{
  "abstract": "This scoping review synthesized empirical evidence on the relationships and possible pathways through which climate change could impact sexual and reproductive health and rights (SRHR) in low- and middle-income countries (LMICs). Eligible sources had to investigate climate change and SRHR using any study design. Two independent reviewers conducted screening; data extraction captured exposures, outcomes, associations/relationships, and possible mediators and contextual moderators. From 40,503 database-identified sources, we included 256 peer-reviewed publications across 108 LMICs. We identified 14 potential pathways and developed a typology of mediators and contextual moderators to inform the mechanisms. Five mediator domains were identified: (1) systems and infrastructure, (2) demographic shifts, (3) socioeconomic resources, and (4) behavioral and (5) biological. Six contextual moderator types were isolated: (1) patriarchal norms, (2) cultural power structures, (3) socioeconomic realities, (4) gender-inequitable climate governance, (5) place-based factors, and (6) pre-existing systems/infrastructure. As climate shocks intensify, advancing a mechanistic understanding will be critical to designing responsive, inclusive, and sustainable systems of protection.",
  "abstract_shown": true,
  "affiliations": [],
  "article_type": "Review",
  "arxiv": null,
  "author_total": 9,
  "authors": [
    {
      "name": "Luissa Vahedi",
      "orcid": "0000-0001-7112-3348"
    },
    {
      "name": "Susan Pradhan"
    },
    {
      "name": "Sakina Zaidi"
    },
    {
      "name": "Vanessa Brizuela"
    },
    {
      "name": "Sabina Faiz Rashid"
    },
    {
      "name": "Maha El Adawy"
    },
    {
      "name": "Rana Hajjeh"
    },
    {
      "name": "Michelle Gaffey"
    },
    {
      "name": "Zulfiqar A. Bhutta",
      "orcid": "0000-0003-0637-599X"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/crq4jd48fjzqv.bib",
  "cited_by": 0,
  "doi": "10.1016/j.isci.2026.117794",
  "fulltext_url": "https://europepmc.org/articles/PMC13682385",
  "id": "crq4jd48fjzqv",
  "issns": [
    "2589-0042"
  ],
  "landing_url": "https://www.cell.com/iscience/fulltext/S2589-0042(26)03175-5",
  "language": "eng",
  "licence": "CC-BY-4.0",
  "licence_label": "CC BY 4.0",
  "licence_source": "article",
  "licence_url": "http://creativecommons.org/licenses/by/4.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "heading",
      "Environmental health"
    ],
    [
      "heading",
      "Global change"
    ],
    [
      "heading",
      "Reproductive medicine"
    ],
    [
      "heading",
      "Sexual medicine"
    ],
    [
      "openalex",
      "2307|Climate Change and Health Impacts"
    ]
  ],
  "openalex": "W7221560774",
  "pdf_url": "https://europepmc.org/articles/PMC13682385?pdf=render",
  "pmcid": "PMC13682385",
  "pmid": "42903853",
  "published": "2026-10-12",
  "publisher": "Elsevier BV",
  "ris": "https://research.draconitic.com/paper/crq4jd48fjzqv.ris",
  "sources": [
    {
      "first_seen": "2026-10-30T12:17:16Z",
      "native_id": "10.1016/j.isci.2026.117794",
      "source": "feed-cell",
      "url": "https://www.cell.com/iscience/fulltext/S2589-0042(26)03175-5"
    },
    {
      "first_seen": "2026-10-30T12:17:49Z",
      "native_id": "10.1016/j.isci.2026.117794",
      "source": "crossref",
      "url": "https://linkinghub.elsevier.com/retrieve/pii/S2589004226031755"
    },
    {
      "first_seen": "2026-10-30T12:19:53Z",
      "native_id": "MED:42903853",
      "source": "europepmc",
      "url": "https://europepmc.org/article/MED/42903853"
    }
  ],
  "subjects": [
    {
      "field": "medicine",
      "origin": "openalex:2307|Climate Change and Health Impacts",
      "subfield": "pharmacology-toxicology"
    }
  ],
  "title": "Climate change and sexual and reproductive health: A mixed methods scoping review of possible mechanisms",
  "title_text": "Climate change and sexual and reproductive health: A mixed methods scoping review of possible mechanisms",
  "type": "peer-reviewed",
  "updated_at": "2026-10-30T12:19:53Z",
  "url": "https://research.draconitic.com/paper/crq4jd48fjzqv",
  "venue": "iScience",
  "versions": []
}