Sexual and Reproductive Health Care Receipt Among Young Males Aged 15-24
Sexual and Reproductive Health Care Receipt Among Young Males Aged 15-24
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DOI：
10.1016/j.jadohealth.2017.08.016
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发表时间：
2018-04-01
影响因子：
7.6
通讯作者：
Dittus, Patricia J.
中科院分区：
文献类型：
--
作者：
Marcell, Arik V.;Gibbs, Susannah E.;Dittus, Patricia J.
Purpose: This study aimed to describe young men's sexual and reproductive health care (SRHC) receipt by sexual behavior and factors associated with greater SRHC receipt.Methods: There were 427 male patients aged 15-24 who were recruited from 3 primary care and 2 sexually transmitted disease (STD) clinics in 1 urban city. Immediately after the visit, the survey assessed receipt of 18 recommended SRHC services across four domains: screening history (sexual health, STD/HIV test, family planning); laboratories (STDs/HIV); condom products (condoms/lubrication); and counseling (STD/HIV risk reduction, family planning, condoms); in addition, demographic, sexual behavior, and visit characteristics were examined. Multivariable Poisson regressions examined factors associated with each SRHC subdomain adjusting for participant clustering within clinics.Results: Of the participants, 90% were non-Hispanic black, 61% were aged 20-24, 90% were sexually active, 71% had female partners (FPs), and 20% hadmale or male and female partners (M/MFPs). Among sexually active males, 1 in 10 received all services. Half or more were asked about sexual health and STD/HIV tests, tested for STDs/HIV, and were counseled on STD/HIV risk reduction and correct condom use. Fewer were asked about family planning (23%), were provided condom products (32%), and were counseled about family planning (35%). Overall and for each subdomain, never sexually active males reported fewer services than sexually active males. Factors consistently associated with greater SRHC receipt across subdomains included having M/MFPs versus FPs, routine versus non-STD-acute visit, time alone with provider without parent, and seen at STD versus primary care clinic. Males having FPs versus M/MFPs reported greater family planning counseling.Conclusions: Findings have implications for improving young men's SRHC delivery beyond the narrow scope of STD/HIV care. (c) 2017 Society for Adolescent Health and Medicine. All rights reserved.
