BMJ Sexual & Reproductive Health最新文献_第3页

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 : 2024-12-31 DOI: 10.1136/bmjsrh-2024-202441

Nicola Boydell, Rebecca Blaylock

引用次数: 0

Association between menstrual cycle pattern regularity and changes in menstrual bleeding following COVID-19 vaccination: secondary analysis of an observational study. COVID-19疫苗接种后月经周期规律与月经出血变化的关系：一项观察性研究的二次分析

IF 3.4 3区医学

BMJ Sexual & Reproductive Health Pub Date : 2024-12-31 DOI: 10.1136/bmjsrh-2024-202564

Emily R Boniface, Blair G Darney, Agathe van Lamsweerde, Eleonora Benhar, Leo Han, Kristen Matteson, Victoria Male, Sharon Cameron, Alexandra Alvergne, Alison Edelman

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Motivations for obtaining advance provision of medication abortion in the United States: a qualitative study. 美国药物流产提前提供的动机：一项定性研究。

IF 3.4 3区医学

BMJ Sexual & Reproductive Health Pub Date : 2024-12-31 DOI: 10.1136/bmjsrh-2024-202580

Dana M Johnson, Sruthi Ramaswamy, Rebecca Gomperts, Abigail R A Aiken

{"title":"Motivations for obtaining advance provision of medication abortion in the United States: a qualitative study.","authors":"Dana M Johnson, Sruthi Ramaswamy, Rebecca Gomperts, Abigail R A Aiken","doi":"10.1136/bmjsrh-2024-202580","DOIUrl":"https://doi.org/10.1136/bmjsrh-2024-202580","url":null,"abstract":"Background: Advance provision of medication abortion, or the prescription of mifepristone and misoprostol before pregnancy occurs, is an unexplored care model aimed at expanding abortion access. We examine motivations for obtaining advance provision from the online telemedicine service, Aid Access, which supports people in the United States.Methods: Between May and November 2023, we conducted semi-structured, in-depth interviews with 39 people who obtained advance provision between January 2022 and April 2023. Interviews were transcribed and we conducted a thematic analysis to assess individual motivations.Results: Participants were motivated to obtain medications because of the Dobbs v Jackson Women's Health Organization (Dobbs) draft opinion leak and eventual decision. Participants expressed concerns about access to abortion under current and future abortion restrictions. Concerns about restrictions prompted people to make a backup plan for themselves and loved ones, and participants compared advance provision to other emergency medications and practices. Some participants were motivated to have medications on hand because pregnancy would be either unsafe or difficult. Others were trying to become pregnant, but because of their health histories they were cognisant of the health risks of a desired pregnancy. Overall, participants were motivated to take back control of their reproductive autonomy in the face of inevitable abortion bans.Conclusions: The need for autonomy, resistance and reassurance were woven throughout participant's motivations for obtaining advance provision. The Dobbs decision acted as a catalyst for action to take back reproductive autonomy and prepare for a lack of access to abortion care.","PeriodicalId":9219,"journal":{"name":"BMJ Sexual & Reproductive Health","volume":" ","pages":""},"PeriodicalIF":3.4,"publicationDate":"2024-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142909303","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 : 2024-12-30 DOI: 10.1136/bmjsrh-2024-202381

Sarah Munro, Catherine L Satterwhite, Megha Ramaswamy

引用次数: 0

Male contraception: successes, challenges and the future. 男性避孕：成功、挑战与未来。

IF 3.4 3区医学

BMJ Sexual & Reproductive Health Pub Date : 2024-12-30 DOI: 10.1136/bmjsrh-2024-202427

Richard A Anderson

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 : 2024-12-30 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":"Objectives: 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.Study design: 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.Results: 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%).Conclusions: 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.","PeriodicalId":9219,"journal":{"name":"BMJ Sexual & Reproductive Health","volume":" ","pages":""},"PeriodicalIF":3.4,"publicationDate":"2024-12-30","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

Sexual and reproductive health clinical consultations: Recurrent vulvovaginal candidiasis. 性与生殖健康临床咨询：复发性外阴阴道念珠菌病。

IF 3.4 3区医学

BMJ Sexual & Reproductive Health Pub Date : 2024-12-30 DOI: 10.1136/bmjsrh-2024-202537

Madeleine Benns, Corrina Horan

引用次数: 0

Oral contraception prescribing trends in Scottish general practices between 2016 and 2023. 2016 年至 2023 年苏格兰普通诊所的口服避孕药处方趋势。

IF 3.4 3区医学

BMJ Sexual & Reproductive Health Pub Date : 2024-12-30 DOI: 10.1136/bmjsrh-2024-202387

Elliot Johnson-Hall

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 : 2024-12-30 DOI: 10.1136/bmjsrh-2024-202461

Gillian Matthews, Claire Cousins, Lesley Regan, Edward Mullins

引用次数: 0

Nurse practitioner medication abortion providers in Canada: results from a national survey. 加拿大执业护士药物流产提供者：全国调查结果。

IF 3.4 3区医学

BMJ Sexual & Reproductive Health Pub Date : 2024-12-30 DOI: 10.1136/bmjsrh-2024-202379

Emma Stirling-Cameron, Andrea Carson, Abdul-Fatawu Abdulai, Ruth Martin-Misener, Regina Renner, Madeleine Ennis, Wendy V Norman

{"title":"Nurse practitioner medication abortion providers in Canada: results from a national survey.","authors":"Emma Stirling-Cameron, Andrea Carson, Abdul-Fatawu Abdulai, Ruth Martin-Misener, Regina Renner, Madeleine Ennis, Wendy V Norman","doi":"10.1136/bmjsrh-2024-202379","DOIUrl":"10.1136/bmjsrh-2024-202379","url":null,"abstract":"Background: In 2017, nurse practitioners (NPs) became the first non-physician healthcare providers authorised to independently provide medication abortion (MA) in Canada. We aimed to report on demographic and clinical characteristics of NPs providing mifepristone/misoprostol MA in Canada and to identify context-specific barriers and enablers to NP provision of mifepristone/misoprostol MA in Canada among MA providers and non-providers.Methods: From August 2020 to February 2021, we invited Canadian NPs to complete a national, web-based, bilingual (English/French) survey. The survey was distributed through national and provincial nursing associations and national abortion health professional organisations. We collected demographic and clinical care characteristics and present descriptive statistics and bivariate analyses to compare the experiences of NP providers and non-providers of MA.Results: The 181 respondents represented all Canadian provinces and territories. Sixty-five NPs (36%) had provided MA at the time of the survey and 116 (64%) had not. Nearly half (47%) of respondents worked in rural or remote communities and 81% in primary care clinics. Significant barriers impacting non-providers' abilities to provide MA included limited proximity to a pharmacy that dispensed mifepristone/misoprostol, few experienced abortion providers in their community of practice, poor access to procedural abortion services, policy restrictions in NPs' places of employment, and no access to clinical mentorship. Some 98% of NPs providing MA services had never encountered anti-choice protest activity.Conclusions: NPs appear prepared and able to provide MA, yet barriers remain, particularly for NPs in smaller, lower-resourced communities. Our findings inform the development of supports for NPs in this new practice to improve abortion access in Canada.","PeriodicalId":9219,"journal":{"name":"BMJ Sexual & Reproductive Health","volume":" ","pages":""},"PeriodicalIF":3.4,"publicationDate":"2024-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142458416","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