title: Continuing social disparities despite upward trends in sexual and reproductive health service use among young women in the United States.
abstract: BACKGROUND
  Building upon previous work describing declining rates and socioeconomic disparities in sexual and reproductive health (SRH) service use among young women in the United States, we reexamined patterns and determinants of SRH service use in 2006-2010.
  
  
  METHODS
  We used the latest data from the National Survey of Family Growth to evaluate SRH service use including contraceptive, sexually transmitted infection (STI) and other gynecological exam services among 3780 women ages 15-24 years. We compared proportions of service use across survey years and employed multiple logistic regression to estimate the influence of time and women's sociodemographic characteristics on the likelihood of SRH service use.
  
  
  RESULTS
  The proportion of women using SRH services increased from 50% (2006-2007) to 54% (2007-2008) and 57% (2008-2010) [all year odds ratios (ORs) 1.4, p values<.03]. Among sexually experienced women, the proportions using SRH and contraceptive services were unchanged, while STI service use increased from 22% (2006-2007) to 33% (2008-2009) (OR 1.7, confidence interval 1.1-2.4, p=.009). Differentials in service use existed across sociodemographic groups, largely with lower proportions of service use among women of social disadvantage.
  
  
  CONCLUSIONS
  Our results suggest a reversal of negative trends but continuing social disparities in young women's use of SRH services in the United States.
authors: Office of Population Research, Center for Health and Wellbeing, Princeton University, Princeton, NJ 08544, USA. kshall@princeton.edu
authors: Kelli Stidham
authors: KS
authors: Hall
authors: Caroline
authors: C
authors: Moreau
authors: James
authors: J
authors: Trussell
mesh_terms: D000293:Adolescent; D000294:Adolescent Behavior; D000328:Adult; D003268:Contraception Behavior / Q000639:trends; D003430:Cross-Sectional Studies; D005260:Female; D019538:Health Care Surveys; D006297:Health Services Accessibility / Q000191:economics / Q000639:trends; D006306:Health Surveys; D054625:Healthcare Disparities / Q000191:economics / Q000639:trends; D006801:Humans; D008403:Mass Screening / Q000191:economics / Q000706:statistics & numerical data; D010342:Patient Acceptance of Health Care; D060728:Reproductive Health / Q000191:economics / Q000639:trends; D034121:Reproductive Health Services / Q000191:economics / Q000706:statistics & numerical data / Q000639:trends; D012725:Sexual Behavior; D012749:Sexually Transmitted Diseases / Q000175:diagnosis; D012959:Socioeconomic Factors; D014481:United States; D055815:Young Adult