Reproductive Health Screening Disparities and Sexual Orientation in a Cohort Study of U.S. Adolescent and Young Adult Females
Reproductive Health Screening Disparities and Sexual Orientation in a Cohort Study of U.S. Adolescent and Young Adult Females
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DOI：
10.1016/j.jadohealth.2011.03.013
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发表时间：
2011-11-01
影响因子：
7.6
通讯作者：
Austin, S. Bryn
中科院分区：
文献类型：
--
作者：
Charlton, Brittany M.;Corliss, Heather L.;Austin, S. Bryn
目的：研究青少年和年轻成年女性在巴氏涂片（Pap）和性传播感染（STI）/人乳头瘤病毒（HPV）检测中的性取向群体差异。方法：调查数据来自4，2005年，224名17-25岁的青少年和年轻人回答了“今日成长研究”的2005年问卷调查，用多元广义估计方程回归进行分段检验。我们检查了性取向和生殖保健利用之间的关联，以及以完全异性恋为参照组的异常结果，控制了年龄，种族/民族，地理区域和性史。在考虑了社会人口统计学和性史之后，大多数异性恋/双性恋女性在过去一年内进行巴氏试验的几率低30%，被诊断患有性传播感染的几率高出近40%，与完全异性恋的群体相比。此外，女同性恋者一生中进行巴氏试验的几率非常低（比值比= 0.13，p
Purpose: To examine sexual orientation group disparities in the Papanicolaou (Pap) and sexually transmitted infection (STI)/human papillomavirus (HPV) tests among adolescents and young adult females.Methods: Survey data from 4,224 adolescents and young adults aged 17-25 years who responded to the 2005 wave questionnaire of the Growing Up Today Study were cross-sectionally examined with multivariate generalized estimating equations regression. We examined associations between sexual orientation and reproductive healthcare utilization as well as abnormal results with completely heterosexual as the referent group, controlling for age, race/ethnicity, geographic region, and sexual history.Results: After accounting for sociodemographics and sexual history, mostly heterosexual/bisexual females had 30% lower odds of having a Pap test within the last year and almost 40% higher odds of being diagnosed with an STI, as compared with the completely heterosexual group. Additionally, lesbians had very low odds of having a Pap test in their lifetime (odds ratio = .13, p