Adolescent Sexual Behavior, Contraceptive Use, and STI Testing during the COVID-19 Pandemic (January-June 2021).

IF 1.2 4区医学 Q4 HEALTH POLICY & SERVICES

Journal of Health Care for the Poor and Underserved Pub Date : 2025-01-01 DOI:10.1353/hpu.2025.a951587

Laima Licitis, Leigh E Szucs, Zach Oberholtzer, Kathleen H Krause, Jennifer Smith, Emily Young, Ari Fodeman, Sanjana Pampati

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Abstract

Background: The COVID-19 pandemic affected adolescents' sexual and reproductive health (SRH) behaviors and access to services.

Methods: We analyzed data from the 2021 Adolescent Behaviors and Experiences Survey (n=7,705) on sexual activity, condom and contraceptive use, and sexually transmitted infection (STI) testing. We tested differences in SRH outcomes by demographics, racism experience, and English proficiency.

Results: Current sexual activity was higher among students reporting ever experiencing racism at school and self-rating how well they can speak English as "not well." Condom use differed by sex, sexual identity, and sex of sexual contacts. Demographic differences in contraceptive use were also identified. Sexually active females (vs. males) and males with same-sex or both-sex contacts (vs. opposite-sex) had higher STI testing.

Conclusion: Differences by students' demographic characteristics and experiences during the pandemic highlight needs to enhance accessibility and quality of adolescent SRH services and education in schools, clinics, and communities.

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2019冠状病毒病大流行期间的青少年性行为、避孕药具使用和性传播感染检测（2021年1月至6月）

背景：2019冠状病毒病大流行影响了青少年的性健康和生殖健康（SRH）行为和服务获取。方法：我们分析了来自2021年青少年行为和经历调查（n= 7705）的性活动、避孕套和避孕药具使用以及性传播感染（STI）检测的数据。我们根据人口统计学、种族主义经历和英语熟练程度测试了SRH结果的差异。结果：报告在学校经历过种族歧视的学生中，目前的性行为更高，自我评价他们的英语说得“不好”。避孕套的使用因性别、性身份和性接触的性别而异。还确定了避孕药具使用方面的人口差异。性活跃的女性（相对于男性）和有同性或两性接触的男性（相对于异性）有更高的性传播感染检测。结论：大流行期间学生人口特征和经历的差异突出了需要提高学校、诊所和社区青少年性健康和生殖健康服务和教育的可及性和质量。

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

Journal of Health Care for the Poor and Underserved Multiple-

CiteScore

2.00

自引率

7.10%

发文量

154

期刊介绍： The journal has as its goal the dissemination of information on the health of, and health care for, low income and other medically underserved communities to health care practitioners, policy makers, and community leaders who are in a position to effect meaningful change. Issues dealt with include access to, quality of, and cost of health care.