Assifi Anisa Rojanapenkul, Mazza Danielle
Department of General Practice, SPHERE Centre of Research Excellence, School of Public Health and Preventive Medicine, Monash University, 553 St Kilda Road, Melbourne, VIC 3004, Australia.
EClinicalMedicine. 2025 Jul 31;86:103394. doi: 10.1016/j.eclinm.2025.103394. eCollection 2025 Aug.
Adolescents encounter greater barriers when accessing sexual and reproductive health (SRH) services than adults. Community-based pharmacists are uniquely positioned to address this due to their accessibility and availability within urban and rural contexts. This systematic review aimed to examine adolescents' experience and acceptability of contraception and abortion clinical and dispensing services in community pharmacy.
Seven databases were systematically searched to identify original peer-reviewed studies from high-income countries, from 2000 to 2025, relating to adolescents, pharmacy, contraception and medication abortion. The search was conducted in June 2023 and updated in April 2025. This review is registered with Prospero (CRD42022298209).
Thirty-four studies were included; the majority focused on the emergency contraceptive pill. Despite adolescents feeling that the pharmacy was an accessible and convenient source of SRH services and that pharmacists provided them with comprehensive information, adolescents experienced and feared embarrassment, judgement and stigma.
Though this review identified community pharmacies as safe, accessible settings where adolescents can conveniently seek care, competency in adolescent-friendly care needs to be optimised, with greater focus on expanding pharmacists' scope-of-practice.
No funding was received for this study.
与成年人相比，青少年在获得性与生殖健康（SRH）服务时面临更大的障碍。基于社区的药剂师因其在城乡地区的可及性和可得性，在解决这一问题上具有独特的地位。本系统综述旨在研究青少年在社区药房接受避孕及堕胎临床和配药服务的体验和可接受性。
系统检索了七个数据库，以识别2000年至2025年来自高收入国家的、与青少年、药房、避孕和药物流产相关的经同行评审的原创研究。检索于2023年6月进行，并于2025年4月更新。本综述已在国际系统综述注册平台（Prospero）注册（注册号：CRD42022298209）。
纳入了34项研究；大多数研究聚焦于紧急避孕药。尽管青少年认为药房是获得性与生殖健康服务的便捷途径，且药剂师能为他们提供全面信息，但青少年仍经历并担心尴尬、评判和污名化。
尽管本综述确定社区药房是安全、可及的场所，青少年可在此方便地寻求护理，但仍需优化对青少年友好型护理的能力，更应注重扩大药剂师的执业范围。
本研究未获得资金支持。
