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Sexual risk behavior and substance use among young, diverse women seeking care at a reproductive health clinic

BACKGROUND: To describe sexual risk behavior, alcohol (and other substance) use, and perceived health promotion needs among young adult women seeking care from an urban reproductive health care clinic in the Northeastern United States, and to examine if these needs differ by race and ethnicity. METH...

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Autores principales: Norris, Alyssa L., Rich, Carla, Krieger, Naomi, Guthrie, Kate M., Kaplan, Clair, Carey, Kate B., Carey, Michael P.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6341714/
https://www.ncbi.nlm.nih.gov/pubmed/30665343
http://dx.doi.org/10.1186/s12905-019-0709-2
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author Norris, Alyssa L.
Rich, Carla
Krieger, Naomi
Guthrie, Kate M.
Kaplan, Clair
Carey, Kate B.
Carey, Michael P.
author_facet Norris, Alyssa L.
Rich, Carla
Krieger, Naomi
Guthrie, Kate M.
Kaplan, Clair
Carey, Kate B.
Carey, Michael P.
author_sort Norris, Alyssa L.
collection PubMed
description BACKGROUND: To describe sexual risk behavior, alcohol (and other substance) use, and perceived health promotion needs among young adult women seeking care from an urban reproductive health care clinic in the Northeastern United States, and to examine if these needs differ by race and ethnicity. METHODS: Women 18–29 years old presenting for a routine medical visit were invited to participate. Of 486 eligible women, 466 (96%) agreed to participate and completed a brief survey on a tablet computer. Most of the sample (53%) identified as non-Hispanic White. One-quarter (25%) identified as Hispanic/Latina. A smaller proportion of women identified as African American (19%). RESULTS: One-third (31%) of women reported a history of sexually transmitted infection (STI), and women reported infrequent condom use with recent sexual partners. Regarding behavioral health needs, nearly three-quarters of women (72%) reported regular alcohol use, approximately one-third had used marijuana (37%) or tobacco (33%) in the last month, and 19% reported clinically significant depressive symptoms in the last two weeks. Women reported moderate-to-strong interest in receiving information about relationships and sexual health; however, the majority were not interested in information about their substance use. Hispanic and African-American women were more likely to report STI history despite reporting fewer sexual partners than non-Hispanic White women. Minority women also reported significantly less alcohol and cigarette use, but more water pipe tobacco use, and reported significantly greater interest in interventions to promote sexual health. Hispanic women also evidenced significantly elevated rates of depressive symptoms, with 26% of Hispanic women reporting a clinically significant level of depressive symptoms. CONCLUSIONS: Reproductive health centers are opportune settings to address a broad range of healthcare needs, including sexual health, substance use, and mental health. These centers engage a diverse group of women, which is important given observed disparities in health outcomes based on race/ethnicity. Young women, particularly racial and ethnic minority women, report the most interest in services addressing sexual and relationship health.
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spelling pubmed-63417142019-01-24 Sexual risk behavior and substance use among young, diverse women seeking care at a reproductive health clinic Norris, Alyssa L. Rich, Carla Krieger, Naomi Guthrie, Kate M. Kaplan, Clair Carey, Kate B. Carey, Michael P. BMC Womens Health Research Article BACKGROUND: To describe sexual risk behavior, alcohol (and other substance) use, and perceived health promotion needs among young adult women seeking care from an urban reproductive health care clinic in the Northeastern United States, and to examine if these needs differ by race and ethnicity. METHODS: Women 18–29 years old presenting for a routine medical visit were invited to participate. Of 486 eligible women, 466 (96%) agreed to participate and completed a brief survey on a tablet computer. Most of the sample (53%) identified as non-Hispanic White. One-quarter (25%) identified as Hispanic/Latina. A smaller proportion of women identified as African American (19%). RESULTS: One-third (31%) of women reported a history of sexually transmitted infection (STI), and women reported infrequent condom use with recent sexual partners. Regarding behavioral health needs, nearly three-quarters of women (72%) reported regular alcohol use, approximately one-third had used marijuana (37%) or tobacco (33%) in the last month, and 19% reported clinically significant depressive symptoms in the last two weeks. Women reported moderate-to-strong interest in receiving information about relationships and sexual health; however, the majority were not interested in information about their substance use. Hispanic and African-American women were more likely to report STI history despite reporting fewer sexual partners than non-Hispanic White women. Minority women also reported significantly less alcohol and cigarette use, but more water pipe tobacco use, and reported significantly greater interest in interventions to promote sexual health. Hispanic women also evidenced significantly elevated rates of depressive symptoms, with 26% of Hispanic women reporting a clinically significant level of depressive symptoms. CONCLUSIONS: Reproductive health centers are opportune settings to address a broad range of healthcare needs, including sexual health, substance use, and mental health. These centers engage a diverse group of women, which is important given observed disparities in health outcomes based on race/ethnicity. Young women, particularly racial and ethnic minority women, report the most interest in services addressing sexual and relationship health. BioMed Central 2019-01-21 /pmc/articles/PMC6341714/ /pubmed/30665343 http://dx.doi.org/10.1186/s12905-019-0709-2 Text en © The Author(s). 2019 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Research Article
Norris, Alyssa L.
Rich, Carla
Krieger, Naomi
Guthrie, Kate M.
Kaplan, Clair
Carey, Kate B.
Carey, Michael P.
Sexual risk behavior and substance use among young, diverse women seeking care at a reproductive health clinic
title Sexual risk behavior and substance use among young, diverse women seeking care at a reproductive health clinic
title_full Sexual risk behavior and substance use among young, diverse women seeking care at a reproductive health clinic
title_fullStr Sexual risk behavior and substance use among young, diverse women seeking care at a reproductive health clinic
title_full_unstemmed Sexual risk behavior and substance use among young, diverse women seeking care at a reproductive health clinic
title_short Sexual risk behavior and substance use among young, diverse women seeking care at a reproductive health clinic
title_sort sexual risk behavior and substance use among young, diverse women seeking care at a reproductive health clinic
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6341714/
https://www.ncbi.nlm.nih.gov/pubmed/30665343
http://dx.doi.org/10.1186/s12905-019-0709-2
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