Use of sexual health services among American Indian and Alaska Native Women
Use of sexual health services among American Indian and Alaska Native Women
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DOI：
10.1080/03630242.2019.1584144
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发表时间：
2019-10-21
期刊：
影响因子：
1.6
通讯作者：
Gonzales, Kelly
中科院分区：
文献类型：
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作者：
Cahn, Megan A.;Harvey, S. Marie;Gonzales, Kelly
由于美国印第安人/阿拉斯加原住民妇女使用性健康服务的研究不足，我们：（1）研究了美国印第安人/阿拉斯加原住民和非西班牙裔白色妇女使用性健康服务的差异，（2）确定了与美国印第安人/阿拉斯加原住民妇女使用服务相关的因素。我们使用了2006年至2010年间从15岁女性中收集的关于性健康服务使用情况的全国家庭增长调查数据。44岁，自认为是美洲印第安人/阿拉斯加原住民（n = 819）和白色人（n = 6，196）。加权逻辑回归模型估计的可能性，报告使用性健康服务的种族和使用相关的因素，在美国印第安人/阿拉斯加原住民样本。与白人相比，美洲印第安人/阿拉斯加原住民妇女不太可能使用节育服务，而更可能使用性传播疾病和艾滋病毒服务。在美洲印第安人/阿拉斯加原住民中，年轻妇女更有可能使用节育服务，性伴侣人数较多的妇女更有可能使用性传播疾病和艾滋病毒服务。我们的研究结果提供了一个国家基准，以评估随着时间的推移，美国印第安人/阿拉斯加土著妇女在使用性健康服务方面的差异和变化。
Because use of sexual health services among American Indian/Alaska Native women is understudied we: (1) examined disparities in use of sexual health services between American Indian/Alaska Native and non-Hispanic white women and (2) identified factors associated with service use among American Indian/Alaska Native women. We used data from the National Survey of Family Growth regarding the use of sexual health services collected between 2006 and 2010 from women aged 15?44 years who self-identified as American Indian/Alaska Native (n = 819) and white (n = 6,196). Weighted logistic regression models estimated the likelihood of reporting the use of sexual health services by race and factors associated with use in the American Indian/Alaska Native sample. Compared to whites, American Indian/Alaska Native women were less likely to use birth control services and more likely to use services for sexually transmitted diseases and HIV. Among American Indian/Alaska Natives, younger women were more likely to use birth control services, and women who had a higher number of sexual partners were more likely to use services for sexually transmitted diseases and HIV. Our results provide a national baseline against which to assess disparities and changes in the use of sexual health services among American Indian/Alaska Native women over time.