Sexual and Reproductive Health
Sexual and reproductive health refers to a state of physical, mental, and social well-being related to the reproductive system. It includes the right to healthy, safe, and pleasurable sexual relations, safe and appropriate health services, access to effective and affordable contraceptive methods, and access to support and services for unplanned pregnancy. Sexual and reproductive health is critical to overall health and well-being. Good sexual and reproductive health leads to healthy, fulfilling lives and reduces the risk of illness and disease.
Over 19 million U.S. women of reproductive age lack access to a health center that offers a full range of contraceptive methods, and 29% live in a state where access to abortion is unavailable or significantly restricted. One-third of women ages 18-25 have never received a gynecologic exam, which is one of the most important ways for women to receive preventative health screening and education. Contraceptive methods have advanced significantly since the 1800s; however, the accessibility of contraception and medical abortion have continued to be restricted. Despite the 1973 Roe v. Wade Supreme Court decision to legalize abortion in the United States, abortion is now banned in 12 states and unavailable in 2. Black and Latina women are disproportionately affected, as they are more likely to experience unintended pregnancy and live in a state in which abortion is banned. Additionally, Black and Latina women are less likely to use an effective form of contraception and more likely to experience pressure from providers to use contraception when compared to white women.
Factors influencing sexual and reproductive health include accessibility of comprehensive, quality sexual education, accurate knowledge of the risks of unprotected sexual activity, and access to appropriate sexual health care. In the U.S., sexual and reproductive health status differs significantly depending on socioeconomic status, insurance coverage, geographic location, and education level.
Sexual and reproductive health is fundamental to overall health and well-being and communities' social and economic development. Ensuring access to safe abortion, effective contraception, STI screening, and family planning), which can significantly improve sexual and reproductive health. At the local level, communities can expand telehealth services, such as applications for contraceptive counseling, implement school-based interventions (e.g.on-site STI screening; contraception distribution), and foster cross-sectional partnerships among medical experts, schools, community leaders, and policymakers. These cross-sectional partnerships can improve sexual and reproductive health by identifying and addressing resource gaps in the community, developing policies to expand access to reproductive health services, and ensuring medical providers, including those in school settings, are trained to provide comprehensive sexual education.