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Scope of sexual and reproductive health care receipt among young males aged 15-24
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4 2018
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Source: J Adolesc Health. 62(4):382-389
[PDF-117.93 KB]
Details:
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Alternative Title:J Adolesc Health
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Personal Author:
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Description:Objective:
To describe young men’s sexual and reproductive healthcare (SRHC) receipt by sexual behavior and factors associated with greater SRHC receipt.
Methods:
427 male patients aged 15–24 were recruited from 3 primary care and 2 STD clinics in one urban city. Immediately after visit, survey assessed receipt of 18 recommended SRHC services across four domains: screening history (sex health, STD/HIV test, family planning); laboratories (STDs/HIV); condom products (condoms/lubrication); and counseling (STD/HIV risk reduction, family planning, condoms); and demographic, sexual behavior and visit characteristics. Multivariable Poisson regressions examined factors associated with each SRHC subdomain adjusting for participant clustering within clinics.
Results:
90% were non-Hispanic Black, 61% aged 20–24, 90% sexually active, 71% had female partners (FP), and 20% male or male and female partners (M/MFP). Among sexually active males, one in ten received all services. Half or more were asked about sexual health and STD/HIV tests, tested for STDs/HIV, and counseled on STD/HIV risk reduction and correct condom use. Fewer were asked about family planning (23%), provided condom products (32%), and counseled about family planning (35%). Overall and for each subdomain, never sexually active males reported fewer services than sexually active males. Factors consistently associated with greater SRHC receipt across subdomains included: having M/MFP vs. FP, routine vs. non-STD-acute visit, time alone with provider without parent, and seen at STD vs. primary care clinic. Males having FP vs. M/MFP reported greater family planning counseling.
Conclusions:
Findings have implications for improving young men’s SRHC delivery beyond narrow scope of STD/HIV care.
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Pubmed ID:29128296
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Pubmed Central ID:PMC6080721
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Funding:
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Volume:62
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Issue:4
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