed only GPs could offer contraception. Healthcare communication was limited by lack of interpreters as well as some women being unable to read or write.</p><p><strong>Conclusions: </strong>More support is needed for accessing contraception and preconception care from primary care. Healthcare communication regarding preconception health and contraception is needed in relevant languages and should be accessible to those who cannot read or who have no pre-existing knowledge of contraception. Healthcare professionals need to be cognisant of women's previous trauma including stillbirth, baby loss and non-consensual sex.</p>","PeriodicalId":9219,"journal":{"name":"BMJ Sexual & Reproductive Health","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2026-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148928902","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":"Effectiveness, safety and acceptability of continuous or extended-cycle use of combined oral contraceptives (COCs): a systematic review and meta-analysis.","authors":"Li Jiang, Maya Kshatriya, Zulfiqar A Bhutta, Nancy Santesso, Asantesana Kamuyango, Nancy Kidula, James N Kiarie","doi":"10.1136/bmjsrh-2026-203331","DOIUrl":"10.1136/bmjsrh-2026-203331","url":null,"abstract":"<p><strong>Background: </strong>To evaluate the contraceptive effectiveness, safety and acceptability of continuous or extended-cycle combined oral contraceptives (COCs) compared with conventional cyclic regimens (21/7 or 24/4).</p><p><strong>Methods: </strong>A systematic search was conducted in Medline, Embase, Web of Science, trials registries and other databases from 1 January 1970 to 21 October 2024. Complementary searches were conducted in grey literature sources and reference lists.</p><p><strong>Results: </strong>A total of 9531 records were identified, from which 18 randomised controlled trials and 10 studies of other designs were included. Overall, findings indicated that: (1) continuous or extended-cycle COCs had contraceptive effectiveness similar to cyclic COCs (unintended pregnancies over 1 year: OR 0.79, 95% CI 0.41 to 1.52; Pearl Index mean difference -0.20, 95% CI -1.31 to 0.92); (2) bleeding outcomes varied, with either no significant difference or fewer total bleeding and/or spotting days with continuous or extended-cycle COC use, but more unscheduled bleeding; (3) no significant difference was observed in the odds of experiencing at least one adverse event (OR 1.20, 95% CI 1.03 to 1.41); (4) the relative risk of deep vein thrombosis or venous thromboembolism was low (OR 1.05, 95% CI 0.16 to 6.79), with a small absolute increase (approximately 0.7 additional cases per 1000 users); and (5) satisfaction was generally high in both groups.</p><p><strong>Conclusions: </strong>Continuous or extended-cycle COC use demonstrates comparable contraceptive effectiveness, safety and overall acceptability to conventional cyclic COC regimens. However, interpretation of acceptability and bleeding-related outcomes should consider higher discontinuation rates and missing outcome data.</p>","PeriodicalId":9219,"journal":{"name":"BMJ Sexual & Reproductive Health","volume":"52 Suppl 2","pages":"s33-s48"},"PeriodicalIF":3.2,"publicationDate":"2026-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149029634","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}