Acculturation, Sexual Behaviors, and Health Care Access Among Hispanic and Non-Hispanic White Adolescents and Young Adults in the United States, 2006-2010

作者：Haderxhanaj Laura T^*; Dittus Patricia J; Loosier Penny S; Rhodes Scott D; Bloom Fred R; Leichliter Jami S

来源：Journal of Adolescent Health, 2014, 55(5): 716-719.

DOI：10.1016/j.jadohealth.2014.06.018

• Adolescents
• Sexual behavior
• Sexually transmitted diseases
• Access to health care

Purpose: To examine national estimates of sexual behaviors and health care access by acculturation among adolescents. %26lt;br%26gt;Methods: Using the 2006-2010 National Survey of Family Growth, four acculturation groups of Hispanic and non-Hispanic whites aged 15-24 years were analyzed by sexual behaviors and health care access. %26lt;br%26gt;Results: In analyses adjusted for demographics, English-speaking immigrants, Hispanic natives, and non-Hispanic white youth were less likely to have a partner age difference of %26gt;= 6 years (adjusted odds ratio [AOR], .28; 95% confidence interval [CI],.13-.60; AOR, .13; 95% CI, .07-.26; AOR, .16; 95% CI,.08-.32, respectively) and more likely to use a condom at the first vaginal sex (AOR, 1.99; 95% CI, 1.10-3.61; AOR, 2.10; 95% CI, 1.33-3.31; AOR, 2.39; 95% CI, 1.53-3.74, respectively) than Spanish-speaking immigrants. Non-Hispanic white youth and Hispanic natives were more likely to have a regular place for medical care (AOR, 2.07; 95% CI, 1.36-3.16; AOR, 3.66; 95% CI, 2.36-5.68, respectively) and a chlamydia test in the past 12 months (AOR, 3.62; 95% CI, 1.52-8.60; AOR, 2.94; 95% CI, 1.32-6.54) than Spanish-speaking immigrants. %26lt;br%26gt;Conclusions: Interventions to reduce risk and increase health care access are needed for immigrant Hispanic youth, particularly Spanish-speaking immigrants. Published by Elsevier Inc. on behalf of Society for Adolescent Health and Medicine.

• 出版日期2014-11