AI Article Synopsis
- The review highlights that disasters caused by natural hazards have increasingly affected women's reproductive health, leading to potential challenges in fertility and contraception post-disaster.
- Researchers conducted a comprehensive literature search across multiple databases to identify studies from 1980 to early 2022 that focused on women aged 15-49 and their reproductive health in the context of disasters.
- The review concluded that there are significant gaps in the current research regarding clearly defining disaster exposure and assessing fertility and contraception, suggesting a need for more rigorous studies to understand the impact of these disasters on women's reproductive health.
Article Abstract
Background: The prevalence and severity of disasters triggered by natural hazards has increased over the last 20 years. Women of reproductive age may encounter unique reproductive health challenges following a disaster. In this scoping review we identify gaps in literature to inform future research and search for potential associations between disasters by natural hazards and post-disaster fertility and contraception among women of reproductive age.
Methods: Medline (OVID), Embase (OVID), PsycInfo (OVID), CINAHL (Ebsco), Scopus, Environmental Science Collection (ProQuest Central), and Sociological Abstracts (ProQuest Central) were searched for articles published from 1980 through March 3, 2022 in English or Spanish language. Search terms were related to fertility, contraception, and disasters. We included original research that described a discrete natural hazard exposure, a population of women of reproductive age (15-49 years), and outcomes of fertility or contraception use or access, with pre- and post-disaster measures.
Results: Among 9788 citations, after initial exclusion 5121 remained for title and abstract review. One hundred and eighteen citations underwent full-text review and 26 articles met the inclusion criteria. Following critical appraisal, 20 articles were included in this review. Eighteen articles described outcomes related to fertility, five articles described contraception access, and three articles described contraception use.
Conclusions: Clearly defined exposure measures, robust analyses, and methodical post-disaster assessment periods, may address the current gaps within disaster research on fertility and contraception among women of reproductive age. Consistent patterns in fertility following a disaster triggered by natural hazards were not identified between or within disaster types. Studies that assessed contraception found no change in use, while some studies found a decrease in contraceptive access overall.
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Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9229126 | PMC |
| http://dx.doi.org/10.1186/s12978-022-01436-4 | DOI Listing |
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