Determinants and Disparities in Youth Reproductive Health Service Use

In Determinants of and Disparities in Reproductive Health Service Use Among Adolescent and Young Adult Women in the United States, 2002-2008, published in the American Journal of Public Health, authors Kelli Stidham Hall, Caroline Moreau, and James Trussell used data from the National Survey of Family Growth to examine service use across women’s sociodemographic and reproductive characteristics and to investigate potential disparate changes in service use over time.

The authors found that predictors of service use included age, education, birthplace, insurance, religious participation, mother’s education, childhood family situation, age at menarche, sexual intercourse experience, recent number of partners, and previous gynecological diagnosis. The authors concluded that “inequalities in reproductive health service use exist among women in the United States, particularly among the youngest and socially disadvantaged women, which may translate to poor and disparate reproductive outcomes.”

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