激素避孕措施的使用和健康信念对巴氏涂片检查使用率的性取向差异的影响。
Influence of hormonal contraceptive use and health beliefs on sexual orientation disparities in Papanicolaou test use.
机构信息
Brittany M. Charlton is with the Department of Epidemiology, Harvard School of Public Health, Boston, MA. Heather L. Corliss and S. Bryn Austin are with the Division of Adolescent and Young Adult Medicine, Boston Children's Hospital, Harvard Medical School, Boston, MA. Stacey A. Missmer, is with Department of Obstetrics, Gynecology, and Reproductive Biology, Brigham and Women's Hospital and Harvard Medical School, Boston, MA. A. Lindsay Frazier is with the Dana-Farber Cancer Institute, Boston, MA. Margaret Rosario is with the City University of New York, City College and Graduate Center, New York, NY. Jessica A. Kahn is with the Division of Adolescent Medicine, Cincinnati Children's Hospital Medical Center, Cincinnati, OH.
出版信息
Am J Public Health. 2014 Feb;104(2):319-25. doi: 10.2105/AJPH.2012.301114. Epub 2013 Jun 13.
OBJECTIVES
Reproductive health screenings are a necessary part of quality health care. However, sexual minorities underutilize Papanicolaou (Pap) tests more than heterosexuals do, and the reasons are not known. Our objective was to examine if less hormonal contraceptive use or less positive health beliefs about Pap tests explain sexual orientation disparities in Pap test intention and utilization.
METHODS
We used multivariable regression with prospective data gathered from 3821 females aged 18 to 25 years in the Growing Up Today Study (GUTS).
RESULTS
Among lesbians, less hormonal contraceptive use explained 8.6% of the disparities in Pap test intention and 36.1% of the disparities in Pap test utilization. Less positive health beliefs associated with Pap testing explained 19.1% of the disparities in Pap test intention. Together, less hormonal contraceptive use and less positive health beliefs explained 29.3% of the disparities in Pap test intention and 42.2% of the disparities in Pap test utilization.
CONCLUSIONS
Hormonal contraceptive use and health beliefs, to a lesser extent, help to explain sexual orientation disparities in intention and receipt of a Pap test, especially among lesbians.
目的
生殖健康筛查是优质医疗保健的必要组成部分。然而，性少数群体比异性恋者更少地接受巴氏涂片（Pap）检查，其原因尚不清楚。我们的目的是研究激素避孕方法的使用较少或对巴氏试验的正面健康信念是否解释了性取向在巴氏试验意愿和利用方面的差异。
方法
我们使用多变量回归分析，使用来自今天成长研究（GUTS）中 3821 名 18 至 25 岁女性的前瞻性数据。
结果
在女同性恋者中，激素避孕方法使用较少解释了巴氏试验意图差异的 8.6%，以及巴氏试验利用差异的 36.1%。与巴氏试验相关的健康信念较少解释了巴氏试验意图差异的 19.1%。总之，激素避孕方法的使用和健康信念在较小程度上有助于解释巴氏试验意图和接受巴氏试验的性取向差异，尤其是在女同性恋者中。
Zotero 插件