scholarly journals Disrupted prevention: condom and contraception access and use among young adults during the initial months of the COVID-19 pandemic. An online survey

2021 ◽  
pp. bmjsrh-2020-200975
Author(s):  
Ruth Lewis ◽  
Carolyn Blake ◽  
Michal Shimonovich ◽  
Nicky Coia ◽  
Johann Duffy ◽  
...  
Keyword(s):  
Young People ◽  
Online Survey ◽  
Unmet Need ◽  
Initial Response ◽  
Mitigation Measures ◽  
Routine Practice ◽  
Sexual Risk Taking ◽  
Transmitted Infection ◽  
Convenience Sample ◽  
Preventive Practices

BackgroundThe initial response to COVID-19 in the UK involved a rapid contraction of face-to-face sexual and reproductive health (SRH) services and widespread use of remote workarounds. This study sought to illuminate young people’s experiences of accessing and using condoms and contraception in the early months of the pandemic.MethodsWe analysed data, including open-text responses, from an online survey conducted in June–July 2020 with a convenience sample of 2005 16–24-year-olds living in Scotland.ResultsAmong those who used condoms and contraception, one quarter reported that COVID-19 mitigation measures had made a difference to their access or use. Open-text responses revealed a landscape of disrupted prevention, including changes to sexual risk-taking and preventive practices, unwanted contraceptive pathways, unmet need for sexually transmitted infection (STI) testing, and switches from freely provided to commercially sold condoms and contraception. Pandemic-related barriers to accessing free condoms and contraception included: (1) uncertainty about the legitimacy of accessing SRH care and self-censorship of need; (2) confusion about differences between SRH care and advice received from healthcare professionals during the pandemic compared with routine practice; and (3) exacerbation of existing access barriers, alongside reduced social support and resources to navigate SRH care.ConclusionsEmerging barriers to STI and pregnancy prevention within the context of COVID-19 have the potential to undermine positive SRH practices, and widen inequalities, among young people. As SRH services are restored amid evolving pandemic restrictions, messaging to support navigation of condom and contraception services should be co-created with young people.

scholarly journals Preventive practices towards Sexually Transmitted Infection and its determinants among young people in Ethiopia: a protocol for a systematic review and Meta-analysis

2021 ◽  
Author(s):  
Etsay Woldu Anbesu ◽  
Setognal Birara Aychiluhm ◽  
Mussie Alemayehu
Keyword(s):  
Systematic Review ◽  
Young People ◽  
Sexually Transmitted Infections ◽  
Sexually Transmitted Infection ◽  
Meta Analysis ◽  
Transmitted Infection ◽  
Sexually Transmitted ◽  
Preventive Practices ◽  
Pooled Prevalence ◽  
Statistical Heterogeneity

Abstract Background Globally, about 178.5 million new cases of curable sexually transmitted infections occur among young people aged 15–24 years. There are fragmented and inconsistent findings on preventive practices of sexually transmitted infection and there is no national representative data on preventive practices of sexually transmitted infection in Ethiopia. Thus, this systematic review and meta-analysis aimed to estimate the pooled prevalence of good preventive practices of sexually transmitted infection and identify its determinants among young people in Ethiopia. Methods The Preferred Reporting Items for Systematic review and Meta-analyses (PRISMA) guideline was employed to develop the review protocol. Databases such as PubMed, CINAH, Google, and Google Scholar were used to search published and unpublished studies from May 15 − 12 August/2021. Joanna Briggs Institute Meta-Analysis of Statistics Assessment and Review Instrument will be used to assess the quality of the studies. Statistical heterogeneity will be checked using I2 statistics. Subgroup analyses and meta-regression will be done based on regions to identify the sources of heterogeneity at a p-value < 0.05. The statistical analysis will be done using STATA version-14 software. A random-effects model will be employed to estimate the pooled prevalence and identify determinants of preventive practices of sexually transmitted infections. Discussion Young people have a high unmet need for sexual and reproductive health services and poor preventive practices toward sexually transmitted infection. Despite different interventions implemented to enhance the preventive practice of sexually transmitted infection among young people, the problem is still a challenge in low-income countries, including Ethiopia

scholarly journals Preventive practices towards Sexually Transmitted Infection and its determinants among young people in Ethiopia: a protocol for a systematic review and Meta-analysis

