Advanced search
1 file | 1.69 MB Add to list

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

Author
Organization
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.
Keywords
HIV, sexually transmitted infections, sexual behavior, sexual violence, condom use, INTIMATE PARTNER VIOLENCE, HIV, IMPACT, WOMEN, MEN

Downloads

  • (...).pdf
    • full text (Published version)
    • |
    • UGent only
    • |
    • PDF
    • |
    • 1.69 MB

Citation

Please use this url to cite or link to this publication:

MLA
Toller Erausquin, Jennifer, et al. “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, 2022, doi:10.1093/cid/ciac102.
APA
Toller Erausquin, J., Tan, R. K. J., Uhlich, M., Francis, J. M., Kumar, N., Campbell, L., … International Sexual Health And REproductive Health during COVID-19 Research Consortium, [missing]. (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. https://doi.org/10.1093/cid/ciac102
Chicago author-date
Toller Erausquin, Jennifer, Rayner K J Tan, Maximiliane Uhlich, Joel M Francis, Navin Kumar, Linda Campbell, Wei Hong Zhang, et al. 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. https://doi.org/10.1093/cid/ciac102.
Chicago author-date (all authors)
Toller Erausquin, Jennifer, Rayner K J Tan, Maximiliane Uhlich, Joel M Francis, Navin Kumar, Linda Campbell, Wei Hong Zhang, Takhona G Hlatshwako, Priya Kosana, Sonam Shah, Erica M Brenner, Lore Remmerie, Aamirah Mussa, Katerina Klapilova, Kristen Mark, Gabriela Perotta, Amanda Gabster, Edwin Wouters, Sharyn Burns, Jacqueline Hendriks, Devon J Hensel, Simukai Shamu, Jenna Marie Strizzi, Tammary Esho, Chelsea Morroni, Stefano Eleuteri, Norhafiza Sahril, Wah Yun Low, Leona Plasilova, Gunta Lazdane, Michael Marks, Adesola Olumide, Amr Abdelhamed, Alejandra López Gómez, Kristien Michielsen, Caroline Moreau, Joseph D Tucker, Adedamola Adebayo, Emmanuel Adebayo, Noor Ani Ahmad, Nicolás Brunet, Anna Kagesten, Elizabeth Kemigisha, Eneyi Kpokiri, Ismael Maatouk, Griffins Manguro, Filippo M Nimbi, Pedro Nobre, Caitlin O’Hara, Oloruntomiwa Oyetunde, Muhd Hafizuddin Taufik Ramli, Dace Rezeberga, Juan Carlos Rivillas, Kun Tang, Ines Tavares, and [missing] International Sexual Health And REproductive Health during COVID-19 Research Consortium. 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. doi:10.1093/cid/ciac102.
Vancouver
1.
Toller Erausquin J, Tan RKJ, Uhlich M, Francis JM, Kumar N, Campbell L, et al. 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. 2022;
IEEE
[1]
J. Toller Erausquin et al., “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, 2022.
@article{8760573,
  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.}},
  author       = {{Toller Erausquin, Jennifer 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 Marie Strizzi, Jenna and Esho, Tammary and Morroni, Chelsea and Eleuteri, Stefano and Sahril, Norhafiza and Yun Low, Wah and Plasilova, Leona and Lazdane, Gunta and Marks, Michael and Olumide, Adesola and Abdelhamed, Amr and López Gómez, Alejandra and Michielsen, Kristien and Moreau, Caroline and Tucker, Joseph D and Adebayo, Adedamola and Adebayo, Emmanuel and Ani Ahmad, Noor and Brunet, Nicolás and Kagesten, Anna and Kemigisha, Elizabeth and Kpokiri, Eneyi and Maatouk, Ismael and Manguro, Griffins and Nimbi, Filippo M and Nobre, Pedro and O’Hara, Caitlin and Oyetunde, Oloruntomiwa and Taufik Ramli, Muhd Hafizuddin and Rezeberga, Dace and Carlos Rivillas, Juan and Tang, Kun and Tavares, Ines and International Sexual Health And REproductive Health during COVID-19 Research Consortium, [missing]}},
  issn         = {{1058-4838}},
  journal      = {{CLINICAL INFECTIOUS DISEASES}},
  keywords     = {{HIV,sexually transmitted infections,sexual behavior,sexual violence,condom use,INTIMATE PARTNER VIOLENCE,HIV,IMPACT,WOMEN,MEN}},
  language     = {{eng}},
  pages        = {{9}},
  title        = {{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}},
  url          = {{http://dx.doi.org/10.1093/cid/ciac102}},
  year         = {{2022}},
}

Altmetric
View in Altmetric
Web of Science
Times cited: