The Continuing Impacts of the COVID-19 Pandemic in the United States: Findings from the 2021 Guttmacher Survey of Reproductive Health Experiences

Lindberg, Laura Duberstein; Mueller, Jennifer; Kirstein, Marielle; VandeVusse, Alicia

doi:10.1363/2021.33301

Cited by 16 publications

(17 citation statements)

References 3 publications

(3 reference statements)

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“…Along with changes by organization type, we found declines in contraceptive and STI services throughout the first year of the pandemic, as well as variation with regional COVID‐19 rates. These findings align with reports of ongoing difficulties accessing reproductive health services, which were more common among people who match the sociodemographic profile of Title X clients 2,3,24 . To minimize face‐to‐face contact, mail‐order and curbside pickup became common modes of short‐acting hormonal method provision during the pandemic 10 .…”

Section: Discussionsupporting

confidence: 76%

“…These findings align with reports of ongoing difficulties accessing reproductive health services, which were more common among people who match the sociodemographic profile of Title X clients. 2,3,24 To minimize faceto-face contact, mail-order and curbside pickup became common modes of short-acting hormonal method provision during the pandemic. 10 The flexibility of providing these methods was reflected in our findings, as short-acting hormonal method initiation was the least volatile service we studied.…”

Section: Discussionmentioning

confidence: 99%

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Service delivery atTitle Xsites inTexasduring theCOVID‐19 pandemic

Burke¹,

Sierra²,

Lerma³

et al. 2022

Perspect Sexual Reproductive

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Context The important role of Title X sites in supporting publicly funded reproductive healthcare was elevated during the COVID‐19 pandemic, as many people experienced economic uncertainty and changed their fertility preferences. In this study, we assessed changes in service delivery during the first year of the COVID‐19 pandemic at Title X‐supported sites in Texas, a large state with a high uninsured rate and a diverse Title X network. Methods Using surveys of Title X‐funded organizations in Texas from April and November 2020, we examined the percentage of organizations reporting service modifications. With administrative data on 507,947 client encounters between March 2019 and March 2021, we assessed change in client volume at the onset of the pandemic and evaluated the association between regional COVID‐19 case rates and the provision of key Title X services. Results In April 2020, most organizations (78%) limited in‐person operations while implementing telehealth (74%) and contactless contraception (67%). Network‐wide encounter volume declined by 26% at pandemic onset (incidence rate ratio [IRR] = 0.74, 95% confidence interval [CI] = 0.65, 0.84). Health departments experienced the steepest declines in encounter volume (IRR = 0.43, 95% CI = 0.36–0.50). Weekly encounters, particularly for long‐acting reversible method placement/removal and sexually transmitted infection testing, decreased as COVID‐19 rates increased. Conclusions Investment in public health infrastructure, including providing robust support to health departments as well as rebuilding and expanding the Title X network, is essential to safeguarding access to publicly funded reproductive healthcare during and after the pandemic.

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Section: Discussionsupporting

confidence: 76%

Section: Discussionmentioning

confidence: 99%

Service delivery atTitle Xsites inTexasduring theCOVID‐19 pandemic

Burke¹,

Sierra²,

Lerma³

et al. 2022

Perspect Sexual Reproductive

View full text Add to dashboard Cite

show abstract

“…Of 61 contraceptive clinics across the US surveyed in April, August, and November 2020, over half experienced service interruptions at some point during their study period and 79% introduced or expanded telehealth for contraceptive counseling in response to the pandemic 10 . Patients also reported canceling and delaying SRH care or having trouble receiving contraception due to the pandemic—notably an impact that has continued but become less prevalent as the pandemic has continued 11,12 …”

Section: Introductionmentioning

confidence: 99%

“… 10 Patients also reported canceling and delaying SRH care or having trouble receiving contraception due to the pandemic—notably an impact that has continued but become less prevalent as the pandemic has continued. 11 , 12 …”

Section: Introductionmentioning

confidence: 99%

Disruptions and opportunities in sexual and reproductive health care: How COVID‐19 impacted service provision in three US states

VandeVusse

Castillo

Kirstein

et al. 2022

Perspect Sexual Reproductive

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Context The COVID‐19 pandemic abruptly disrupted the provision of sexual and reproductive health care in the United States. Methods We conducted interviews with family planning clinic staff at 55 health care facilities in Arizona, Iowa, and Wisconsin in late 2020 and early 2021. We asked respondents about the challenges they faced and ways they adapted their service provision as a result of the pandemic. We conducted content and thematic analyses of the interview transcripts using an inductively developed qualitative coding scheme. Results Family planning clinics and providers made a variety of changes to their clinic operations and service delivery. The three major areas of change for these facilities were implementation of COVID‐19 safety procedures, shifting service delivery and staffing to meet patient needs, and the rapid uptake and expansion of telehealth. Conclusion While providers faced many challenges, they also described opportunities to innovate and rethink standard of care protocols that may continue to shape sexual and reproductive health care even after the pandemic abates.

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“…Whereas other studies report comparable rates of IPV prior to the pandemic and during the pandemic, 21 , 22 experts also raise concern that limitation in movement during the pandemic would result in difficulties linking victims of IPV with support services. 23 , 24 For example, Lindberg et al 25 indicate that 33% of women who reported experiences of IPV in early 2020 had difficulty seeking services in response to an experience of IPV. This is concerning, given data collected by Buttell et al 26 over 10 weeks in April of 2020, which found that individuals experiencing IPV during this time period reported significantly less resilience and greater perceived stress than those not experiencing IPV during this early time in the pandemic.…”

mentioning

confidence: 99%

#DomesticViolence During the COVID-19 Global Pandemic: An Analysis of Public Commentary via Twitter

et al. 2022

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The current study sought to characterize commentary regarding intimate partner violence during the COVID-19 (SARS-CoV-2) pandemic via the Twitter hashtags #DomesticAbuse and #DomesticViolence. A sample of 481 original, English-language tweets containing the hashtag #DomesticAbuse or #DomesticViolence posted across five consecutive weekdays from March 22 to March 27, 2020—during which many places were enacting lockdown mandates—was examined using thematic content analyses. Overall, Twitter users commented on potential increased rates of IPV, while adding details about abuse tactics that could be employed by perpetrators during the pandemic. Additionally, Twitter users disclosed personal experiences of IPV victimization. Four themes were identified, including (1) type of domestic violence (i.e. whether the violence was COVID-specific or general domestic violence), (2) commentary about IPV (i.e. general reflections, decentralizing and centralizing survivorhood), (3) perpetrator tactic (i.e. abuse tactic used by the perpetrator), and (4) institutions responsible (i.e. institutions responsible for providing services to survivors). Overall, the commentary on Twitter reflected an effort to raise awareness and share informational aid for potential victims/survivors of IPV. Data highlight the potential of social media networks in conveniently facilitating the sharing and spreading of useful resources to other users. Future research should examine whether resources shared via Twitter reach individuals who need them and empower individuals to garner support.

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The Continuing Impacts of the COVID-19 Pandemic in the United States: Findings from the 2021 Guttmacher Survey of Reproductive Health Experiences

Cited by 16 publications

References 3 publications

Service delivery atTitle Xsites inTexasduring theCOVID‐19 pandemic

Service delivery atTitle Xsites inTexasduring theCOVID‐19 pandemic

Disruptions and opportunities in sexual and reproductive health care: How COVID‐19 impacted service provision in three US states

#DomesticViolence During the COVID-19 Global Pandemic: An Analysis of Public Commentary via Twitter

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