RT Journal Article SR Electronic T1 Disrupted prevention: condom and contraception access and use among young adults during the initial months of the COVID-19 pandemic. An online survey JF BMJ Sexual & Reproductive Health JO BMJ Sex Reprod Health FD British Medical Journal Publishing Group SP bmjsrh-2020-200975 DO 10.1136/bmjsrh-2020-200975 A1 Ruth Lewis A1 Carolyn Blake A1 Michal Shimonovich A1 Nicky Coia A1 Johann Duffy A1 Yvonne Kerr A1 Jill Wilson A1 Cynthia Ann Graham A1 Kirstin R Mitchell YR 2021 UL http://jfprhc.bmj.com/content/early/2021/03/10/bmjsrh-2020-200975.abstract AB Background The initial response to COVID-19 in the UK involved a rapid contraction of face-to-face sexual and reproductive health (SRH) services and widespread use of remote workarounds. This study sought to illuminate young people’s experiences of accessing and using condoms and contraception in the early months of the pandemic.Methods We analysed data, including open-text responses, from an online survey conducted in June–July 2020 with a convenience sample of 2005 16–24-year-olds living in Scotland.Results Among those who used condoms and contraception, one quarter reported that COVID-19 mitigation measures had made a difference to their access or use. Open-text responses revealed a landscape of disrupted prevention, including changes to sexual risk-taking and preventive practices, unwanted contraceptive pathways, unmet need for sexually transmitted infection (STI) testing, and switches from freely provided to commercially sold condoms and contraception. Pandemic-related barriers to accessing free condoms and contraception included: (1) uncertainty about the legitimacy of accessing SRH care and self-censorship of need; (2) confusion about differences between SRH care and advice received from healthcare professionals during the pandemic compared with routine practice; and (3) exacerbation of existing access barriers, alongside reduced social support and resources to navigate SRH care.Conclusions Emerging barriers to STI and pregnancy prevention within the context of COVID-19 have the potential to undermine positive SRH practices, and widen inequalities, among young people. As SRH services are restored amid evolving pandemic restrictions, messaging to support navigation of condom and contraception services should be co-created with young people.