The sexual and reproductive health of foreign-born women in the United States.
The sexual and reproductive health of foreign-born women in the United States.
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DOI：
10.1016/j.contraception.2018.02.003
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发表时间：
2018-07
期刊：
影响因子：
2.9
通讯作者：
Whitehead H
中科院分区：
文献类型：
--
作者：
Tapales A;Douglas-Hall A;Whitehead H
了解美国妇女的性与生殖健康（SRH）行为、健康保险覆盖率和SRH服务使用情况。按出生地、种族和族裔分列。我们分析了来自全国家庭增长调查的公开和限制性数据，以评估外国出生和美国出生之间的差异和相似之处。出生的女性，包括整体和西班牙裔、非西班牙裔（NH）白色、NH黑人和NH亚裔群体。外国出生的女性比例高于美国-出生的妇女没有医疗保险。外国出生的妇女利用性健康和生殖健康服务的比率低于美国-出生的女性;这种影响在多变量水平上减弱，尽管种族和民族差异仍然存在。总体而言，外国出生的妇女不太可能支付私人保险的性健康和生殖健康服务，而不是美国。天生的女人外国出生的妇女使用最有效的避孕方法的可能性低于美国-出生的妇女，在种族和民族之间存在一些差异：NH白色和NH黑人外国出生的妇女使用高效避孕方法的可能性低于他们的美国-但在西班牙裔女性中，情况正好相反。我们的研究结果表明，在国外出生的妇女的性健康和生殖健康的行为，需求和结果不同于美国出生的妇女在同一种族/族裔群体。本文有助于在美国移民的新兴文献奠定了基础，为进一步研究在该国的外国出生的人口的性健康和生殖健康，这是制定公共卫生政策和计划，以更好地了解和服务于这个不断增长的和多样化的人口至关重要。
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.
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