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The International Sexual Health And REproductive Health during COVID-19 (I-SHARE) Study: A Multicountry Analysis of Adults from 30 Countries Prior to and During the Initial Coronavirus Disease 2019 Wave
J. Toller Erausquin, RKJ. Tan, M. Uhlich, JM. Francis, N. Kumar, L. Campbell, WH. Zhang, TG. Hlatshwako, P. Kosana, S. Shah, EM. Brenner, L. Remmerie, A. Mussa, K. Klapilova, K. Mark, G. Perotta, A. Gabster, E. Wouters, S. Burns, J. Hendriks, DJ....
Jazyk angličtina Země Spojené státy americké
Typ dokumentu časopisecké články, metaanalýza
Grantová podpora
K24 AI143471
NIAID NIH HHS - United States
UG3 HD096929
NICHD NIH HHS - United States
UG3HD096929
NIH HHS - United States
PubMed
35136960
DOI
10.1093/cid/ciac102
Knihovny.cz E-zdroje
- MeSH
- COVID-19 * MeSH
- dospělí MeSH
- HIV infekce * MeSH
- kondomy MeSH
- lidé MeSH
- průřezové studie MeSH
- reprodukční zdraví MeSH
- sexuálně přenosné nemoci * epidemiologie MeSH
- sexuální chování MeSH
- sexuální partneři MeSH
- sexuální zdraví * MeSH
- Check Tag
- dospělí MeSH
- lidé MeSH
- Publikační typ
- časopisecké články MeSH
- metaanalýza MeSH
BACKGROUND: There is limited evidence to date about changes to sexual and reproductive health (SRH) during the initial wave of coronavirus disease 2019 (COVID-19). To address this gap, our team organized a multicountry, cross-sectional online survey as part of a global consortium. METHODS: Consortium research teams conducted online surveys in 30 countries. Sampling methods included convenience, online panels, and population-representative. Primary outcomes included sexual behaviors, partner violence, and SRH service use, and we compared 3 months prior to and during policy measures to mitigate COVID-19. We conducted meta-analyses for primary outcomes and graded the certainty of the evidence. RESULTS: Among 4546 respondents with casual partners, condom use stayed the same for 3374 (74.4%), and 640 (14.1%) reported a decline. Fewer respondents reported physical or sexual partner violence during COVID-19 measures (1063 of 15 144, 7.0%) compared to before COVID-19 measures (1469 of 15 887, 9.3%). COVID-19 measures impeded access to condoms (933 of 10 790, 8.7%), contraceptives (610 of 8175, 7.5%), and human immunodeficiency virus/sexually transmitted infection (HIV/STI) testing (750 of 1965, 30.7%). Pooled estimates from meta-analysis indicate that during COVID-19 measures, 32.3% (95% confidence interval [CI], 23.9%-42.1%) of people needing HIV/STI testing had hindered access, 4.4% (95% CI, 3.4%-5.4%) experienced partner violence, and 5.8% (95% CI, 5.4%-8.2%) decreased casual partner condom use (moderate certainty of evidence for each outcome). Meta-analysis findings were robust in sensitivity analyses that examined country income level, sample size, and sampling strategy. CONCLUSIONS: Open science methods are feasible to organize research studies as part of emergency responses. The initial COVID-19 wave impacted SRH behaviors and access to services across diverse global settings.
Asia Europe Institute Universiti Malaya Kuala Lumpur Malaysia
Center for Population Family and Health University of Antwerp Antwerp Belgium
College of Medicine University of Ibadan Ibadan Nigeria
Department of Dermatology Venereology and Andrology Sohag University Sohag Egypt
Department of Pediatrics Indiana University School of Medicine Indianapolis Indiana USA
Department of Psychology Sapienzo University Rome Italy
Department of Psychology University of the Republic Montevideo Uruguay
Department of Psychology Western University London Ontario Canada
Department of Public Health University of Copenhagen Copenhagen Denmark
Department of Sociology Indiana University Purdue University Indianapolis Indianapolis Indiana USA
Department of Sociology Yale University New Haven Connecticut USA
Dermatology Hospital of Southern Medical University Guangzhou China
End FGM C Centre of Excellence Amref Health Africa Nairobi Kenya
Faculty of Humanities Charles University Prague Czech Republic
Faculty of Psychology University of Buenos Aires Buenos Aires Argentina
Gorgas Memorial Institute for Health Studies Panama City Panama
Health Systems Strengthening Foundation for Professional Development Pretoria South Africa
Institute of Public Health Riga Stradins University Riga Latvia
Ministry of Health Malaysia Putrajaya Malaysia
MRC Centre for Reproductive Health University of Edinburgh Edinburgh United Kingdom
National Institute of Mental Health Klecany Czech Republic
Saw Swee Hock School of Public Health National University of Singapore Singapore
School of Public Health Université Libre de Bruxelles Brussels Belgium
School of Public Health University of Witwatersrand Johannesburg South Africa
Citace poskytuje Crossref.org
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