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Am J Obstet Gynecol. 2009 Aug;201(2):142.e1-8. doi: 10.1016/j.ajog.2009.04.018. Epub 2009 May 30.

The integration of STD/HIV services with contraceptive services for young women in the United States.

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  • 1Division of Reproductive Health, Centers for Disease Control and Prevention, Atlanta, GA, USA.

Abstract

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.

STUDY DESIGN:

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).

CONCLUSION:

Interventions are needed to help integrate contraceptive and STD/HIV services.

PMID:
19481723
[PubMed - indexed for MEDLINE]
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