BMJ Sexual & Reproductive Health最新文献

{"title":"Improving post-second-trimester abortion mental health screening: a retrospective quality improvement evaluation.","authors":"Amythis Soltani, Andrea Henkel, Jayne Caron, Simranvir Kaur, Erica P Cahill, Kate A Shaw, Lisa M Goldthwaite","doi":"10.1136/bmjsrh-2026-203232","DOIUrl":"https://doi.org/10.1136/bmjsrh-2026-203232","url":null,"abstract":"","PeriodicalId":9219,"journal":{"name":"BMJ Sexual & Reproductive Health","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2026-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148307222","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":"Definition and framework of sexual wellbeing for population health: a modified Delphi study.","authors":"Ruth Lewis, Billie Turner, Julie Riddell, Mhairi Campbell, Kirstin R Mitchell","doi":"10.1136/bmjsrh-2025-203200","DOIUrl":"https://doi.org/10.1136/bmjsrh-2025-203200","url":null,"abstract":"<p><strong>Background: </strong>Sexual well-being is rarely prioritised as a distinct goal in national or international sexual health strategies. A major barrier is the absence of a widely accepted definition of sexual well-being. This study aimed to establish consensus on a definition and framework to inform public policy in Scotland and internationally.</p><p><strong>Methods: </strong>A two-stage, online, modified Delphi process involving Scottish and international experts from government, non-governmental organisations and academia. Panellists rated and commented on the clarity and importance (scale: 1-9) of a proposed definition and domains of sexual wellbeing. Consensus was defined as ≥70% participants rating 7-9. Qualitative comments were synthesised and revised statements were re-rated. Statements were further refined via a consensus meeting.</p><p><strong>Results: </strong>Ninety-five panellists completed Round 1 (53% Scotland-based; 65% >10 years' professional experience) and 66 completed Round 2 (69.5% retention). Panellists reached consensus on a definition of sexual wellbeing as \"feeling respected, safe, at ease and supported, while also having a sense of self-worth and agency in relation to sex and sexuality\" (>90% consensus). Definition statements for six domains of sexual wellbeing also achieved high consensus: sexual respect, safety, agency and support (>90% consensus) and comfort with sexuality and sexual self-esteem (>80% consensus).</p><p><strong>Conclusions: </strong>This is the first consensus definition and framework of sexual wellbeing for population health. It provides a foundation for goals and indicators to support multisector efforts aimed at promoting positive sexuality alongside mitigation of negative outcomes. Further work is required to understand the framework's transferability across diverse cultural and policy environments.</p>","PeriodicalId":9219,"journal":{"name":"BMJ Sexual & Reproductive Health","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2026-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148307189","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":"What is the potential for the introduction of an artificial intelligence (AI) chatbot to support medical abortion at home? Findings from a patient survey in England and Wales.","authors":"Chloe Hanse, Koula Charitonos, Lesley Hoggart, Kathryn Piper, Carrie Purcell, Patricia A Lohr","doi":"10.1136/bmjsrh-2026-203287","DOIUrl":"https://doi.org/10.1136/bmjsrh-2026-203287","url":null,"abstract":"<p><strong>Background: </strong>Most patients in Britain undergoing medical abortion under 10 weeks' gestation manage the entire process at home, with access to clinical support from qualified staff via telephone if needed. Artificial intelligence (AI) 'chatbots' are potential tools to support patients; however, little is known about patient views on their use in this regard.</p><p><strong>Methods: </strong>We invited British Pregnancy Advisory Service (BPAS) patients who had a medical abortion under 10 weeks' gestation to participate in an online, English-language, cross-sectional questionnaire (August 2025-October 2025). The questionnaire assessed demographics, self-reported likelihood of using a potential AI chatbot, perceived appealing features, reasons for hesitation and preferred features. Descriptive analysis, Chi-square statistics and p values were used to analyse responses. The desired sample size was 380.</p><p><strong>Results: </strong>Of the 4684 patients invited, 396 completed the questionnaire (8%). Overall, 22.4% self-reported as very likely to use an AI chatbot, 13.1% as likely, 20.8% as neutral, 17.5% as unlikely and 26.2% as very unlikely. Self-reported likelihood of use did not vary by demographics. Perceived appealing features included: 24-hour access (57.6%), reduced wait time (47%), anonymous care (25.7%) and access to reliable personalised information (17.2%). Reasons for hesitation included: misinformation (54.2%), preference for human interaction (51.9%), conversations that loop (42.2%), data privacy (40.4%) and lack of trust in AI (38.3%). Preferred features emphasised flexibility, customisation and ability to contact staff.