International Centre for Reproductive Health, Department of Public Health and Primary Care, University of Ghent, Gent, Belgium.
Academic Network for Sexual and Reproductive Health and Rights Policy, Ghent University, Ghent, Belgium.
Sex Transm Infect. 2021 Mar;97(2):88-92. doi: 10.1136/sextrans-2020-054664. Epub 2020 Oct 20.
COVID-19 may have a profound impact on sexual health, reproductive health and social life across the world. Shelter in place regulations that have extended across the globe may influence condomless sex, exacerbate intimate partner violence and reduce access to essential reproductive health services. Population representative research is challenging during shelter in place, leaving major gaps in our understanding of sexual and reproductive health during COVID-19. This International Sexual Health And ReproductivE health (I-SHARE) study protocol manuscript describes a common plan for online national surveys and global comparative analyses.
The purpose of this cross-sectional study is to better understand sexual and reproductive health in selected countries during the COVID-19 pandemic and facilitate multinational comparisons. Participants will be recruited through an online survey link disseminated through local, regional and national networks. In each country, a lead organisation will be responsible for organising ethical review, translation and survey administration. The consortium network provides support for national studies, coordination and multinational comparison. We will use multilevel modelling to determine the relationship between COVID-19 and condomless sex, intimate partner violence, access to reproductive health services, HIV testing and other key items. This study protocol defines primary outcomes, prespecified subanalyses and analysis plans.
The I-SHARE study examines sexual and reproductive health at the national and global level during the COVID-19 pandemic. We will use multilevel modelling to investigate country-level variables associated with outcomes of interest. This will provide a foundation for subsequent online multicountry comparison using more robust sampling methodologies.
COVID-19 可能会对全球的性健康、生殖健康和社会生活产生深远影响。全球范围内延长的就地避难规定可能会影响无保护性行为，加剧亲密伴侣暴力行为，并减少获得基本生殖健康服务的机会。在就地避难期间，进行人口代表性研究具有挑战性，这使得我们对 COVID-19 期间的性健康和生殖健康的了解存在重大差距。本国际性健康和生殖健康（I-SHARE）研究方案手稿描述了在线全国调查和全球比较分析的通用计划。
本横断面研究的目的是更好地了解 COVID-19 大流行期间选定国家的性健康和生殖健康，并促进跨国比较。参与者将通过在线调查链接招募，该链接通过当地、区域和国家网络传播。在每个国家，一个牵头组织将负责组织伦理审查、翻译和调查管理。联盟网络为国家研究、协调和跨国比较提供支持。我们将使用多层次模型来确定 COVID-19 与无保护性行为、亲密伴侣暴力、获得生殖健康服务、艾滋病毒检测和其他关键项目之间的关系。本研究方案定义了主要结局、预设的亚分析和分析计划。
I-SHARE 研究在 COVID-19 大流行期间在国家和全球层面上检查性健康和生殖健康。我们将使用多层次模型来调查与感兴趣结局相关的国家层面变量。这将为随后使用更稳健的抽样方法进行在线多国比较提供基础。
