Evidence map›Paper›PMID 39668741›Full record

ArticleSexual and reproductive health matters2024

Impacts of the COVID-19 pandemic on access to sexual and reproductive health services for women and gender-diverse people with disabilities in Canada: a qualitative study.

Meredith Evans, Alexandra Rego, Nkem Ogbonna, Kate Welsh, Sidrah K Zafar, Lucy C Barker, Anne Berndl, Janice Du Mont, Yona Lunsky, Amy McPherson and 3 more

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Sexual and reproductive health matters, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors.

Meredith EvansPostdoctoral Research Fellow, Department of Health and Society, University of Toronto Scarborough, Toronto, ON, Canada.
Alexandra RegoPeer Researcher, Department of Health and Society, University of Toronto Scarborough, Toronto, ON, Canada.
Nkem OgbonnaPeer Researcher, Department of Health and Society, University of Toronto Scarborough, Toronto, ON, Canada.
Kate WelshPeer Researcher, Department of Health and Society, University of Toronto Scarborough, Toronto, ON, Canada.
Sidrah K ZafarResearch Coordinator, Department of Health and Society, University of Toronto Scarborough, Toronto, ON, Canada.
Lucy C BarkerScientist, Women's College Hospital Research Institute, Toronto, ON, Canada; Psychiatrist, Reproductive Life Stages Program, Women's College Hospital, Toronto, ON, Canada; Assistant Professor, Department of Psychiatry, Temerty Faculty of Medicine, University of Toronto, Toronto, ON, Canada.
Anne BerndlMaternal-fetal Medicine Specialist and Director of the Accessible Care Pregnancy Clinic, Sunnybrook Health Sciences Centre, Toronto, ON, Canada; Associate Professor, Department of Obstetrics and Gynecology, Temerty Faculty of Medicine, University of Toronto, Toronto, ON, Canada; Associate Scientist, Sunnybrook Research Institute, Toronto, ON, Canada.
Janice Du MontSenior Scientist, Women's College Hospital Research Institute, Toronto, ON, Canada; Professor, Dalla Lana School of Public Health, University of Toronto, Toronto, ON, Canada.
Yona LunskyScientific Director, Azrieli Adult Neurodevelopmental Centre, Centre for Addiction and Mental Health, Toronto, ON, Canada; Professor, Department of Psychiatry, Temerty Faculty of Medicine, University of Toronto, Toronto, ON, Canada.
Amy McPhersonSenior Scientist, Bloorview Research Institute, Holland Bloorview Kids Rehabilitation Hospital, Toronto, ON, Canada; Associate Professor, Dalla Lana School of Public Health, University of Toronto, Toronto, ON, Canada.
Lesley A TarasoffAdjunct Lecturer, Dalla Lana School of Public Health, University of Toronto, Toronto, ON, Canada; Programme Manager, Ontario Provincial Council for Maternal and Child Health, Toronto, ON, Canada.
Ashley VandermorrisStaff Physician, Division of Adolescent Medicine, The Hospital for Sick Children (SickKids), Toronto, ON, Canada; Assistant Professor, Department of Paediatrics, Temerty Faculty of Medicine, University of Toronto, Toronto, ON, Canada.
Hilary K BrownAssociate Professor, Department of Health and Society, University of Toronto Scarborough, Toronto, ON, Canada; Associate Professor, Dalla Lana School of Public Health, University of Toronto, Toronto, ON, Canada; Adjunct Scientist, Women's College Hospital Research Institute, Toronto, ON, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The COVID-19 pandemic has had a detrimental impact on sexual and reproductive health (SRH) and rights globally. However, little is known about the experiences of people with disabilities accessing SRH services during the COVID-19 pandemic. In this community-engaged qualitative study, we examined COVID-related impacts on access to SRH services for people with disabilities. We interviewed 61 women and gender-diverse people in Canada from May 2022 to March 2023. Informed by disability reproductive justice, we identified four major themes through constructivist analysis. First, COVID-related changes to SRH service delivery disrupted access to care and caused disability-related health implications. Second, pandemic response measures changed SRH service accessibility: in-person accessibility barriers were amplified, new in-person accessibility barriers were introduced, and the transition to telehealth exacerbated, as well as mitigated, accessibility barriers. Third, COVID-related social changes (e.g. lockdowns) had disability-related SRH and rights implications. Fourth, disabled people recommended improving SRH services by enhancing funding, provider training, information and communication, disability accommodations, representation, and comprehensive community engagement. Cutting across these themes were disproportionate negative impacts of the COVID-19 pandemic on access to SRH services for racialised women and gender-diverse people with disabilities. Failure to ensure SRH and rights for women and gender-diverse people with disabilities during the COVID-19 pandemic undermined disability reproductive justice. Comprehensive disability community engagement is necessary to inform accessible SRH services and policies, both during and beyond a pandemic.

Indexed as

COVID-19Health Services AccessibilityPersons with DisabilitiesReproductive Health ServicesAdultCanadaFemaleHumansMaleMiddle AgedPandemicsQualitative ResearchSARS-CoV-2Sexual HealthaccessibilityCOVID-19disabilityequityintersectionality

Identifiers

PMID39668741
PMCPMC11730772

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

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.