2021 ◽  
Author(s):  
Etsay Woldu Anbesu ◽  
Setognal Birara Aychiluhm ◽  
Mussie Alemayehu
Keyword(s):  
Systematic Review ◽  
Young People ◽  
Sexually Transmitted Infections ◽  
Sexually Transmitted Infection ◽  
Meta Analysis ◽  
Transmitted Infection ◽  
Sexually Transmitted ◽  
Preventive Practices ◽  
Pooled Prevalence ◽  
Statistical Heterogeneity

Abstract Background Globally, about 178.5 million new cases of curable sexually transmitted infections occur among young people aged 15–24 years. There are fragmented and inconsistent findings on preventive practices of sexually transmitted infection and there is no national representative data on preventive practices of sexually transmitted infection in Ethiopia. Thus, this systematic review and meta-analysis aimed to estimate the pooled prevalence of good preventive practices of sexually transmitted infection and identify its determinants among young people in Ethiopia. Methods The Preferred Reporting Items for Systematic review and Meta-analyses (PRISMA) guideline was employed to develop the review protocol. Databases such as PubMed, CINAH, Google, and Google Scholar were used to search published and unpublished studies from May 15 − 12 August/2021. Joanna Briggs Institute Meta-Analysis of Statistics Assessment and Review Instrument will be used to assess the quality of the studies. Statistical heterogeneity will be checked using I2 statistics. Subgroup analyses and meta-regression will be done based on regions to identify the sources of heterogeneity at a p-value < 0.05. The statistical analysis will be done using STATA version-14 software. A random-effects model will be employed to estimate the pooled prevalence and identify determinants of preventive practices of sexually transmitted infections. Discussion Young people have a high unmet need for sexual and reproductive health services and poor preventive practices toward sexually transmitted infection. Despite different interventions implemented to enhance the preventive practice of sexually transmitted infection among young people, the problem is still a challenge in low-income countries, including Ethiopia

scholarly journals Preventive practices towards Sexually Transmitted Infection and its determinants among young people in Ethiopia: a protocol for a systematic review and Meta-analysis

2021 ◽  
Author(s):  
Etsay Woldu Anbesu ◽  
Setognal Birara Aychiluhm ◽  
Mussie Alemayehu
Keyword(s):  
Systematic Review ◽  
Young People ◽  
Sexually Transmitted Infections ◽  
Sexually Transmitted Infection ◽  
Meta Analysis ◽  
Transmitted Infection ◽  
Sexually Transmitted ◽  
Preventive Practices ◽  
Pooled Prevalence ◽  
Statistical Heterogeneity

Abstract Background: Globally, about 178.5 million new cases of curable sexually transmitted infections occur among young people aged 15-24 years. There are fragmented and inconsistent findings on preventive practices of sexually transmitted infection. Thus, this systematic review and meta-analysis aimed to estimate the pooled prevalence of preventive practices of sexually transmitted infection and identify its determinants among young people in Ethiopia. Methods: The Preferred Reporting Items for Systematic review and Meta-analyses (PRISMA) was employed to develop the review protocol. Databases such as PubMed, CINAH, Google, and Google Scholar were used to search published and unpublished studies. Joanna Briggs Institute Meta-Analysis of Statistics Assessment and Review Instrument will be used to assess the quality of the study. Statistical heterogeneity will be checked using I2 statistics. Subgroup analyses and meta-regression will be done to identify the sources of heterogeneity. The statistical analysis will be done using STATA version-14 software. A random-effects model will be employed to estimate the pooled prevalence and identify determinants of preventive practices of sexually transmitted infections. Discussion: Young people have a high unmet need for sexual and reproductive health services and poor preventive practices toward sexually transmitted infection. Although there are studies on the sexually transmitted infection preventive practice, there is no study finding on the pooled prevalence of the preventive practices of sexually transmitted infection and its determinants among young people in Ethiopia. Thus, this systematic review and meta-analysis will help to develop appropriate interventions.

