Does distance matter? Access to family planning clinics and adolescent sexual behaviors.
Does distance matter? Access to family planning clinics and adolescent sexual behaviors.
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DOI：
10.1007/s10995-010-0618-3
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发表时间：
2011-07
影响因子：
2.3
通讯作者：
Remer L
中科院分区：
文献类型：
--
作者：
Bersamin M;Todd M;Remer L
该研究探讨了青少年地理访问（距离，旅行时间，密度）计划生育诊所和青少年性行为，包括性行为的开始，合作伙伴的数量和安全套的使用之间的关系。这项横断面研究于2005年在加州的10个县进行，利用了NICHD资助的青少年性行为研究（n = 921）的数据，公共资助的FPC的地理空间坐标和邻里特征。一系列回归模型被用来评估FPC距离和密度（每个青少年家1英里和3英里半径内的FPC数量）与青少年性行为之间的关系。FPC的访问措施和性行为之间的显着的主效应没有出现。然而，在年长的青年中，1英里半径内的FPC数量与开始性交之间出现了显着的反比关系。虽然在α = 0.10时不显著，但结果也表明老年人的FPC密度与性伴侣之间存在负相关（B =-0.22，p <0.15）。获得FPC与使用避孕套无关。结论：结果表明，计划生育服务的选择增加可能会导致风险较低的性行为中的老年青年。这一发现对于使大龄青少年更容易获得计划生育资源具有重要意义。
The study examines the relationship between adolescent geographic access (distance, travel time, density) to Family Planning Clinics and adolescent sexual behaviors, including sexual initiation, number of partners and condom use. This cross-sectional study, conducted in 2005 in 10 California counties, utilized data from NICHD-funded study on adolescent sexual behavior (n = 921), geospatial coordinates of publicly-funded FPCs, and neighborhood characteristics. A series of regression models were used to assess the relationship between FPC distance, and density (number of FPCs within 1- and 3- mile radii of each adolescent’s home), and adolescent sexual behaviors. Significant main effects between access measures of FPC and sexual behavior did not emerge. However, among older youth a significant inverse relationship emerged between number of FPCs within a 1-mile radius and initiating sexual intercourse. While not significant at α = .10, the results also indicate a negative relationship between density of FPCs and sexual partners (b = −.22, p < .15) among older youth. Access to FPCs was not associated with condom use. Conclusions: Results suggest that increased options for family planning services may lead to less risky sexual behaviors among older youth. This finding has significant implications with regards to making family planning resources more readily available to older adolescents.
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影响因子：
16.4
作者：
STOKOLS, D
通讯作者：
STOKOLS, D
DOI：
10.2307/2673767
发表时间：
2001-05-01
期刊：
FAMILY PLANNING PERSPECTIVES
影响因子：
--
作者：
Frost, JJ;Ranjit, N;Audam, S
通讯作者：
Audam, S
影响因子：
120.7
作者：
Resnick, MD;Bearman, PS;Udry, JR
通讯作者：
Udry, JR
影响因子：
2.3
作者：
Goodman, David C.;Klerman, Lorraine V.;Marth, Nancy
通讯作者：
Marth, Nancy
DOI：
10.2307/2135986
发表时间：
1993-01-01
期刊：
FAMILY PLANNING PERSPECTIVES
影响因子：
--
作者：
GRADY, WR;KLEPINGER, DH;BILLY, JOG
通讯作者：
BILLY, JOG