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Access to sexual healthcare during New Zealand’s COVID-19 lockdown: cross-sectional online survey of 15–24-year-olds in a high deprivation region
BMJ Sexual & Reproductive Health ( IF 3.3 ) Pub Date : 2021-10-01 , DOI: 10.1136/bmjsrh-2020-200986
Sally B Rose 1 , Susan M Garrett 2 , Eileen M McKinlay 2 , Sonya J Morgan 2
Affiliation  

Background New Zealand’s response to the COVID-19 pandemic involved a nationwide stay-at-home lockdown in March–April 2020 that restricted access to primary healthcare services. Methods An online survey of 15–24-year-olds in a high deprivation region of New Zealand asked about the need for, and receipt of, sexual healthcare during lockdown. Experience of telehealth and preferences for future receipt of sexual healthcare were also explored. Social media advertising was used to recruit participants over five weeks in August and October 2020. Results The survey sample included 500 respondents comprising 58.8% females, 25.4% Māori (indigenous) ethnicity and 21.4% LGBTQI+ (lesbian, gay, bisexual, transgender, queer, intersex +) young people. During lockdown, 22.2% of respondents reported sexual health needs (111/500), but fewer than half this group got help (45%, 50/111), believing their issue could wait, or due to barriers contacting services and lack of information about service availability. Experience of telehealth consultations (by 28/50 participants) was mostly favourable though only 46% agreed it was easier than going to the clinic. Telehealth methods were the preferred option by some participants for future receipt of sexual healthcare; but for most scenarios suggested, respondents favoured in-person clinic visits. Conclusions Young people experienced unmet need for sexual healthcare during lockdown in New Zealand, but not because services were unavailable. Findings point to the need for targeted information dissemination to young people about available services and the importance of seeking help during lockdown. More research is needed to understand the advantages and disadvantages of sexual healthcare delivered via telehealth to inform future service provision. No data are available. All data collected in the study survey are being analysed and published by the research team. Ethical approval was not sought to make data publicly available and study participants were advised that their data would only be used and viewed by the immediate research team.

中文翻译:

新西兰 COVID-19 封锁期间获得性保健的情况:对高度贫困地区 15-24 岁青少年的横断面在线调查

背景 新西兰为应对 COVID-19 大流行,于 2020 年 3 月至 4 月实施了全国范围内的居家封锁,限制了获得初级医疗保健服务的机会。方法 对新西兰高度贫困地区 15-24 岁的青少年进行了一项在线调查,询问了封锁期间性保健的需求和接受情况。还探讨了远程医疗的经验以及未来接受性保健的偏好。2020 年 8 月和 10 月,我们使用社交媒体广告在五周内招募参与者。 结果 调查样本包括 500 名受访者,其中 58.8% 为女性,25.4% 为毛利人(土著),21.4% 为 LGBTQI+(女同性恋、男同性恋、双性恋、跨性别者、酷儿) ,双性人+)年轻人。在封锁期间,22.2% 的受访者报告了性健康需求 (111/500),但只有不到一半的人获得了帮助 (45%, 50/111),他们认为他们的问题可以等待,或者由于联系服务的障碍和缺乏信息关于服务可用性。远程医疗咨询(28/50 的参与者)的体验大多令人满意,但只有 46% 的人认为这比去诊所更容易。远程医疗方法是一些参与者未来接受性保健的首选方法;但对于建议的大多数情况,受访者更喜欢亲自去诊所就诊。结论 在新西兰封锁期间,年轻人对性保健的需求未得到满足,但这并不是因为没有服务。调查结果表明,需要向年轻人有针对性地传播有关可用服务的信息,以及在封锁期间寻求帮助的重要性。需要更多的研究来了解通过远程医疗提供的性保健的优点和缺点,以便为未来的服务提供提供信息。无可用数据。研究小组正在分析和发布研究调查中收集的所有数据。公开数据并不寻求道德批准,研究参与者被告知他们的数据只会由直接研究团队使用和查看。
更新日期:2021-10-12
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