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dc.contributor.advisorMarianne Felice
dc.contributor.authorPotter, Julia
dc.contributor.authorTrussell, J.
dc.contributor.authorMoreau, Caroline
dc.date2022-08-11T08:10:55.000
dc.date.accessioned2022-08-23T17:24:40Z
dc.date.available2022-08-23T17:24:40Z
dc.date.issued2009-12-01
dc.date.submitted2015-02-13
dc.identifier.citationHum Reprod. 2009 Dec;24(12):3010-8. doi: 10.1093/humrep/dep333. Epub 2009 Sep 20. <a href="http://dx.doi.org/10.1093/humrep/dep333">Link to article on publisher's site</a>
dc.identifier.issn0268-1161 (Linking)
dc.identifier.doi10.1093/humrep/dep333
dc.identifier.pmid19770127
dc.identifier.urihttp://hdl.handle.net/20.500.14038/49241
dc.description<p>Medical student Julia Potter participated in this study as part of the Senior Scholars research program at the University of Massachusetts Medical School.</p>
dc.description.abstractBACKGROUND: This study explores the current patterns of reproductive health service use among young women in the USA and the changing influence of socio-demographic factors on the types of services used over time. METHODS: The study population, drawn from the two last cycles of the National Survey of Family Growth, consists of women aged 15-24 (n = 2543 in 1995, n = 2157 in 2002). We examined trends in use of 'contraceptive services' and 'other reproductive health services for preventive care' and tested for changes in the patterns of use of these services over time. Logistic regression models were used to further clarify the factors associated with the use of the two types of services in 2002. RESULTS: Results show no difference in the overall use of reproductive health services in the past year but did reveal changes in the type of service sought. Use of services for contraception increased by 10 percentage points (39.3% in 1995 to 49.7% in 2002, P < 0.001), although the use of other services remained stable (53.2% in 1995, 50.2% in 2002, P = 0.14). The patterns of use varied over time, exhibiting growing social disparities. In 2002, the use of contraceptive services depended on women's age, number of partners, personal and mother's level of education, and menstrual problems. The use of other reproductive health services for preventive care varied across women's socio-economic background. CONCLUSION: This study demonstrates increasing social differentials in the use of reproductive health services for preventive care among young women in the USA between 1995 and 2002, a finding which calls for careful monitoring in the context of limited resources.
dc.language.isoen_US
dc.relation<a href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=pubmed&cmd=Retrieve&list_uids=19770127&dopt=Abstract">Link to Article in PubMed</a>
dc.relation.urlhttp://www.ncbi.nlm.nih.gov/pmc/articles/PMC3888238/
dc.subjectAdolescent
dc.subjectAging
dc.subjectContraception Behavior
dc.subjectEducational Status
dc.subjectFamily Planning Services
dc.subjectFemale
dc.subjectHealth Care Surveys
dc.subjectHealthcare Disparities
dc.subjectHumans
dc.subjectMenstruation Disturbances
dc.subjectPreventive Health Services
dc.subjectReproductive Health Services
dc.subjectSexual Behavior
dc.subjectSexual Partners
dc.subjectSocioeconomic Factors
dc.subjectUnited States
dc.subjectYoung Adult
dc.subjectHealth Services Research
dc.subjectMedicine and Health
dc.subjectObstetrics and Gynecology
dc.subjectWomen's Health
dc.titleTrends and determinants of reproductive health service use among young women in the USA
dc.typeJournal Article
dc.source.journaltitleHuman reproduction (Oxford, England)
dc.source.volume24
dc.source.issue12
dc.identifier.legacycoverpagehttps://escholarship.umassmed.edu/ssp/188
dc.identifier.contextkey6652131
html.description.abstract<p>BACKGROUND: This study explores the current patterns of reproductive health service use among young women in the USA and the changing influence of socio-demographic factors on the types of services used over time.</p> <p>METHODS: The study population, drawn from the two last cycles of the National Survey of Family Growth, consists of women aged 15-24 (n = 2543 in 1995, n = 2157 in 2002). We examined trends in use of 'contraceptive services' and 'other reproductive health services for preventive care' and tested for changes in the patterns of use of these services over time. Logistic regression models were used to further clarify the factors associated with the use of the two types of services in 2002.</p> <p>RESULTS: Results show no difference in the overall use of reproductive health services in the past year but did reveal changes in the type of service sought. Use of services for contraception increased by 10 percentage points (39.3% in 1995 to 49.7% in 2002, P < 0.001), although the use of other services remained stable (53.2% in 1995, 50.2% in 2002, P = 0.14). The patterns of use varied over time, exhibiting growing social disparities. In 2002, the use of contraceptive services depended on women's age, number of partners, personal and mother's level of education, and menstrual problems. The use of other reproductive health services for preventive care varied across women's socio-economic background.</p> <p>CONCLUSION: This study demonstrates increasing social differentials in the use of reproductive health services for preventive care among young women in the USA between 1995 and 2002, a finding which calls for careful monitoring in the context of limited resources.</p>
dc.identifier.submissionpathssp/188
dc.contributor.departmentSchool of Medicine
dc.source.pages3010-8


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