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dc.contributor.authorPaisi, Men
dc.contributor.authorMarch-McDonald, Jen
dc.contributor.authorBurns, Len
dc.contributor.authorSnelgrove-Clarke, Een
dc.contributor.authorWithers, Len
dc.contributor.authorShawe, Jen
dc.date.accessioned2020-11-19T11:29:01Z
dc.date.issued2020-10-29en
dc.identifier.issn2515-1991en
dc.identifier.urihttp://hdl.handle.net/10026.1/16661
dc.descriptionNo embargo required.en
dc.description.abstract

<jats:sec><jats:title>Introduction</jats:title><jats:p>People who experience homelessness face disproportionately poor reproductive health and adverse pregnancy outcomes, including but not limited to unintended pregnancy, abortion, low birth weight and preterm birth, as well as a higher risk of sexually transmitted infections (STIs). Precarious living conditions are known to contribute to poor uptake and engagement with sexual and reproductive healthcare (SRH) for this population.</jats:p></jats:sec><jats:sec><jats:title>Aim</jats:title><jats:p>To identify and understand the perceived barriers and facilitators for accessing and utilising SRH for people who experience homelessness from their perspective, and the perspective of support staff/volunteers and healthcare professionals.</jats:p></jats:sec><jats:sec><jats:title>Methods</jats:title><jats:p>Electronic databases and online sources were searched. Two reviewers independently carried out the screening, data extraction, critical appraisal, data synthesis and thematic analysis of findings.</jats:p></jats:sec><jats:sec><jats:title>Results</jats:title><jats:p>Following deduplication and screening, 23 papers/reports were considered eligible for the review. Barriers for people experiencing homelessness to accessing and utilising SRH were identified within the themes of complexity, feelings and knowledge (ie, individual-level factors), as well as patient/provider interaction and healthcare system (ie, organisational factors). Facilitators were identified within all of the above themes except for complexity.</jats:p></jats:sec><jats:sec><jats:title>Conclusions</jats:title><jats:p>Both population characteristics and attributes of the healthcare system influence access and utilisation of SRH by people experiencing homelessness. Given the complexity of living conditions associated with homelessness, greater efforts to improve access should be placed on healthcare systems and aspects of care delivery. This systematic review highlights current gaps in the literature and provides recommendations for enhancing future research and practice to meet the needs of this vulnerable group more effectively.</jats:p></jats:sec>

en
dc.languageenen
dc.language.isoenen
dc.publisherBMJen
dc.titlePerceived barriers and facilitators to accessing and utilising sexual and reproductive healthcare for people who experience homelessness: a systematic reviewen
dc.typeJournal Article
plymouth.journalBMJ Sexual & Reproductive Healthen
dc.identifier.doi10.1136/bmjsrh-2020-200799en
plymouth.organisational-group/Plymouth
plymouth.organisational-group/Plymouth/Faculty of Health
plymouth.organisational-group/Plymouth/Faculty of Health/Peninsula Dental School
plymouth.organisational-group/Plymouth/Faculty of Health/School of Nursing and Midwifery
plymouth.organisational-group/Plymouth/REF 2021 Researchers by UoA
plymouth.organisational-group/Plymouth/REF 2021 Researchers by UoA/UoA03 Allied Health Professions, Dentistry, Nursing and Pharmacy
plymouth.organisational-group/Plymouth/Research Groups
plymouth.organisational-group/Plymouth/Research Groups/Institute of Health and Community
plymouth.organisational-group/Plymouth/Users by role
plymouth.organisational-group/Plymouth/Users by role/Academics
dcterms.dateAccepted2020-10-07en
dc.rights.embargodate2020-11-21en
dc.identifier.eissn2515-2009en
dc.rights.embargoperiodNot knownen
rioxxterms.versionofrecord10.1136/bmjsrh-2020-200799en
rioxxterms.licenseref.urihttp://www.rioxx.net/licenses/all-rights-reserveden
rioxxterms.licenseref.startdate2020-10-29en
rioxxterms.typeJournal Article/Reviewen


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