SynthesisClinical infectious diseases : an official publication of the Infectious Diseases Society of America2022
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.
Synthesis in Clinical infectious diseases : an official publication of the Infectious Diseases Society of America, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.
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Who cites it
21 citing papers in PubMed, 33 citations in OpenAlex.
- Online sexual health survey implementation: Practical lessons from a comparative, mixed-methods analysis of 30 countries.PloS one · 2026Article
- Shaping the WHO Sexual Health Assessment of Practices and Experiences questionnaire: a descriptive study on the real-world example from Portugal.Sexual and reproductive health matters · 2025Article
- Trends of Anogenital Warts: A 32-Year Retrospective Observational Study (Italy, 1991-2022).Journal of clinical medicine · 2025Article
- Sexually Transmitted Infection Cases During COVID-19: Implications for Public Health.American journal of public health · 2025Article
- Constellations of Depressive Symptoms, Substance Use, and Risky Sexual Behavior Among Higher Education Students: A Moderated Mediation Analysis of Mask-Wearing Practice During COVID-19.Journal of prevention (2022) · 2025Article
- Telemedicine Use During the COVID-19 Pandemic in 8 Countries From the International Sexual Health and Reproductive Health Consortium: Web-Based Cross-Sectional Survey Study.Journal of medical Internet research · 2025Article
- Sexual and reproductive health service delivery innovations and adaptations during COVID-19: A systematic review and crowdsourcing open call.PLOS global public health · 2025Article
- Article
- Syphilis infection prevalence in the Middle East and North Africa: a systematic review and meta-analysis.EClinicalMedicine · 2024Article
- Effects of COVID-19 measures on access to HIV/STI testing and condoms among adults in Sweden: a cross-sectional online survey.Scandinavian journal of public health · 2024Article
- Changes in Sexual Behavior and Satisfaction and Violent Behavior during COVID-19 Lockdown: Explorative Results from the Italian Cross-Sectional Study of the I-SHARE Multi-Country Project.International journal of environmental research and public health · 2024Article
- The impact of COVID-19 on the mental and sexual health of patients with infertility: a prospective before-and-after study.Reproductive biology and endocrinology : RB&E · 2024Article
- Article
- Different Components of Sexual Narcissism Are Differentially Associated With Specific Sexual Aggression Strategies: An Exploratory Study Among Male and Female College Students.International journal of sexual health : official journal of the World Association for Sexual Health · 2024Article
- COVID-19 and Female Genital Mutilation/Cutting and child marriage: An online multi-country cross sectional survey.PloS one · 2024Article
- Assessing changes in adolescent girls' and young women's sexual and reproductive health service utilisation following a COVID-19 lockdown in eSwatini.Global health action · 2023Article
- Intimate Partner Violence During COVID-19 Restrictions: A Study of 30 Countries From the I-SHARE Consortium.Journal of interpersonal violence · 2023Article
- Income loss and gender-based violence during the COVID-19 pandemic among female entertainment workers in Cambodia: a cross-sectional phone survey.BMC public health · 2023Article
- Changes in Solo and Partnered Sexual Behaviors following the First COVID-19 Wave: Data from an International Study of 26 Countries.International journal of sexual health : official journal of the World Association for Sexual Health · 2023Article
- Sexual and reproductive health during COVID-19 - the I-SHARE multi-country survey.Nature reviews. Urology · 2022Article
Corrections and comments
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Authors and funding
38 authors at 20 institutions in 21 countries.
Funding
Abstract
backgroundThere 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.
methodsConsortium 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.
resultsAmong 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.
conclusionsOpen 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.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.