The integration of STD/HIV services with contraceptive services for young women in the United States.
OBJECTIVE
The purpose of this study was to estimate the national prevalence and predictors of sexually transmitted disease/human immunodeficiency virus (STD/HIV) service receipt in the preceding year among young women who received contraceptive services.


METHODS
Weighted self-reported data from the 2002 National Survey of Family Growth was used to estimate the prevalence and multivariable odds ratios for the receipt of STD/HIV services among 1009 unmarried, sexually active 15- to 24-year-old women who received contraceptive services.


RESULTS
Of the women who received contraceptive services, 35% (2.7 million) did not receive STD/HIV services. Predictors of the receipt of STD/HIV services included younger age at first sexual intercourse (< or = 14 years; adjusted odds ratio [aOR], 2.0; 15-17 years; aOR, 1.7), having ever been pregnant (aOR, 2.2); having had > or = 2 partners in the past year (aOR, 2.6), receipt of a pregnancy test or abortion in the past year (aOR, 2.3), and having visited a Title X clinic in the last 12 months (aOR, 3.3).


CONCLUSIONS
Interventions are needed to help integrate contraceptive and STD/HIV services.
Farr
Sherry L
SL
Division of Reproductive Health, Centers for Disease Control and Prevention, Atlanta, GA, USA.
Kraft
Joan Marie
JM
Warner
Lee
L
Anderson
John E
JE
Jamieson
Denise J
DJ
D000293:Adolescent; D003267:Contraception / Q000706:statistics & numerical data*; D005260:Female; D015658:HIV Infections / Q000175:diagnosis / Q000453:epidemiology*; D006801:Humans; D017533:Marital Status / Q000706:statistics & numerical data; D008403:Mass Screening / Q000706:statistics & numerical data; D015999:Multivariate Analysis; D016017:Odds Ratio; D011237:Predictive Value of Tests; D015995:Prevalence; D012307:Risk Factors; D012725:Sexual Behavior / Q000706:statistics & numerical data; D012749:Sexually Transmitted Diseases / Q000175:diagnosis / Q000453:epidemiology*; D014481:United States / Q000453:epidemiology; D014932:Women's Health Services / Q000458:organization & administration / Q000706:statistics & numerical data*; D055815:Young Adult