Contraceptive Use and Its Associations With Social Determinants of Health Among Young Adults.

IF 1.5 4区医学 Q3 FAMILY STUDIES

Family & Community Health Pub Date : 2024-10-18 DOI:10.1097/FCH.0000000000000415

Shristi Bhochhibhoya, Sarah B Maness, Julie Ober Allen, Marshall K Cheney, B Mitchell Peck, Yu Lu

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引用次数: 0

Abstract

Background: Nonuse and inconsistent use of contraception in young adults can result in undesired pregnancies. Prior research on contraceptive use has primarily focused on individual influences such as attitudes, beliefs, and skills related to contraceptive use, with little consideration of the social and economic determinants.

Objective: This study explored domains from the Healthy People 2030 Social Determinants of Health (SDH) framework and examined their cross-sectional associations with young adults' self-reported contraceptive use (ie, any use in the past year and consistent use of contraception).

Methods: Eleven measures related to 5 SDH domains were extracted from the Add Health dataset collected from 2001 to 2002 (Wave III). The final sample included 11,172 youth with a mean age of 21.88 years (SD: 1.84) and was 53.8% female.

Results: Measures associated with the past year's use of contraceptives included non-poverty status, employment, housing instability, high school graduation, enrollment in higher education, English language spoken at home, experience of civic participation, and access to primary care. For consistent use of contraception, associated measures were participants' non-poverty status, employment, high school graduation, enrollment in higher education, English language spoken at home, experience of civic participation, incarceration, and access to health care.

Conclusions: Interventions that address social determinants of health can potentially promote contraceptive use.

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避孕药具的使用及其与年轻成年人健康的社会决定因素之间的关系。

背景：青壮年不使用或不坚持使用避孕药具会导致意外怀孕。之前有关避孕药具使用的研究主要集中于个人影响因素，如与避孕药具使用相关的态度、信念和技能，很少考虑社会和经济决定因素：本研究探讨了 2030 年健康人群健康的社会决定因素（SDH）框架中的各个领域，并研究了这些领域与青壮年自我报告的避孕药具使用情况（即在过去一年中是否使用过避孕药具以及是否持续使用避孕药具）之间的横断面关联：从 2001 年至 2002 年收集的 Add Health 数据集（第三波）中提取了与 5 个 SDH 领域相关的 11 个测量指标。最终样本包括 11,172 名青年，平均年龄为 21.88 岁（标准差：1.84），53.8% 为女性：与过去一年使用避孕药具相关的衡量指标包括非贫困状况、就业、住房不稳定性、高中毕业、高等教育入学率、家庭英语口语、公民参与经历和初级保健机会。就持续使用避孕药具而言，相关指标包括参与者的非贫困状况、就业、高中毕业、高等教育入学率、在家讲的英语、公民参与经历、监禁和获得医疗保健的机会：结论：针对健康的社会决定因素的干预措施有可能促进避孕药具的使用。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Family & Community Health Multiple-

CiteScore

2.70

自引率

4.30%

发文量

期刊介绍： Family & Community Health is a practical quarterly which presents creative, multidisciplinary perspectives and approaches for effective public and community health programs. Each issue focuses on a single timely topic and addresses issues of concern to a wide variety of population groups with diverse ethnic backgrounds, including children and the elderly, men and women, and rural and urban communities.