Online STI information seeking behaviour and condom use intentions among young Facebook users in Malaysia

2019 ◽  
Vol 35 (5) ◽  
pp. 1116-1124 ◽  
Author(s):  
Sharina Mahavera Mohamad Shakir ◽  
Li Ping Wong ◽  
Khatijah Lim Abdullah ◽  
Phillipe Adam
Keyword(s):  
Young People ◽  
Sexual Health ◽  
Condom Use ◽  
Health Information ◽  
Online Survey ◽  
Internet Access ◽  
The Internet ◽  
Transmitted Infection ◽  
Sti Prevention ◽  
Sexual Health Information

Abstract The Internet has opened pathways for youth to find sexual health information which was not easily available to them in the past. Studies have shown that seeking sexual health information online may potentially influence an individuals’ decision-making to change their sexual health behaviours. However, there is a gap in research on the associations of seeking online sexually transmitted infection (STI) information with STI prevention among young people, particularly in Malaysia. This study investigated the associations of seeking STI information online with the intentions of condom use among young adult online users in Malaysia. A cross-sectional online survey was conducted among Malaysian youth aged 18–25 years old who were recruited through Facebook. In total, 1530 respondents completed the survey, identifying 874 respondents who had sought STI information online. The majority of respondents had intentions to use condoms as protection against STI. Respondents who sought online STI information were significantly more likely to have the intention to use condoms compared to respondents who did not seek online STI information (OR = 1.33, 95% CI = 1.01–1.76, p = 0.040). Online STI information has the potential to increase access to STI information among young online users in Malaysia amid the stigma surrounding sex-related issues. Providing accurate STI information online from reliable sources may equip young people who have Internet access with awareness of sexual health protective behaviours such as condom use. It is recommended to facilitate Internet access to reach sectors of the population that currently do not have access, as the Internet is useful in STI prevention.

scholarly journals Knowledge, attitudes, practices, and the effects of COVID-19 among the youth in Kenya

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Evalin Karijo ◽  
Sylvia Wamugi ◽  
Samuel Lemanyishoe ◽  
Jenny Njuki ◽  
Faith Boit ◽  
...  
Keyword(s):  
Young People ◽  
Reproductive Health ◽  
Perceived Risk ◽  
Online Survey ◽  
Sexual And Reproductive Health ◽  
Virus Disease ◽  
Education Level ◽  
Risk Of Infection ◽  
Preventive Practices ◽  
First Case

Abstract Background Cases of the Corona Virus Disease of 2019 (COVID-19) in Kenya have continued to increase rapidly, since the first case in the country was confirmed in March 2020. In the wake of the pandemic, the health and socio-economic challenges experienced by the youth in Kenya are likely to be elevated. We assessed knowledge, practices, perceived risk of infection, adoption of recommended behaviour and the effects of COVID-19 among the youth in Kenya. Methods A cross sectional descriptive study was conducted between April 30th to May 7th, 2020 through a combined online survey and phone interviews. A total of 2156 youth across all 47 counties in Kenya completed the responses to the study questions. All survey responses analyzed using Stata version 15 were tabulated by gender, age, and education level to generate basic descriptive tables and tested for differences by category using chi-square tests. Where applicable, linear and logistic regression analysis model was conducted using covariates such as employment status, gender, and education level. Results Knowledge on symptoms of COVID-19 was generally high. Female respondents were more likely to identify more symptoms correctly compared to men (p < 0.001). However, youth reported very low levels of anyone being at risk of infection (7.1%). Most youth have adopted behavior necessary to slow down the infection. There were generally very low reported levels of inability to access health services related to sexual and reproductive health. About 50.0% of respondents reported significant decline in income during the pandemic period, nearly a third reported living in fear while 26.5% reported feeling stressed. Conclusion There was high knowledge of COVID-19 symptoms, preventive strategies, and high adoption of preventive practices. Strategies to sustain behaviors positively adopted among young people will be critical to reduce the spread of COVID-19. Despite the low reported rates of inability to access sexual and reproductive health, response measures should include strategies that facilitate continuity of services among young people. The reported social effects of the pandemic show the need for interventions to meet the health and socio-economic needs of the youth and minimize the long-term consequences of the pandemic.

