Is the COVID-19 Pandemic Continuing to Impact Sexual and Reproductive Health Services for Adolescents? Findings From a 2021 Survey of US Physicians

• Authors: Riley J Steiner, Centers for Disease Control and Prevention, Atlanta; Lauren B Zapata, Centers for Disease Control and Prevention, Atlanta; Kathryn M Curtis, Centers for Disease Control and Prevention, Atlanta; Maura K Whiteman, Centers for Disease Control and Prevention, Atlanta; Amália Carvalho M Guimarães, Emory University; Amy M Fasula, Centers for Disease Control and Prevention, Atlanta; Erin Tromble, Emory University; Anna W Brittain, Centers for Disease Control and Prevention, Atlanta; Antoinette Nguyen, Emory University
• Journal Title: JOURNAL OF ADOLESCENT HEALTH
• Volume: Volume 72, Number 5
• Publisher: ELSEVIER SCIENCE INC | 2023-04-14, Pages 696-702
• Type of Work: Article | Final Publisher PDF
• Publisher DOI: http://doi.org/10.1016/j.jadohealth.2022.12.011
• Subjects: Health Sciences, Public Health
• Keywords: Social Sciences; Science & Technology; Life Sciences & Biomedicine; Psychology, Developmental; Public, Environmental & Occupational Health; Pediatrics; Psychology; COVID-19; Contraception; Sexually transmitted infection testing; Health care providers; Adolescents; TELEMEDICINE; EXPERIENCES; PROVIDERS

Abstract

Purpose: We examined the impact of the COVID-19 pandemic in Fall 2021 on sexual and reproductive health (SRH) services among physicians whose practice provided these services to adolescents just before the pandemic. Methods: Data were from the DocStyles online panel survey administered September–November 2021 to US physicians who reported their practice provided SRH services to adolescent patients before the pandemic (n = 948). We calculated prevalence of service delivery challenges (e.g., limited long-acting reversible contraception services) and use of strategies to support access (e.g., telehealth) in the month prior to survey completion, compared these estimates with prevalence “at any point during the COVID-19 pandemic”, and examined differences by physician specialty and adolescent patient volume. Results: Fewer physicians reported their practice experienced service delivery challenges in the month prior to survey completion than at any point during the pandemic. About 10% indicated limited long-acting reversible contraception and sexually transmitted infection testing services in the prior month overall; prevalence varied by physician specialty (e.g., 26% and 17%, respectively by service, among internists). Overall, about 25% of physicians reported reductions in walk-in hours, weekend/evening hours, and adolescents seeking care in the prior month. While most practices that initiated strategies supporting access to services during the pandemic used such strategies in the prior month, some practices (22%–37% depending on the strategy) did not. Discussion: Findings suggest some physicians who serve adolescents continued to experience challenges providing SRH services in the Fall 2021, and some discontinued strategies to support access that had been initiated during the pandemic.