Trends and determinants of reproductive health service use among young women in the USA
| Autor: | James Trussell, Julia Potter, Caroline Moreau |
|---|---|
| Přispěvatelé: | University of Massachusetts Medical School, University of Massachusetts Medical School [Worcester] (UMASS), University of Massachusetts System (UMASS)-University of Massachusetts System (UMASS), Santé reproductive, sexualité, infection à VIH - épidémiologie, démographie, sciences sociales, Institut national d'études démographiques (INED)-Université Paris-Sud - Paris 11 (UP11)-Institut National de la Santé et de la Recherche Médicale (INSERM), Office of Population Research, Princeton University, Hull York Medical School, Moreau, Caroline, Institut National de la Santé et de la Recherche Médicale (INSERM)-Université Paris-Sud - Paris 11 (UP11)-Institut national d'études démographiques (INED) |
| Rok vydání: | 2009 |
| Předmět: |
Aging
MESH: Sexual Behavior MESH: Reproductive Health Services MESH: Family Planning Services MESH: Health Care Surveys 0302 clinical medicine Preventive Health Services MESH: Sexual Partners Medicine MESH: Aging Contraception Behavior MESH: Healthcare Disparities Menstruation Disturbances Reproductive health education.field_of_study 030219 obstetrics & reproductive medicine Rehabilitation Obstetrics and Gynecology 3. Good health Sexual Partners MESH: Young Adult Family planning Family Planning Services National Survey of Family Growth Educational Status Female Original Article 0305 other medical science Developed country MESH: Socioeconomic Factors medicine.medical_specialty Adolescent Sexual Behavior Population Context (language use) Young Adult 03 medical and health sciences Environmental health MESH: Preventive Health Services MESH: United States Humans MESH: Menstruation Disturbances Healthcare Disparities MESH: Contraception Behavior education Socioeconomic status MESH: Adolescent MESH: Humans 030505 public health business.industry Public health United States Socioeconomic Factors Reproductive Medicine [SDV.SPEE] Life Sciences [q-bio]/Santé publique et épidémiologie Health Care Surveys Reproductive Health Services [SDV.SPEE]Life Sciences [q-bio]/Santé publique et épidémiologie MESH: Educational Status business MESH: Female |
| Zdroj: | Human Reproduction Human Reproduction, Oxford University Press (OUP), 2009, 24 (12), pp.3010-8. ⟨10.1093/humrep/dep333⟩ |
| ISSN: | 1460-2350 0268-1161 |
| DOI: | 10.1093/humrep/dep333 |
| Popis: | International audience; BACKGROUND: This study explores the current patterns of reproductive health service use among young women in the USA and the changing influence of socio-demographic factors on the types of services used over time. METHODS: The study population, drawn from the two last cycles of the National Survey of Family Growth, consists of women aged 15-24 (n = 2543 in 1995, n = 2157 in 2002). We examined trends in use of 'contraceptive services' and 'other reproductive health services for preventive care' and tested for changes in the patterns of use of these services over time. Logistic regression models were used to further clarify the factors associated with the use of the two types of services in 2002. RESULTS: Results show no difference in the overall use of reproductive health services in the past year but did reveal changes in the type of service sought. Use of services for contraception increased by 10 percentage points (39.3% in 1995 to 49.7% in 2002, P < 0.001), although the use of other services remained stable (53.2% in 1995, 50.2% in 2002, P = 0.14). The patterns of use varied over time, exhibiting growing social disparities. In 2002, the use of contraceptive services depended on women's age, number of partners, personal and mother's level of education, and menstrual problems. The use of other reproductive health services for preventive care varied across women's socio-economic background. CONCLUSION: This study demonstrates increasing social differentials in the use of reproductive health services for preventive care among young women in the USA between 1995 and 2002, a finding which calls for careful monitoring in the context of limited resources. |
| Databáze: | OpenAIRE |
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