Norris Alyssa L, Rich Carla, Krieger Naomi, Guthrie Kate M, Kaplan Clair, Carey Kate B, Carey Michael P
Centers for Behavioral and Preventive Medicine, The Miriam Hospital, Coro West, Suite 309, 164 Summit Ave, Providence, RI, 02906, USA.
Department of Psychiatry and Human Behavior, Alpert School of Medicine, Brown University, Providence, RI, 02906, USA.
BMC Womens Health. 2019 Jan 21;19(1):15. doi: 10.1186/s12905-019-0709-2.
To describe sexual risk behavior, alcohol (and other substance) use, and perceived health promotion needs among young adult women seeking care from an urban reproductive health care clinic in the Northeastern United States, and to examine if these needs differ by race and ethnicity.
Women 18-29 years old presenting for a routine medical visit were invited to participate. Of 486 eligible women, 466 (96%) agreed to participate and completed a brief survey on a tablet computer. Most of the sample (53%) identified as non-Hispanic White. One-quarter (25%) identified as Hispanic/Latina. A smaller proportion of women identified as African American (19%).
One-third (31%) of women reported a history of sexually transmitted infection (STI), and women reported infrequent condom use with recent sexual partners. Regarding behavioral health needs, nearly three-quarters of women (72%) reported regular alcohol use, approximately one-third had used marijuana (37%) or tobacco (33%) in the last month, and 19% reported clinically significant depressive symptoms in the last two weeks. Women reported moderate-to-strong interest in receiving information about relationships and sexual health; however, the majority were not interested in information about their substance use. Hispanic and African-American women were more likely to report STI history despite reporting fewer sexual partners than non-Hispanic White women. Minority women also reported significantly less alcohol and cigarette use, but more water pipe tobacco use, and reported significantly greater interest in interventions to promote sexual health. Hispanic women also evidenced significantly elevated rates of depressive symptoms, with 26% of Hispanic women reporting a clinically significant level of depressive symptoms.
Reproductive health centers are opportune settings to address a broad range of healthcare needs, including sexual health, substance use, and mental health. These centers engage a diverse group of women, which is important given observed disparities in health outcomes based on race/ethnicity. Young women, particularly racial and ethnic minority women, report the most interest in services addressing sexual and relationship health.
描述在美国东北部一家城市生殖健康诊所寻求护理的年轻成年女性的性风险行为、酒精（及其他物质）使用情况以及感知到的健康促进需求，并研究这些需求是否因种族和族裔而异。
邀请前来进行常规医疗就诊的18 - 29岁女性参与。在486名符合条件的女性中，466名（96%）同意参与并在平板电脑上完成了一份简短调查。大多数样本（53%）被认定为非西班牙裔白人。四分之一（25%）被认定为西班牙裔/拉丁裔。较小比例的女性被认定为非裔美国人（19%）。
三分之一（31%）的女性报告有性传播感染（STI）病史，且女性报告与近期性伴侣使用避孕套的频率较低。关于行为健康需求，近四分之三的女性（72%）报告经常饮酒，约三分之一的女性在过去一个月使用过大麻（37%）或烟草（33%），19%的女性在过去两周报告有临床显著的抑郁症状。女性报告对获取有关人际关系和性健康的信息有中度到强烈的兴趣；然而，大多数人对有关其物质使用的信息不感兴趣。西班牙裔和非裔美国女性尽管报告的性伴侣比非西班牙裔白人女性少，但更有可能报告有STI病史。少数族裔女性还报告饮酒和吸烟显著较少，但水烟使用较多，并且报告对促进性健康干预措施的兴趣显著更高。西班牙裔女性抑郁症状的发生率也显著升高，26%的西班牙裔女性报告有临床显著水平的抑郁症状。
生殖健康中心是满足广泛医疗保健需求的合适场所，包括性健康、物质使用和心理健康。这些中心接纳了不同群体的女性，鉴于基于种族/族裔观察到的健康结果差异，这一点很重要。年轻女性，尤其是少数族裔女性，对涉及性和人际关系健康的服务表现出最大兴趣。
