Postdoctoral research fellow, College of Public Health and Human Sciences, Oregon State University, Corvallis, OR.
Associate dean for research and graduate programs and distinguished professor, College of Public Health and Human Sciences, Oregon State University, Corvallis, OR.
Perspect Sex Reprod Health. 2017 Sep;49(3):181-189. doi: 10.1363/psrh.12034. Epub 2017 Jul 31.
American Indian and Alaska Native men experience poorer sexual health than white men. Barriers related to their sex and racial identity may prevent them from seeking care; however, little is known about this population's use of sexual health services.
Sexual health service usage was examined among 923 American Indian and Alaska Native men and 5,322 white men aged 15-44 who participated in the 2006-2010 National Survey of Family Growth. Logistic regression models explored differences in service use by race and examined correlates of use among American Indians and Alaska Natives.
Among men aged 15-19 and those aged 35-44, men with incomes greater than 133% of the federal poverty level, men with private insurance, those living in the Northeast and those living in rural areas, American Indians and Alaska Natives were more likely than whites to use STD or HIV services (odds ratios, 1.5-3.2). The odds of birth control service use did not differ by race. Differences in service use were found among American Indian and Alaska Native men: For example, those with a usual source of care had elevated odds of using sexual health services (1.9-3.4), while those reporting no recent testicular exam had reduced odds of using these services (0.3-0.4).
This study provides baseline data on American Indian and Alaska Native men's use of sexual health services. Research exploring these men's views on these services is needed to help develop programs that better serve them.
美洲印第安人和阿拉斯加原住民男性的性健康状况不如白人男性。与他们的性别和种族认同相关的障碍可能会阻止他们寻求医疗服务；然而，对于这一人群对性健康服务的使用情况，我们知之甚少。
本研究调查了 923 名 15-44 岁的美洲印第安人和阿拉斯加原住民男性和 5322 名 15-44 岁的白人男性对性健康服务的使用情况。这些参与者均来自于 2006-2010 年全国家庭增长调查。采用逻辑回归模型，按种族分析了服务使用的差异，并检验了美洲印第安人和阿拉斯加原住民使用服务的相关因素。
在 15-19 岁和 35-44 岁的男性中，收入超过联邦贫困线 133%的男性、有私人保险的男性、居住在东北部和农村地区的男性、美洲印第安人和阿拉斯加原住民比白人更有可能使用性传播疾病或艾滋病毒服务（比值比 1.5-3.2）。种族之间使用避孕服务的几率没有差异。在美洲印第安人和阿拉斯加原住民男性中发现了服务使用的差异：例如，有常规医疗服务来源的男性使用性健康服务的几率更高（1.9-3.4），而那些报告最近没有进行睾丸检查的男性使用这些服务的几率较低（0.3-0.4）。
本研究提供了关于美洲印第安人和阿拉斯加原住民男性使用性健康服务的基线数据。需要研究这些男性对这些服务的看法，以帮助制定更好地为他们服务的项目。
