Guttmacher Institute, 125 Maiden Lane, 7th Floor, New York, NY 10038, USA.
Contraception. 2018 Jul;98(1):47-51. doi: 10.1016/j.contraception.2018.02.003. Epub 2018 Feb 14.
To explore the sexual and reproductive health (SRH) behaviors, health insurance coverage and use of SRH services of women in the United States (U.S.) by nativity, disaggregated by race and ethnicity.
We analyzed publicly available and restricted data from the National Survey of Family Growth to assess differences and similarities between foreign-born and U.S.-born women, both overall and within Hispanic, non-Hispanic (NH) white, NH black and NH Asian groups.
A larger proportion of foreign-born women than U.S.-born women lacked health insurance coverage. Foreign-born women utilized SRH services at lower rates than U.S.-born women; this effect diminished at the multivariate level, although race and ethnicity differences remained. Overall, foreign-born women were less likely to pay for SRH services with private insurance than U.S.-born women. Foreign-born women were less likely to use the most effective contraceptive methods than U.S.-born women, with some variation across race and ethnicity: NH white and NH black foreign-born women were less likely to use highly effective contraceptive methods than their U.S.-born counterparts, but among Hispanic women, the reverse was true.
Our findings demonstrate that the SRH behaviors, needs and outcomes of foreign-born women differ from those of U.S-born women within the same race/ethnic group.
This paper contributes to the emergent literature on immigrants in the U.S. by laying the foundation for further research on the SRH of the foreign-born population in the country, which is critical for developing public health policies and programs to understand better and serve this growing and diverse population.
按出生地、种族和民族对美国（美国）女性的性与生殖健康（SRH）行为、健康保险覆盖范围和 SRH 服务使用情况进行细分，探讨其差异。
我们分析了国家家庭增长调查中公开和受限的数据，以评估出生于国外和出生于美国的女性之间的差异和相似之处，包括总体情况以及西班牙裔、非西班牙裔白人、非西班牙裔黑人以及非西班牙裔亚裔群体。
与出生于美国的女性相比，更多的外国出生女性缺乏健康保险。外国出生的女性利用 SRH 服务的比例低于出生于美国的女性；这种影响在多变量水平上有所减弱，但种族和民族差异仍然存在。总体而言，外国出生的女性使用私人保险支付 SRH 服务费用的可能性低于出生于美国的女性。外国出生的女性使用最有效的避孕方法的可能性低于出生于美国的女性，而且在不同种族和民族之间存在差异：非西班牙裔白人及非西班牙裔黑人的外国出生女性使用高效避孕方法的可能性低于其美国出生的同龄人，但在西班牙裔女性中，情况则相反。
我们的研究结果表明，在同一种族/族裔群体内，出生于国外的女性的 SRH 行为、需求和结果与出生于美国的女性不同。
本文通过为该国外国出生人口的 SRH 研究奠定基础，为美国移民的新兴文献做出了贡献，这对于制定公共卫生政策和计划以更好地了解和服务这一不断增长和多样化的人口至关重要。