</p><p><strong>Conclusions: </strong>Respondents' views on a potential AI chatbot for medical abortion support were mixed, shaped by trust, reliability, flexibility and access to clinical staff. Such tools may be most acceptable as optional adjuncts within existing care pathways, requiring real-world evaluation.</p>","PeriodicalId":9219,"journal":{"name":"BMJ Sexual & Reproductive Health","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2026-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148263445","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":"Artificial intelligence pathways to abortion care: a regional analysis of ChatGPT referrals to Women on Web.","authors":"Jane Ilse, Suzanne Veldhuis","doi":"10.1136/bmjsrh-2026-203297","DOIUrl":"10.1136/bmjsrh-2026-203297","url":null,"abstract":"","PeriodicalId":9219,"journal":{"name":"BMJ Sexual & Reproductive Health","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2026-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147762825","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":"Highlights from the literature.","authors":"","doi":"10.1136/bmjsrh-2025-203055","DOIUrl":"https://doi.org/10.1136/bmjsrh-2025-203055","url":null,"abstract":"","PeriodicalId":9219,"journal":{"name":"BMJ Sexual & Reproductive Health","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2026-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148148222","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":"Accuracy of gestational dating by last menstrual period in period tracking application users.","authors":"Courtney Kerestes, Mary Tschann, Katelynn Stone, Erin Berry, Lori Gawron, Reni Soon, Bliss Kaneshiro","doi":"10.1136/bmjsrh-2025-203194","DOIUrl":"https://doi.org/10.1136/bmjsrh-2025-203194","url":null,"abstract":"<p><strong>Introduction: </strong>Period tracking applications (apps) are becoming an increasingly common tool used to predict cycles and plan or prevent pregnancy. We sought to evaluate if app users' pregnancy dating by last menstrual period (LMP) and dating by ultrasound were more congruent than those who did not use apps.</p><p><strong>Methods: </strong>We conducted a secondary analysis of data collected from the LMP-SURE study in the United States, which surveyed participants without prior ultrasound from abortion clinics in Alaska, Hawai'i, Idaho and Utah about date and certainty of LMP and use of period tracking apps. We obtained subsequent ultrasound dating by chart review. We compared agreement between LMP and ultrasound dating between those who did and did not use period-tracking apps.</p><p><strong>Results: </strong>Of the 1025 participants that started the survey, 730 had complete data including ultrasound dating and period tracking app use. Of those, 288 (39.5%) used a period tracking app. App users were more likely to be certain or fairly certain of LMP (279 (96.9%) vs 352 (79.6%) of non-app users, p<0.001). Of those who tracked their periods with an app, 163 (56.6%) had a gestational duration by LMP within 5 days of their gestational duration by ultrasound compared with 191 (43.2%) of non-app users (p<0.001).</p><p><strong>Conclusions: </strong>Participants who used period tracking apps were significantly more likely than those who did not use apps to report an LMP-based gestational duration that was within 5 days of their gestational duration by ultrasound.</p>","PeriodicalId":9219,"journal":{"name":"BMJ Sexual & Reproductive Health","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2026-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148004712","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":"Mapping of person-centred sexual and reproductive health interventions in primary healthcare settings: an umbrella review.","authors":"Ghada E Saad, Sohayla El Fakahany, Lara Abi Jaoude, Petra Halawi, Zeina Karam, Tamar Kabakian-Khasholian, Faysal El Kak, Stephen J McCall","doi":"10.1136/bmjsrh-2025-203096","DOIUrl":"https://doi.org/10.1136/bmjsrh-2025-203096","url":null,"abstract":"<p><strong>Introduction: </strong>Sexual and reproductive health (SRH) is an essential component of primary healthcare (PHC). Advancing person-centred SRH promotes gender equality and ensures women and girls access high-quality care that respects their autonomy. This umbrella review synthesises key findings on existing person-centred SRH interventions in PHC settings, globally.</p><p><strong>Methods: </strong>Searches were conducted in five bibliometric databases from 2016 to 2024. Reviews were included if they referred to person-centred SRH interventions, aimed at enhancing women's autonomy, in PHC settings. Two researchers independently screened reviews for inclusion, and extracted and appraised the quality of eligible reviews. Data were synthesised to identify themes and related person-centeredness.