Cavagnis Sara, Ryan Rebecca, Mussa Aamirah, Hargreaves James R, Tucker Joseph D, Morroni Chelsea
School of Hygiene and Preventive Medicine (Department of Biomedical and Neuromotor Sciences), University of Bologna, Bologna, Italy.
Botswana Sexual and Reproductive Health Initiative, Botswana Harvard AIDS Institute Partnership, Gaborone, Botswana.
Front Glob Womens Health. 2024 Dec 24;5:1235475. doi: 10.3389/fgwh.2024.1235475. eCollection 2024.
During the COVID-19 pandemic, family planning services over the world have been disrupted. There are still uncertainties about the impact on access to contraception, particularly among marginalised populations. This study aimed to assess the effect of COVID-19 on women's access to contraception, focusing on those experiencing loss of income and self-isolation. The International Sexual Health and Reproductive Health (I-SHARE) survey collected data from 5,216 women in 30 countries. Multivariable logistic regression was conducted to assess the association between loss of income during the pandemic, self-isolation and reduced access to contraception. Women experiencing loss of income and those who had self-isolated had reduced access to contraception (respectively aOR 2.3 and 1.7, for both < 0.001). Most women reported inaccessibility of health centres, fear of COVID-19, and stockouts as reasons for reduced access. This study highlights how socio-demographic differences may have impacted access to contraception during the pandemic. People experiencing income loss and self-isolation might have faced increased barriers to family planning during the pandemic. Contraception should be prioritised in times of crisis: when planning services, financial support, telehealth and other measures should be implemented in order to increase access and reduce inequalities.
在新冠疫情期间，全球的计划生育服务受到了干扰。对于获取避孕措施的影响仍存在不确定性，尤其是在边缘化人群中。本研究旨在评估新冠疫情对女性获取避孕措施的影响，重点关注那些经历收入损失和自我隔离的女性。国际性健康和生殖健康（I-SHARE）调查收集了来自30个国家的5216名女性的数据。进行了多变量逻辑回归分析，以评估疫情期间收入损失、自我隔离与获取避孕措施减少之间的关联。经历收入损失的女性和进行自我隔离的女性获取避孕措施的机会减少（调整后的比值比分别为2.3和1.7，两者均<0.001）。大多数女性报告称，健康中心无法到达、对新冠疫情的恐惧以及库存短缺是获取避孕措施减少的原因。本研究强调了社会人口统计学差异在疫情期间可能如何影响避孕措施的获取。在疫情期间，经历收入损失和自我隔离的人群在计划生育方面可能面临更多障碍。在危机时期应优先考虑避孕措施：在规划服务时，应实施财政支持、远程医疗和其他措施，以增加获取机会并减少不平等现象。
