农村青少年使用避孕的社会决定因素:解决差异问题的影响
Asia S Bishop1, Paula S Nurius2, Ashley N Rousson3
1School of Social Work and Criminal Justice, University of Washington Tacoma, Tacoma, Washington, USA.
概括
农村青少年,特别是边缘化群体,在避孕使用方面存在差异. 社会和社区因素,而不是医疗保健的获取,显著影响使用,突出需要量身定制的干预.
科学领域:
- 公共卫生 公共卫生
- 青少年健康 青少年健康
- 健康差异 在健康上的差异
背景情况:
- 农村青少年面临更高的意外怀孕和性传播疾病的风险.
- 这种人群中对避孕方法使用差异和社会决定因素的研究有限.
研究的目的:
- 检查农村青少年使用避孕措施的差异.
- 为了确定健康的社会决定因素 (SDoH) 在这个人口群体中影响避孕使用.
主要方法:
- 采用2018年健康青年调查 (N=3757) 的数据进行的横截面研究.
- 在最后一次性接触时分析了自我报告的避孕使用 (避孕套,任何方法).
- 采用后勤回归来评估SDoH因素与避孕使用之间的关联.
主要成果:
- 在黑人,亚洲人,土著人,拉丁裔/a/x/e和女同性恋,同性恋,双性恋和质疑 (LGBQ) 青年以及贫困人口中发现了明显的避孕措施使用差异.
- 社会/社区SDoH因素是避孕使用的更强有力的预测因素,而不是经济或医疗保健准入因素.
- 即使考虑到其他因素,LGBQ地位与避孕措施的使用有负面关联.
结论:
- 农村青少年使用避孕措施的差异需要量身定制,响应式的服务方法.
- 社会因素显著影响农村避孕差异,往往超过医疗保健的准入.
- 全面的性教育和多层次的干预,解决社会背景对于改善农村社区的避孕使用至关重要.
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