Technology-based services, including telehealth, text messaging, and the internet are increasingly popular methods for adolescents and young adults (AYA) to access sexual and reproductive health (SRH) information and healthcare. This systematic review examined AYA perceptions of privacy and confidentiality of technology-based SRH services. The PubMed, Scopus, and PsycINFO were systematically searched in May 2021 to capture relevant qualitative or quantitative articles from the past 10 years. Included studies had AYA (i.e., mean age, 13–26-years with <10% of the sample outside this range), technology-based services for SRH, and outcomes of perceived privacy or confidentiality. Twenty-eight articles were included (N = 8638 AYA). Most studies utilized the internet and mobile apps to address human immunodeficiency virus infection (HIV), sexually transmitted infections, and general SRH topics. Most AYA reported that these services were private and confidential, with minimal differences across SRH topic addressed. More interactive services had greater concerns (e.g., family or friends seeing notifications). Most AYA considered technology-based SRH to be confidential and private. As technology will likely remain an integrated part of healthcare delivery, improving the privacy and confidentiality of these services can facilitate AYA's independent and autonomous engagement in SRH care, and potentially improve their SRH outcomes.

基于技术的服务，包括远程医疗、短信和互联网，是青少年和年轻人 (AYA) 获取性与生殖健康 (SRH) 信息和医疗保健的日益流行的方法。该系统评价检查了 AYA 对基于技术的 SRH 服务的隐私和机密性的看法。PubMed、Scopus 和 PsycINFO 于 2021 年 5 月进行了系统搜索，以获取过去 10 年的相关定性或定量文章。纳入的研究有 AYA（即平均年龄，13-26 岁，<10% 的样本超出此范围）、基于技术的 SRH 服务以及感知隐私或保密的结果。包括 28 篇文章（N = 8638 AYA）。大多数研究利用互联网和移动应用程序来解决人类免疫缺陷病毒感染 (HIV)、性传播感染和一般性生殖健康主题。大多数 AYA 报告说，这些服务是私人和机密的，所解决的 SRH 主题差异很小。更多的互动服务有更大的担忧（例如，家人或朋友看到通知）。大多数 AYA 认为基于技术的 SRH 是保密和私密的。由于技术可能仍然是医疗保健服务的一个组成部分，提高这些服务的隐私和保密性可以促进 AYA 独立和自主地参与 SRH 护理，并有可能改善他们的 SRH 成果。家人或朋友看到通知）。大多数 AYA 认为基于技术的 SRH 是保密和私密的。由于技术可能仍然是医疗保健服务的一个组成部分，提高这些服务的隐私和保密性可以促进 AYA 独立和自主地参与 SRH 护理，并有可能改善他们的 SRH 成果。家人或朋友看到通知）。大多数 AYA 认为基于技术的 SRH 是保密和私密的。由于技术可能仍然是医疗保健服务的一个组成部分，提高这些服务的隐私和保密性可以促进 AYA 独立和自主地参与 SRH 护理，并有可能改善他们的 SRH 成果。