{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T14:28:22Z","timestamp":1790864902877,"version":"4.1.0"},"reference-count":72,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2025,4,29]],"date-time":"2025-04-29T00:00:00Z","timestamp":1745884800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Health Science Reports"],"published-print":{"date-parts":[[2025,5]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background and Aims<\/jats:title>\n                    <jats:p>The COVID\u201019 pandemic has greatly disrupted adolescents' access to sexual health services, resulting in a decline in their overall sexual well\u2010being. This systematic review explored adolescent sexual health during the COVID\u201019 pandemic.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A systematic review of quantitative studies\u2014including observational research, clinical trials, and quasi\u2010experimental interventions\u2014examined English\u2010language articles published between January 2020 and February 10, 2025, sourced from databases such as PubMed, Web of Science, Scopus, and Google Scholar. Study quality was evaluated using the Newcastle\u2212Ottawa Scale (NOS) for observational studies, Cochrane RoB 2 for clinical trials, and ROBINS\u20101 for quasi\u2010experimental designs. Due to the heterogeneity of the data.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>After identifying 781 articles, 10 studies with a total sample size of 636,873 participants were included in the final systematic review. Observational studies during the COVID\u201019 pandemic revealed diminished access to sexual and reproductive health (SRH) services, greater dependence on informal information sources, widening health inequalities, and negative impacts on adolescent sexual behavior. Intervention studies on online SRH education demonstrate significant positive impacts across key areas: access to SRH services, safe sex practices, communication with parents about sexual health, lower acceptance of dating violence, normative beliefs regarding adolescent sexuality, HIV\/STI awareness, and condom use. The findings emphasize notable improvements in communication, knowledge, and attitudes toward sexual health, driven by these targeted interventions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The COVID\u201019 pandemic disrupted adolescent SRH globally, reducing service access and amplifying inequities. While some behaviors (e.g., sexual activity) showed resilience, systemic gaps in education and healthcare persist. Multisectoral efforts are needed to ensure adolescents' SRH rights are upheld during crises. However, the interventional studies underscore the viability of digital, media\u2010literate interventions in improving adolescent sexual health.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Trial Registration<\/jats:title>\n                    <jats:p>The review study was officially registered on the PROSPERO website on 02\/08\/2023 under the code CRD42023438631 and received approval from the jury.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/hsr2.70774","type":"journal-article","created":{"date-parts":[[2025,4,30]],"date-time":"2025-04-30T00:46:24Z","timestamp":1745973984000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Adolescents' Sexual Health During the COVID\u201019 Outbreak: A Systematic Review"],"prefix":"10.1002","volume":"8","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3852-5836","authenticated-orcid":false,"given":"Elahe","family":"Ahmadnia","sequence":"first","affiliation":[{"name":"Department of Midwifery School of Nursing and Midwifery, Zanjan University of Medical Sciences Zanjan Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1487-633X","authenticated-orcid":false,"given":"Arezoo","family":"Haseli","sequence":"additional","affiliation":[{"name":"Family Health and Population Growth Research Center, Health Policy and Promotion Research Institute Kermanshah University of Medical Sciences Kermanshah Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4191-4306","authenticated-orcid":false,"given":"Atefeh","family":"Davoudian","sequence":"additional","affiliation":[{"name":"Deputy of Research and Technology Zanjan University of Medical Sciences Zanjan Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6712-4356","authenticated-orcid":false,"given":"Mina","family":"Abbasi","sequence":"additional","affiliation":[{"name":"Department of Midwifery School of Nursing and Midwifery, Zanjan University of Medical Sciences Zanjan Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,4,29]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"crossref","unstructured":"R. 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