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Disruptions to youth contraceptive use during COVID-19: Mixed-methods results from Nairobi, Kenya
Ensuring access to sexual and reproductive health (SRH) services for adolescents is a global priority, given the detrimental health and economic impact of unintended pregnancies. To examine whether and how COVID-19 affected access to SRH services, we use mixed-methods data from young men and women i...
Autores principales: | , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Public Library of Science
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10021138/ https://www.ncbi.nlm.nih.gov/pubmed/36962989 http://dx.doi.org/10.1371/journal.pgph.0001005 |
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author | Wood, Shannon N. Milkovich, Rachel Thiongo, Mary Gichangi, Peter Byrne, Meagan E. Devoto, Bianca Anglewicz, Philip Decker, Michele R. |
author_facet | Wood, Shannon N. Milkovich, Rachel Thiongo, Mary Gichangi, Peter Byrne, Meagan E. Devoto, Bianca Anglewicz, Philip Decker, Michele R. |
author_sort | Wood, Shannon N. |
collection | PubMed |
description | Ensuring access to sexual and reproductive health (SRH) services for adolescents is a global priority, given the detrimental health and economic impact of unintended pregnancies. To examine whether and how COVID-19 affected access to SRH services, we use mixed-methods data from young men and women in Nairobi, Kenya to identify those at greatest risk of contraceptive disruptions during COVID-19 restrictions. Analyses utilize cross-sectional data collected from August to October 2020 from an existing cohort of youth aged 16–26. Unadjusted and adjusted logistic regression examined sociodemographic, contraceptive, and COVID-19-related correlates of contraceptive disruption among users of contraception. Qualitative data were collected concurrently via focus group discussions (n = 64, 8 groups) and in-depth interviews (n = 20), with matrices synthesizing emergent challenges to obtaining contraception by gender. Among those using contraception, both young men (40.4%) and young women (34.6%) faced difficulties obtaining contraception during COVID-19. Among young men, difficulty was observed particularly for those unable to meet their basic needs (aOR = 1.60; p = 0.05). Among young women, risk centered around those with multiple partners (aOR = 1.91; p = 0.01), or who procured their method from a hospital (aOR = 1.71; p = 0.04) or clinic (aOR = 2.14; p = 0.03). Qualitative data highlight economic barriers to obtaining contraceptives, namely job loss and limited supply of free methods previously available. Universal access to a variety of contraceptive methods during global health emergencies, including long-acting reversible methods, is an essential priority to help youth avert unintended pregnancies and withstand periods of disruptions to services. Non-judgmental, youth-friendly services must remain accessible throughout the pandemic into the post-COVID-19 period. |
format | Online Article Text |
id | pubmed-10021138 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Public Library of Science |
record_format | MEDLINE/PubMed |
spelling | pubmed-100211382023-03-17 Disruptions to youth contraceptive use during COVID-19: Mixed-methods results from Nairobi, Kenya Wood, Shannon N. Milkovich, Rachel Thiongo, Mary Gichangi, Peter Byrne, Meagan E. Devoto, Bianca Anglewicz, Philip Decker, Michele R. PLOS Glob Public Health Research Article Ensuring access to sexual and reproductive health (SRH) services for adolescents is a global priority, given the detrimental health and economic impact of unintended pregnancies. To examine whether and how COVID-19 affected access to SRH services, we use mixed-methods data from young men and women in Nairobi, Kenya to identify those at greatest risk of contraceptive disruptions during COVID-19 restrictions. Analyses utilize cross-sectional data collected from August to October 2020 from an existing cohort of youth aged 16–26. Unadjusted and adjusted logistic regression examined sociodemographic, contraceptive, and COVID-19-related correlates of contraceptive disruption among users of contraception. Qualitative data were collected concurrently via focus group discussions (n = 64, 8 groups) and in-depth interviews (n = 20), with matrices synthesizing emergent challenges to obtaining contraception by gender. Among those using contraception, both young men (40.4%) and young women (34.6%) faced difficulties obtaining contraception during COVID-19. Among young men, difficulty was observed particularly for those unable to meet their basic needs (aOR = 1.60; p = 0.05). Among young women, risk centered around those with multiple partners (aOR = 1.91; p = 0.01), or who procured their method from a hospital (aOR = 1.71; p = 0.04) or clinic (aOR = 2.14; p = 0.03). Qualitative data highlight economic barriers to obtaining contraceptives, namely job loss and limited supply of free methods previously available. Universal access to a variety of contraceptive methods during global health emergencies, including long-acting reversible methods, is an essential priority to help youth avert unintended pregnancies and withstand periods of disruptions to services. Non-judgmental, youth-friendly services must remain accessible throughout the pandemic into the post-COVID-19 period. Public Library of Science 2023-02-23 /pmc/articles/PMC10021138/ /pubmed/36962989 http://dx.doi.org/10.1371/journal.pgph.0001005 Text en © 2023 Wood et al https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. |
spellingShingle | Research Article Wood, Shannon N. Milkovich, Rachel Thiongo, Mary Gichangi, Peter Byrne, Meagan E. Devoto, Bianca Anglewicz, Philip Decker, Michele R. Disruptions to youth contraceptive use during COVID-19: Mixed-methods results from Nairobi, Kenya |
title | Disruptions to youth contraceptive use during COVID-19: Mixed-methods results from Nairobi, Kenya |
title_full | Disruptions to youth contraceptive use during COVID-19: Mixed-methods results from Nairobi, Kenya |
title_fullStr | Disruptions to youth contraceptive use during COVID-19: Mixed-methods results from Nairobi, Kenya |
title_full_unstemmed | Disruptions to youth contraceptive use during COVID-19: Mixed-methods results from Nairobi, Kenya |
title_short | Disruptions to youth contraceptive use during COVID-19: Mixed-methods results from Nairobi, Kenya |
title_sort | disruptions to youth contraceptive use during covid-19: mixed-methods results from nairobi, kenya |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10021138/ https://www.ncbi.nlm.nih.gov/pubmed/36962989 http://dx.doi.org/10.1371/journal.pgph.0001005 |
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