性、贫困和公共卫生:美国生殖健康客户的性健康和经济资源之间的联系

IF 3.4 2区医学 Q1 DEMOGRAPHY

Perspectives on Sexual and Reproductive Health Pub Date : 2022-03-01 DOI:10.1363/psrh.12189

Jenny A Higgins, Renee Kramer, Leigh Senderowicz, Bethany Everett, David K Turok, Jessica N Sanders

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引用次数: 0

摘要

目的:探讨社会经济学与性幸福指标之间的关系。方法:我们从HER盐湖倡议中获得数据，这是一项大型纵向队列研究，研究对象是2016年3月至2017年3月期间获得免费避孕服务的美国计划生育客户。基线社会经济指标包括联邦贫困水平、接受公共援助、支付住房、食品和其他必需品的困难程度。性健康测量评估性功能和满意度、性高潮频率和当前性生活等级。在上个月性生活活跃的参与者中(N = 2581)，我们使用卡方检验来检验性与社会经济指标之间的双变量关联。结果:我们发现性健康和经济资源之间存在强烈而一致的关系:那些报告更多社会经济约束的人也报告更少的性繁荣迹象。结论:经济匮乏似乎限制了性幸福。为了支持积极的性健康，公共卫生领域必须继续把重点放在经济改革、减少贫困和消除结构性阶级歧视上，作为帮助人们充分实现健康和福祉潜力的关键方面。临床试验。gov标识符:NCT02734199。

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Sex, poverty, and public health: Connections between sexual wellbeing and economic resources among US reproductive health clients.

Objective: To document associations between socioeconomics and indicators of sexual wellbeing.

Methods: We obtained our data from the HER Salt Lake Initiative, a large, longitudinal cohort study of family planning clients in the United States who accessed free contraceptive services between March 2016 and March 2017. Baseline socioeconomic measures included Federal Poverty Level, receipt of public assistance, and difficulty paying for housing, food, and other necessities. Sexual wellbeing measures assessed sexual functioning and satisfaction, frequency of orgasm, and current sex-life rating. Among participants who had been sexually active in the last month (N = 2581), we used chi-square tests to examine bivariate associations between sexual and socioeconomic measures.

Results: We found strong and consistent relationships between sexual wellbeing and economic resources: those reporting more socioeconomic constraints also reported fewer signs of sexual flourishing.

Conclusions: Financial scarcity appears to constrain sexual wellbeing. To support positive sexual health, the public health field must continue to focus on economic reform, poverty reduction, and dismantling of structural classism as critical aspects of helping people achieve their full health and wellbeing potential. ClinialTrials.gov Identifier: NCT02734199.

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来源期刊

Perspectives on Sexual and Reproductive Health Multiple-

CiteScore

5.10

自引率

3.40%

发文量

期刊介绍： Perspectives on Sexual and Reproductive Health provides the latest peer-reviewed, policy-relevant research and analysis on sexual and reproductive health and rights in the United States and other developed countries. For more than four decades, Perspectives has offered unique insights into how reproductive health issues relate to one another; how they are affected by policies and programs; and their implications for individuals and societies. Published four times a year, Perspectives on Sexual and Reproductive Health includes original research, special reports and commentaries on the latest developments in the field of sexual and reproductive health, as well as staff-written summaries of recent findings in the field.