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Poverty and InequalitySexual and Reproductive HealthFamily, Maternal & Child HealthMethodology

Continuing social disparities despite upward trends in sexual and reproductive health service use among young women in the United States

TitleContinuing social disparities despite upward trends in sexual and reproductive health service use among young women in the United States
Publication TypeJournal Article
Year of Publication2012
AuthorsHall, KS, Moreau, C, Trussell, J
JournalContraception
Volume86
Pagination681-6
Date PublishedDec
ISBN Number1879-0518; 0010-7824
Accession Number22762707
Abstract

BACKGROUND: Building upon previous work describing declining rates and socioeconomic disparities in sexual and reproductive health (SRH) service use among young women in the United States, we reexamined patterns and determinants of SRH service use in 2006-2010. STUDY DESIGN: We used the latest data from the National Survey of Family Growth to evaluate SRH service use including contraceptive, sexually transmitted infection (STI) and other gynecological exam services among 3780 women ages 15-24 years. We compared proportions of service use across survey years and employed multiple logistic regression to estimate the influence of time and women's sociodemographic characteristics on the likelihood of SRH service use. RESULTS: The proportion of women using SRH services increased from 50% (2006-2007) to 54% (2007-2008) and 57% (2008-2010) [all year odds ratios (ORs) 1.4, p values<.03]. Among sexually experienced women, the proportions using SRH and contraceptive services were unchanged, while STI service use increased from 22% (2006-2007) to 33% (2008-2009) (OR 1.7, confidence interval 1.1-2.4, p=.009). Differentials in service use existed across sociodemographic groups, largely with lower proportions of service use among women of social disadvantage. CONCLUSIONS: Our results suggest a reversal of negative trends but continuing social disparities in young women's use of SRH services in the United States.

PMCID

3465640