Office of Population Research, Center for Health and Wellbeing, Princeton University, Princeton, NJ 08544, USA.
Contraception. 2012 Dec;86(6):681-6. doi: 10.1016/j.contraception.2012.05.013. Epub 2012 Jul 2.
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.
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.
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.
Our results suggest a reversal of negative trends but continuing social disparities in young women's use of SRH services in the United States.
基于之前描述美国年轻女性在性与生殖健康（SRH）服务利用方面的比例和社会经济差异下降的工作，我们重新审视了 2006-2010 年 SRH 服务利用的模式和决定因素。
我们使用国家家庭增长调查的最新数据，评估了 3780 名 15-24 岁女性的避孕、性传播感染（STI）和其他妇科检查服务等 SRH 服务的利用情况。我们比较了各调查年度的服务利用率，并采用多因素逻辑回归估计时间和女性社会人口特征对 SRH 服务利用的可能性的影响。
使用 SRH 服务的女性比例从 50%（2006-2007 年）增加到 54%（2007-2008 年）和 57%（2008-2010 年）[所有年份的比值比（OR）为 1.4，p 值<.03]。在有性经验的女性中，使用 SRH 和避孕服务的比例保持不变，而 STI 服务的使用比例从 22%（2006-2007 年）增加到 33%（2008-2009 年）（OR 1.7，95%置信区间为 1.1-2.4，p=.009）。社会人口统计学群体之间存在服务利用的差异，主要是社会劣势的女性服务利用率较低。
我们的结果表明，美国年轻女性在 SRH 服务利用方面的负面趋势出现逆转，但仍存在社会差异。