scholarly journals Sexual health practices of 16 to 19 year olds in New Zealand: an exploratory study

2020 ◽  
Vol 12 (1) ◽  
pp. 64 ◽  
Author(s):  
Sonja J. Ellis ◽  
Robyn Aitken
Keyword(s):  
New Zealand ◽  
Young People ◽  
Sexual Health ◽  
Online Survey ◽  
Full Range ◽  
Sexual Practices ◽  
Health Practices ◽  
Age Group ◽  
Convenience Sample ◽  
Sexual Behaviours

ABSTRACT INTRODUCTIONNew Zealand sexual health surveillance data suggest that young people aged 15–19 years are at considerable risk of contracting sexually transmitted infections. Although there is an established body of international research around sexual behaviours and sexual health practices among teenagers, there is a dearth of local research focusing on this age group. AIMThe aim of this study was to explore the sexual repertoires and sexual health practices among teenagers in New Zealand with a view to better understanding levels of risk in this age group. METHODSThis study comprised a cross-sectional online survey designed to ask questions about sexual behaviours. A convenience sample of young people (n=52) aged 16–19 years living in New Zealand completed the survey. RESULTSMost participants (71.2%) were sexually active, reporting engagement in a range of sexual practices. The most commonly reported sexual behaviours were penis-in-vagina sex (86.5%) and oral sex with a person-with-a-penis (81.1%). Infrequent and inconsistent use of barrier protection across all types of sexual behaviour was also reported. DISCUSSIONThe findings of this study highlight the importance of ensuring that young people have access to sexual health education that routinely includes health information and advice addressing the full range of sexual practices, regardless of the identity classifications they may use, or that may be attributed to them.

scholarly journals Relationships between Coerced Sexting and Differentiation of Self: An Exploration of Protective Factors

Sexes ◽  
2021 ◽  
Vol 2 (4) ◽  
pp. 468-482
Author(s):  
Jessica Laird ◽  
Bianca Klettke ◽  
Elizabeth Clancy ◽  
Ian Fuelscher
Keyword(s):  
Mental Health ◽  
Young People ◽  
Sexual Risk ◽  
Risk Behaviors ◽  
Online Survey ◽  
Protective Factor ◽  
Differentiation Of Self ◽  
Convenience Sample ◽  
Sexually Explicit ◽  
The Relationship

Pressure to send sexually explicit messages, or ‘sexting coercion’ is associated with adverse mental health outcomes and sexual risk behaviors. This study explores Differentiation of Self (DoS) as a potential protective factor to reduce susceptibility to sexting coercion. A convenience sample of 399 Australian participants, aged 18 to 21 years (Mage = 19.63; SD = 1.14, 68.2% women) completed an online survey measuring sexting behaviors and DoS. Women were four times more likely to send willing unwanted sexts, and seven times more likely to engage in coerced unwanted sexting than men. Participants with low DoS were four times more likely to engage in coerced unwanted sexting. DoS significantly mediated the relationship between gender and coerced unwanted sexting. Results support the proposal of a sexting coercion typology encompassing discrete sub-types of sexting coercion. Results also indicate DoS may operate as a protective factor for young people in Australia, reducing compliance with sexting when coerced.

scholarly journals Knowledge, attitude and practices related to COVID-19 among young Lebanese population

