{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,10]],"date-time":"2026-09-10T05:08:30Z","timestamp":1789016910533,"version":"build-2803163510"},"reference-count":39,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,9,9]],"date-time":"2026-09-09T00:00:00Z","timestamp":1788912000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,9,9]],"date-time":"2026-09-09T00:00:00Z","timestamp":1788912000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100003323","name":"Agence Nationale de Recherches sur le Sida et les H\u00e9patites Virales","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100003323","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Perspect Sexual Reproductive"],"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Digital platforms have accelerated sexual and reproductive health (SRH) self\u2010care practices, but evidence is limited regarding the demand and usage of these resources and their potential to reduce SRH inequities.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We draw on the CSF\u20102023 study, a national cross\u2010sectional survey on sexuality in France. Our sample included 6305 sexually active individuals aged 18\u201349 who reported on SRH digital health care practices. We conducted logistic regressions to identify factors influencing the acceptability, information\u2010seeking, and purchasing of services online across SRH domains (oral contraception, medication abortion pills, sexually transmitted infection\/HIV treatment, and sexual enhancement).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Men demonstrated higher acceptance of SRH online self\u2010care than women (59% vs. 53%), although overall acceptability was low (ranging from 10% for medication abortion pills to 23% for HIV Prep). Women sought more information about any topic (75% vs. 70%) and contraception and abortion specifically, while men focused more on sexual enhancement. Younger, more educated respondents and those with multiple partners or who met partners online sought a wider range of information. Acceptance was greater among men who had sex with men and respondents who reported sexual violence or unintended pregnancies, whereas rural residents were less accepting and sought less information. Recent medical care correlated with lower acceptance but did not affect information\u2010seeking.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>This study highlights a limited interest in digital prescription\u2010free SRH services in France, despite increasing reliance on digital platforms for SRH information. Targeted programmatic and policy investments are needed to bridge the digital divide, improve service quality, and explore alternative in\u2010person channels for SRH self\u2010care needs.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/psrh.70074","type":"journal-article","created":{"date-parts":[[2026,9,10]],"date-time":"2026-09-10T04:24:36Z","timestamp":1789014276000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Self\u2010Care for Sexual and Reproductive Health: Results From the French 2023 National Survey on Sexuality and Sexual Health"],"prefix":"10.1111","author":[{"given":"Caroline","family":"Moreau","sequence":"first","affiliation":[{"name":"Soins Primaires et Prevention, CESP Center for Research in Epidemiology and Population Health, INSERM  Villejuif France"},{"name":"Department of Population, Family and Reproductive Health Johns Hopkins University Bloomberg School of Public Health  Baltimore Maryland USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Armelle","family":"Andro","sequence":"additional","affiliation":[{"name":"Paris 1 Pantheon\u2010Sorbonne University  Paris France"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,9,9]]},"reference":[{"key":"e_1_2_6_2_1","unstructured":"World Health Organization \u201cWHO Fact Sheet on Self\u2010Care Interventions \u201d(2022) https:\/\/www.who.int\/news\u2010room\/fact\u2010sheets\/detail\/self\u2010care\u2010health\u2010interventions."},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1177\/20552076221084465"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.l1333"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.l688"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41591\u2010024\u201002844\u20108"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140\u20106736(18)30293\u20109"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1080\/26410397.2020.1778610"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.9745\/GHSP\u2010D\u201021\u201000534"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.3389\/fgwh.2022.911107"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjgh\u20102022\u2010008862"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjgh\u20102018\u2010001350"},{"key":"e_1_2_6_13_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2021.11852"},{"key":"e_1_2_6_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.lana.2022.100200"},{"key":"e_1_2_6_15_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41746\u2010023\u201000871\u20102"},{"key":"e_1_2_6_16_1","doi-asserted-by":"publisher","DOI":"10.9745\/GHSP\u2010D\u201019\u201000239"},{"key":"e_1_2_6_17_1","doi-asserted-by":"publisher","DOI":"10.1071\/SH22068"},{"key":"e_1_2_6_18_1","doi-asserted-by":"publisher","DOI":"10.2196\/34144"},{"key":"e_1_2_6_19_1","doi-asserted-by":"publisher","DOI":"10.1080\/10410236.2020.1748829"},{"key":"e_1_2_6_20_1","doi-asserted-by":"publisher","DOI":"10.2196\/18799"},{"key":"e_1_2_6_21_1","doi-asserted-by":"publisher","DOI":"10.1111\/psrh.70071"},{"key":"e_1_2_6_22_1","volume-title":"Enqu\u00eate Sur la Sexualit\u00e9 en France. Pratiques, Genre et Sant\u00e9","author":"Bajos N.","year":"2008"},{"key":"e_1_2_6_23_1","volume-title":"Analyse Des Comportements Sexuels En France (1990\u20101992)","author":"Spira A.","year":"2006"},{"key":"e_1_2_6_24_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12889\u2010016\u20103835\u2010x"},{"key":"e_1_2_6_25_1","doi-asserted-by":"crossref","DOI":"10.1176\/appi.books.9780890425787","volume-title":"Diagnostic and Statistical Manual of Mental Disorders. 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