In 2020, the COVID-19 pandemic forced unprecedented disruptions in higher education operations. While the adverse mental health effects experienced by college students due to these changes are well documented, less is known about the impact on their sexual and reproductive health (SRH), and the reciprocal relationships between SRH and mental health among adolescents and emerging adults. This position paper reviews existing literature on the effects of the COVID-19 pandemic on SRH, sexual violence, unintended pregnancy, sexually transmitted illness and human immunodeficiency virus rates and highlights issues specific to college-aged males, females, racial/ethnic and sexual minorities, and individuals with disabilities. The need to conceptualize SRH as an integral component of normal development, overall health, and well-being in the context of COVID-19 is discussed. The need to prioritize the design and implementation of developmentally appropriate, evidence-based SRH interventions specifically targeting college students is identified. Furthermore, an intergenerational approach to SRH that includes parents/caregivers and/or college faculty and staff (e.g., coaches, trainers) could facilitate comprehensive SRH prevention programming that enhances sexual violence prevention training programs currently mandated by many colleges. Policies and programs designed to mitigate adverse pandemic-related exacerbations in negative SRH outcomes are urgently needed and should be included in mainstream clinical psychology, not only focused on preventing unwanted outcomes but also in promoting rewarding interpersonal relationships and overall well-being. Recommendations for clinical psychologists and mental health researchers are made.

2020 年，新冠肺炎 (COVID-19) 大流行对高等教育运营造成了前所未有的干扰。虽然这些变化给大学生带来的不良心理健康影响已有充分记录，但人们对这些变化对其性健康和生殖健康 (SRH) 的影响以及青少年和新兴成年人中 SRH 与心理健康之间的相互关系知之甚少。本立场文件回顾了有关 COVID-19 大流行对性健康和生殖健康、性暴力、意外怀孕、性传播疾病和人类免疫缺陷病毒感染率影响的现有文献，并重点介绍了大学年龄男性、女性、种族/族裔和性少数群体的具体问题和残疾人士。讨论了在 COVID-19 背景下将 SRH 概念化为正常发育、整体健康和福祉的一个组成部分的必要性。确定需要优先考虑专门针对大学生的、适合发展的、基于证据的性健康和生殖健康干预措施的设计和实施。此外，包括父母/照顾者和/或大学教职员工（例如教练、培训师）在内的性健康与生殖健康代际方法可以促进全面的性健康与生殖健康预防规划，从而加强许多大学目前强制实施的性暴力预防培训计划。迫切需要制定旨在减轻与大流行相关的负面 SRH 结果恶化的政策和计划，并应将其纳入主流临床心理学，不仅注重预防不良结果，而且注重促进有益的人际关系和整体福祉。向临床心理学家和心理健康研究人员提出了建议。