Ahmadnia Elahe, Haseli Arezoo, Davoudian Atefeh, Abbasi Mina
Department of Midwifery School of Nursing and Midwifery, Zanjan University of Medical Sciences Zanjan Iran.
Family Health and Population Growth Research Center, Health Policy and Promotion Research Institute Kermanshah University of Medical Sciences Kermanshah Iran.
Health Sci Rep. 2025 Apr 29;8(5):e70774. doi: 10.1002/hsr2.70774. eCollection 2025 May.
The COVID-19 pandemic has greatly disrupted adolescents' access to sexual health services, resulting in a decline in their overall sexual well-being. This systematic review explored adolescent sexual health during the COVID-19 pandemic.
A systematic review of quantitative studies-including observational research, clinical trials, and quasi-experimental interventions-examined English-language articles published between January 2020 and February 10, 2025, sourced from databases such as PubMed, Web of Science, Scopus, and Google Scholar. Study quality was evaluated using the Newcastle-Ottawa Scale (NOS) for observational studies, Cochrane RoB 2 for clinical trials, and ROBINS-1 for quasi-experimental designs. Due to the heterogeneity of the data.
After identifying 781 articles, 10 studies with a total sample size of 636,873 participants were included in the final systematic review. Observational studies during the COVID-19 pandemic revealed diminished access to sexual and reproductive health (SRH) services, greater dependence on informal information sources, widening health inequalities, and negative impacts on adolescent sexual behavior. Intervention studies on online SRH education demonstrate significant positive impacts across key areas: access to SRH services, safe sex practices, communication with parents about sexual health, lower acceptance of dating violence, normative beliefs regarding adolescent sexuality, HIV/STI awareness, and condom use. The findings emphasize notable improvements in communication, knowledge, and attitudes toward sexual health, driven by these targeted interventions.
The COVID-19 pandemic disrupted adolescent SRH globally, reducing service access and amplifying inequities. While some behaviors (e.g., sexual activity) showed resilience, systemic gaps in education and healthcare persist. Multisectoral efforts are needed to ensure adolescents' SRH rights are upheld during crises. However, the interventional studies underscore the viability of digital, media-literate interventions in improving adolescent sexual health.
The review study was officially registered on the PROSPERO website on 02/08/2023 under the code CRD42023438631 and received approval from the jury.
新冠疫情严重扰乱了青少年获得性健康服务的机会，导致他们的整体性健康状况下降。本系统评价探讨了新冠疫情期间青少年的性健康情况。
对定量研究进行系统评价，包括观察性研究、临床试验和准实验干预研究，检索了2020年1月至2025年2月10日期间发表的英文文章，数据来源包括PubMed、科学网、Scopus和谷歌学术等数据库。使用纽卡斯尔-渥太华量表（NOS）评估观察性研究的质量，使用Cochrane RoB 2评估临床试验的质量，使用ROBINS-1评估准实验设计的质量。由于数据的异质性。
在识别出781篇文章后，最终的系统评价纳入了10项研究，总样本量为636,873名参与者。新冠疫情期间的观察性研究表明，获得性与生殖健康（SRH）服务的机会减少，对非正式信息来源的依赖增加，健康不平等加剧，以及对青少年性行为产生负面影响。在线SRH教育的干预研究表明，在关键领域产生了显著的积极影响：获得SRH服务、安全性行为、与父母就性健康进行沟通、对约会暴力的接受度降低、对青少年性行为的规范信念、艾滋病毒/性传播感染意识以及避孕套使用。研究结果强调了这些针对性干预措施在沟通、知识和对性健康的态度方面带来的显著改善。
新冠疫情在全球范围内扰乱了青少年的SRH，减少了服务获取并加剧了不平等。虽然一些行为（如性行为）表现出韧性，但教育和医疗保健方面的系统性差距仍然存在。需要多部门努力，以确保在危机期间维护青少年的SRH权利。然而，干预研究强调了数字化、具备媒体素养的干预措施在改善青少年性健康方面的可行性。
该综述研究于2023年8月2日在PROSPERO网站上正式注册，注册号为CRD42023438631，并获得了评审团的批准。