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Samer Sakr ◽  
Ali Ghaddar ◽  
Imtithal Sheet ◽  
Ali H. Eid ◽  
Bassam Hamam
Keyword(s):  
Online Survey ◽  
Descriptive Analysis ◽  
Public Places ◽  
Convenience Sample ◽  
Marriage Age ◽  
Team Members ◽  
Attitudes And Practices ◽  
Preventive Practices ◽  
Lebanese Population ◽  
Level Of Concern

Abstract Background As the world faces the most serious and widespread pandemic in recent history, claiming nearly 1,945,610 lives and infecting over 90 million individuals up to January 13, 2021, controlling the spread of COVID-19 is still limited to efforts done by the general population implementing rules and restrictions passed by world governments and organizations. As we wait for the approved vaccines to become widely distributed, the best approach to fighting the spread of this disease is mostly preventative depending largely on individuals’ compliance. This study aimed to determine the knowledge, attitude and practices (KAP) towards COVID-19 in Lebanon. Methods A descriptive analysis was performed to describe the outcome measures of knowledge, attitudes and practices towards COVID-19 on a convenience sample from the Lebanese population in relation to socio-demographic characteristics and level of concern towards COVID-19. One thousand eight hundred sixty-one participants filled in an online survey (response rate: 18.5%) distributed by social media to social networks of the research team members. Results Participants were mainly young (49.4% between 18 and 24 years) and males (73.7%). Participants showed an overall appropriate knowledge of COVID-19 (67.1%) and positive attitude (around 90% were optimistic about treatment and vaccination) and had good preventive practices towards COVID-19 (around 75% washed hands and avoided public places). Knowledge and practices correlated positively with marriage, age, education, working in a healthcare field and with the level of concern about getting COVID-19. Conclusions This study found good overall levels of KAP among the studied Lebanese population. This can help in controlling the spread of COVID-19 if individuals were forced to adhere to social distancing and appropriate preventative practices.

scholarly journals Access to sexual healthcare during New Zealand’s COVID-19 lockdown: cross-sectional online survey of 15–24-year-olds in a high deprivation region

2021 ◽  
pp. bmjsrh-2020-200986
Author(s):  
Sally B Rose ◽  
Susan M Garrett ◽  
Eileen M McKinlay ◽  
Sonya J Morgan
Keyword(s):  
New Zealand ◽  
Young People ◽  
Online Survey ◽  
Information Dissemination ◽  
Unmet Need ◽  
Healthcare Services ◽  
Cross Sectional ◽  
Advantages And Disadvantages ◽  
High Deprivation ◽  
Sexual Healthcare

BackgroundNew Zealand’s response to the COVID-19 pandemic involved a nationwide stay-at-home lockdown in March–April 2020 that restricted access to primary healthcare services.MethodsAn online survey of 15–24-year-olds in a high deprivation region of New Zealand asked about the need for, and receipt of, sexual healthcare during lockdown. Experience of telehealth and preferences for future receipt of sexual healthcare were also explored. Social media advertising was used to recruit participants over five weeks in August and October 2020.ResultsThe survey sample included 500 respondents comprising 58.8% females, 25.4% Māori (indigenous) ethnicity and 21.4% LGBTQI+ (lesbian, gay, bisexual, transgender, queer, intersex +) young people. During lockdown, 22.2% of respondents reported sexual health needs (111/500), but fewer than half this group got help (45%, 50/111), believing their issue could wait, or due to barriers contacting services and lack of information about service availability. Experience of telehealth consultations (by 28/50 participants) was mostly favourable though only 46% agreed it was easier than going to the clinic. Telehealth methods were the preferred option by some participants for future receipt of sexual healthcare; but for most scenarios suggested, respondents favoured in-person clinic visits.ConclusionsYoung people experienced unmet need for sexual healthcare during lockdown in New Zealand, but not because services were unavailable. Findings point to the need for targeted information dissemination to young people about available services and the importance of seeking help during lockdown. More research is needed to understand the advantages and disadvantages of sexual healthcare delivered via telehealth to inform future service provision.

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