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

摘要

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 mul-tivariable 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 (< 14 years; adjusted odds ratio [aOR], 2.0; 15-17 years; aOR, 1.7), having ever been pregnant (aOR, 2.2); having had > 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.