The International Sexual Health And REproductive Health during COVID-19 (I-SHARE) Study: A Multicountry Analysis of Adults from 30 Countries Prior to and During the Initial Coronavirus Disease 2019 Wave

Erausquin, Jennifer Toller and Tan, Rayner K. J. and Uhlich, Maximiliane and Francis, Joel M. and Kumar, Navin and Campbell, Linda and Zhang, Wei-Hong and Hlatshwako, Takhona G. and Kosana, Priya and Shah, Sonam and Brenner, Erica M. and Remmerie, Lore and Mussa, Aamirah and Klapilova, Katerina and Mark, Kristen and Perotta, Gabriela and Gabster, Amanda and Wouters, Edwin and Burns, Sharyn and Hendriks, Jacqueline and Hensel, Devon J. and Shamu, Simukai and Strizzi, Jenna Marie and Esho, Tammary and Morroni, Chelsea and Eleuteri, Stefano and Sahril, Norhafiza and Low, Wah Yun and Plasilova, Leona and Lazdane, Gunta and Marks, Michael and Olumide, Adesola and Abdelhamed, Amr and Gomez, Alejandra Lopez and Michielsen, Kristien and Moreau, Caroline and Tucker, Joseph D. and COVID-, Int Sexual Hlth Reprod Hlth (2022) The International Sexual Health And REproductive Health during COVID-19 (I-SHARE) Study: A Multicountry Analysis of Adults from 30 Countries Prior to and During the Initial Coronavirus Disease 2019 Wave. Clinical Infectious Diseases, 75 (1). E991-E999. ISSN 1058-4838, DOI https://doi.org/10.1093/cid/ciac102.

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Official URL: https://doi.org/10.1093/cid/ciac102

Abstract

The I-SHARE-1 study in 30 countries assessed sexual and reproductive health outcomes among adults. During COVID-19 measures, 32.3% of people needing HIV/STI testing had hindered access, 4.4% experienced partner violence, and 5.8% decreased casual partner condom use. Background There is limited evidence to date about changes to sexual and reproductive health (SRH) during the initial wave of coronavirus disease 2019 (COVID-19). To address this gap, our team organized a multicountry, cross-sectional online survey as part of a global consortium. Methods Consortium research teams conducted online surveys in 30 countries. Sampling methods included convenience, online panels, and population-representative. Primary outcomes included sexual behaviors, partner violence, and SRH service use, and we compared 3 months prior to and during policy measures to mitigate COVID-19. We conducted meta-analyses for primary outcomes and graded the certainty of the evidence. Results Among 4546 respondents with casual partners, condom use stayed the same for 3374 (74.4%), and 640 (14.1%) reported a decline. Fewer respondents reported physical or sexual partner violence during COVID-19 measures (1063 of 15 144, 7.0%) compared to before COVID-19 measures (1469 of 15 887, 9.3%). COVID-19 measures impeded access to condoms (933 of 10 790, 8.7%), contraceptives (610 of 8175, 7.5%), and human immunodeficiency virus/sexually transmitted infection (HIV/STI) testing (750 of 1965, 30.7%). Pooled estimates from meta-analysis indicate that during COVID-19 measures, 32.3% (95% confidence interval CI], 23.9%-42.1%) of people needing HIV/STI testing had hindered access, 4.4% (95% CI, 3.4%-5.4%) experienced partner violence, and 5.8% (95% CI, 5.4%-8.2%) decreased casual partner condom use (moderate certainty of evidence for each outcome). Meta-analysis findings were robust in sensitivity analyses that examined country income level, sample size, and sampling strategy. Conclusions Open science methods are feasible to organize research studies as part of emergency responses. The initial COVID-19 wave impacted SRH behaviors and access to services across diverse global settings.

Item Type: Article
Funders: United States Department of Health & Human Services National Institutes of Health (NIH) - USA [UG3HD096929], United States Department of Health & Human Services National Institutes of Health (NIH) - USA NIH National Institute of Allergy & Infectious Diseases (NIAID) [K24AI143471], United States Department of Health & Human Services National Institutes of Health (NIH) - USA NIH National Institute of Allergy & Infectious Diseases (NIAID) [K24AI143471]
Uncontrolled Keywords: HIV; sexually transmitted infections; sexual behavior; sexual violence; condom use
Subjects: Q Science > QR Microbiology
R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine
Divisions: Deputy Vice Chancellor (Academic & International) Office > Asia-Europe Institute
Depositing User: Ms Koh Ai Peng
Date Deposited: 22 Jul 2024 08:53
Last Modified: 22 Jul 2024 08:53
URI: http://eprints.um.edu.my/id/eprint/46286

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