Blair G. Darney PhD, MPH , Biani Saavedra-Avendaño PhD, MSc , Emily R. Boniface MPH , Laura E. Jacobson PhD, MPH , Kate Coleman-Minahan PhD, FNP-BC , Evelyn Fuentes-Rivera MSc , Fernando Riosmena PhD
{"title":"美国和国外出生的墨西哥裔妇女性健康和生殖健康服务的安全网诊所使用情况。","authors":"Blair G. Darney PhD, MPH , Biani Saavedra-Avendaño PhD, MSc , Emily R. Boniface MPH , Laura E. Jacobson PhD, MPH , Kate Coleman-Minahan PhD, FNP-BC , Evelyn Fuentes-Rivera MSc , Fernando Riosmena PhD","doi":"10.1016/j.whi.2025.05.004","DOIUrl":null,"url":null,"abstract":"<div><h3>Objective</h3><div>We describe utilization of sexual and reproductive health (SRH) services at safety net clinics (Title X and other publicly funded health care organizations) and private health care settings among U.S.- and foreign-born Mexican-origin women living in the United States. We also test whether nativity is associated with source of SRH care, adjusting for other factors.</div></div><div><h3>Data Sources and Study Setting</h3><div>We pooled four waves of the National Survey of Family Growth (NSFG)—2011–2013, 2013–2015, 2015–2017, and 2017–2019—and included in our sample women who received SRH services in the previous 12 months.</div></div><div><h3>Study Design</h3><div>We compared SRH service utilization and source (safety net clinics [Title X and non-Title X public] vs. private) between U.S.-born and foreign-born Mexican-origin women. We used multivariable regression to test whether nativity was associated with source of care.</div></div><div><h3>Principal Findings</h3><div>Our sample included <em>n</em> = 1,923 (N = 4,446,577) Mexican-origin women aged 15–44, 42.9% of whom were foreign born. Foreign-born women of Mexican origin were more likely to be uninsured (43.8% vs. 13.4% among the U.S. born) and had a significantly higher adjusted probability of using safety net clinics to access preventive SRH services compared with Mexican-American women (42.2%; 95% CI [35.5, 48.9%] vs. 27.6%; 95% CI [22.9, 32.2%]).</div></div><div><h3>Conclusions</h3><div>Safety net clinics such as Title X and other publicly funded health care organizations play an important role in access to preventive SRH care among Mexican-origin women living in the United States, especially for foreign-born women.</div></div>","PeriodicalId":48039,"journal":{"name":"Womens Health Issues","volume":"35 5","pages":"Pages 383-389"},"PeriodicalIF":2.5000,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Safety Net Clinic Utilization for Sexual and Reproductive Health Services Among U.S.- and Foreign-Born Mexican-Origin Women\",\"authors\":\"Blair G. Darney PhD, MPH , Biani Saavedra-Avendaño PhD, MSc , Emily R. Boniface MPH , Laura E. Jacobson PhD, MPH , Kate Coleman-Minahan PhD, FNP-BC , Evelyn Fuentes-Rivera MSc , Fernando Riosmena PhD\",\"doi\":\"10.1016/j.whi.2025.05.004\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Objective</h3><div>We describe utilization of sexual and reproductive health (SRH) services at safety net clinics (Title X and other publicly funded health care organizations) and private health care settings among U.S.- and foreign-born Mexican-origin women living in the United States. We also test whether nativity is associated with source of SRH care, adjusting for other factors.</div></div><div><h3>Data Sources and Study Setting</h3><div>We pooled four waves of the National Survey of Family Growth (NSFG)—2011–2013, 2013–2015, 2015–2017, and 2017–2019—and included in our sample women who received SRH services in the previous 12 months.</div></div><div><h3>Study Design</h3><div>We compared SRH service utilization and source (safety net clinics [Title X and non-Title X public] vs. private) between U.S.-born and foreign-born Mexican-origin women. We used multivariable regression to test whether nativity was associated with source of care.</div></div><div><h3>Principal Findings</h3><div>Our sample included <em>n</em> = 1,923 (N = 4,446,577) Mexican-origin women aged 15–44, 42.9% of whom were foreign born. Foreign-born women of Mexican origin were more likely to be uninsured (43.8% vs. 13.4% among the U.S. born) and had a significantly higher adjusted probability of using safety net clinics to access preventive SRH services compared with Mexican-American women (42.2%; 95% CI [35.5, 48.9%] vs. 27.6%; 95% CI [22.9, 32.2%]).</div></div><div><h3>Conclusions</h3><div>Safety net clinics such as Title X and other publicly funded health care organizations play an important role in access to preventive SRH care among Mexican-origin women living in the United States, especially for foreign-born women.</div></div>\",\"PeriodicalId\":48039,\"journal\":{\"name\":\"Womens Health Issues\",\"volume\":\"35 5\",\"pages\":\"Pages 383-389\"},\"PeriodicalIF\":2.5000,\"publicationDate\":\"2025-09-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Womens Health Issues\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S1049386725000763\",\"RegionNum\":2,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Womens Health Issues","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S1049386725000763","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH","Score":null,"Total":0}
Safety Net Clinic Utilization for Sexual and Reproductive Health Services Among U.S.- and Foreign-Born Mexican-Origin Women
Objective
We describe utilization of sexual and reproductive health (SRH) services at safety net clinics (Title X and other publicly funded health care organizations) and private health care settings among U.S.- and foreign-born Mexican-origin women living in the United States. We also test whether nativity is associated with source of SRH care, adjusting for other factors.
Data Sources and Study Setting
We pooled four waves of the National Survey of Family Growth (NSFG)—2011–2013, 2013–2015, 2015–2017, and 2017–2019—and included in our sample women who received SRH services in the previous 12 months.
Study Design
We compared SRH service utilization and source (safety net clinics [Title X and non-Title X public] vs. private) between U.S.-born and foreign-born Mexican-origin women. We used multivariable regression to test whether nativity was associated with source of care.
Principal Findings
Our sample included n = 1,923 (N = 4,446,577) Mexican-origin women aged 15–44, 42.9% of whom were foreign born. Foreign-born women of Mexican origin were more likely to be uninsured (43.8% vs. 13.4% among the U.S. born) and had a significantly higher adjusted probability of using safety net clinics to access preventive SRH services compared with Mexican-American women (42.2%; 95% CI [35.5, 48.9%] vs. 27.6%; 95% CI [22.9, 32.2%]).
Conclusions
Safety net clinics such as Title X and other publicly funded health care organizations play an important role in access to preventive SRH care among Mexican-origin women living in the United States, especially for foreign-born women.
期刊介绍:
Women"s Health Issues (WHI) is a peer-reviewed, bimonthly, multidisciplinary journal that publishes research and review manuscripts related to women"s health care and policy. As the official journal of the Jacobs Institute of Women"s Health, it is dedicated to improving the health and health care of all women throughout the lifespan and in diverse communities. The journal seeks to inform health services researchers, health care and public health professionals, social scientists, policymakers, and others concerned with women"s health.