</p><p><strong>Results: </strong>Of 1300 identified reviews, 21 were included (twelve scoping, seven systematic, one integrative and one narrative review). Geographic scope varied where eight were global, six focused on low- and middle-income countries, and seven on high-income countries. These reviews explored multiple SRH topics (eg, family planning, sexually transmitted infections/HIV, breast/cervical cancer). Four reviews explicitly referred to person-centredness; otherwise, person-centeredness was inferred. Synthesis identified five themes: (1) Interactive decision- and counselling-support tools, (2) Provider-initiated clinical prompts/support, (3) Remote/digital information channels, (4) Integrated service delivery and accessibility strategies and (5) Social/peer-led navigation. These interventions mainly addressed person-centred care domains of autonomy, dignity and communication, while trust, social support and facility environment were addressed less frequently.</p><p><strong>Conclusions: </strong>Person-centred SRH interventions in PHC settings have varied delivery modes highlighting innovation and a shift towards SRH care that is more responsive, accessible and respectful. Nevertheless, given limited explicit evaluation of person-centredness, future interventions need to encompass person-centred components to achieve holistic, person-centred SRH care for women and girls.</p>","PeriodicalId":9219,"journal":{"name":"BMJ Sexual & Reproductive Health","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2026-05-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147926537","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":"Web-based mentorship resources for improving access to abortion information in Canada: a utilisation and reach analysis.","authors":"Parita Mehta, Wendy V Norman, Abdul-Fatawu Abdulai","doi":"10.1136/bmjsrh-2026-203242","DOIUrl":"https://doi.org/10.1136/bmjsrh-2026-203242","url":null,"abstract":"<p><strong>Background: </strong>Abortion is a critical health service in Canada, yet access to evidence-based healthcare professional information remains limited. Our team developed a registration-based web platform in 2018, and subsequently an open-access platform in 2024 as an enhancement. The goal of these platforms was to disseminate reliable abortion-related healthcare professional information. This study examined the reach and utilisation of these platforms to assess their impact on improving access to evidence-based abortion information.</p><p><strong>Methods: </strong>We analysed secondary data extracted from the two web-based platforms. We calculated the total subscribers and analysed the user-posted queries in the registration-based platforms. We also calculated the active users, page-level access statistics, average session duration, and resource download counts in the open-access platform.</p><p><strong>Results: </strong>The registration-based platform (2018-2025) gained 1778 subscribers over 7 years, while the open-access platform (2024-2025) reached 1379 active users in just 1 year. The use of the registration-based platform was limited to Canada, whereas the open-access website attracted both Canadian (86.9%) and international users (13.1%). The registration-based platform generated 260 user queries across 10 thematic areas, primarily from medical doctors and nurse practitioners. On the open-access platform, users spent an average of 2 minutes per visit and viewed about 4.1 pages.</p><p><strong>Conclusions: </strong>Our analysis shows that while the open-access platform was accessible to a broad range of providers, it did not facilitate clinical queries or active engagement. This limits opportunities for providers to seek expert advice beyond the information available on the platform. Although integrating interactive features into open-access abortion platforms currently raises privacy and security concerns, future technological advancements may enable safe and confidential provider interactions in such settings.</p>","PeriodicalId":9219,"journal":{"name":"BMJ Sexual & Reproductive Health","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2026-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147833916","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":"Patient accuracy and confidence in self-RhD typing using a point-of-care blood typing kit.","authors":"Riana M Kawasaki, Divya Dethier, Reni Soon, Lauren Sternberg, Mary Tschann","doi":"10.1136/bmjsrh-2025-203206","DOIUrl":"https://doi.org/10.1136/bmjsrh-2025-203206","url":null,"abstract":"","PeriodicalId":9219,"journal":{"name":"BMJ Sexual & Reproductive Health","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2026-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147687940","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":"Improving the environmental and financial impact of intrauterine contraception.","authors":"Catherine Zoe Mercer Stace, Georgina Forbes","doi":"10.1136/bmjsrh-2024-202688","DOIUrl":"10.1136/bmjsrh-2024-202688","url":null,"abstract":"","PeriodicalId":9219,"journal":{"name":"BMJ Sexual & Reproductive Health","volume":" ","pages":"159-160"},"PeriodicalIF":2.8,"publicationDate":"2026-04-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143802519","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}