{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,7]],"date-time":"2025-11-07T05:40:08Z","timestamp":1762494008042,"version":"build-2065373602"},"reference-count":65,"publisher":"Wiley","issue":"13","license":[{"start":{"date-parts":[[2025,8,11]],"date-time":"2025-08-11T00:00:00Z","timestamp":1754870400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100000691","name":"Academy of Medical Sciences","doi-asserted-by":"publisher","award":["SGL025\\1097"],"award-info":[{"award-number":["SGL025\\1097"]}],"id":[{"id":"10.13039\/501100000691","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["BJOG"],"published-print":{"date-parts":[[2025,12]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To measure the prevalence of, and social positions associated with, preference for solely face\u2010to\u2010face contraceptive service delivery among women and people assigned female at birth in post\u2010COVID\u201019 pandemic England.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Cross\u2010sectional online study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>England.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Sample<\/jats:title>\n                    <jats:p>The Reproductive Health Survey for England (RHSE) recruited women and people assigned female at birth aged 16\u201355 living in England using an online non\u2010probability convenience sampling strategy from September\u2013October 2023. The study population was limited to contraception users who answered the question of interest.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Multivariable logistic regression identified variables independently associated with preference for face\u2010to\u2010face services.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Main Outcome Measures<\/jats:title>\n                    <jats:p>Preference for face\u2010to\u2010face services, derived from response to the question \u2018How would you prefer to access contraceptive services?\u2019 (face\u2010to\u2010face vs. telephone\/video\/website\/combination\/no preference).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The study population included 28\u2009328 participants: median age was 30 (IQR:24\u201338), 92.5% (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200926\u2009193) reported White ethnicity, and 96% (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200927\u2009296) identified as a woman\/girl. Preference for solely face\u2010to\u2010face services services was reported by 24.7% (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u20096992\/28\u2009328). In adjusted analysis, preference for face\u2010to\u2010face was associated with younger and older age; not having degree\u2010level qualifications, self\u2010reporting financial hardship, living with a disability, identifying as a woman\/girl, and not being in a (cohabiting) relationship. Whilst there was a significant independent association between paid employment and preference for face\u2010to\u2010face services, effect direction was dependent on ethnicity.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Although a minority of participants reported a preference for solely face\u2010to\u2010face services, they may represent those with the highest unmet need for contraceptive services. Maintaining choice within contraceptive service delivery in an increasingly digitised healthcare landscape is crucial to advance equitable, person\u2010centred reproductive healthcare.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/1471-0528.18323","type":"journal-article","created":{"date-parts":[[2025,8,11]],"date-time":"2025-08-11T07:25:20Z","timestamp":1754897120000},"page":"2186-2197","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Preference for Face\u2010to\u2010Face Contraceptive Service Delivery Post\u2010\n                    <scp>COVID<\/scp>\n                    \u201019 Pandemic: A Cross\u2010Sectional Study"],"prefix":"10.1111","volume":"132","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5503-7447","authenticated-orcid":false,"given":"Sophie","family":"Patterson","sequence":"first","affiliation":[{"name":"Lancaster Medical School Lancaster University  Lancaster UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nicola","family":"Rennie","sequence":"additional","affiliation":[{"name":"Lancaster Medical School Lancaster University  Lancaster UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sue","family":"Mann","sequence":"additional","affiliation":[{"name":"Homerton Healthcare NHS Foundation Trust  London UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ona","family":"McCarthy","sequence":"additional","affiliation":[{"name":"Department of Public Health, Environments and Society London School of Hygiene and Tropical Medicine  London UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3937-8070","authenticated-orcid":false,"given":"Melissa","family":"Palmer","sequence":"additional","affiliation":[{"name":"Department of Public Health, Environments and Society London School of Hygiene and Tropical Medicine  London UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rebecca S.","family":"French","sequence":"additional","affiliation":[{"name":"Department of Public Health, Environments and Society London School of Hygiene and Tropical Medicine  London UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,8,11]]},"reference":[{"volume-title":"Recommendations on Digital Interventions for Health System Strengthening. 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