Scope of sexual and reproductive health care receipt among young males aged 15-24

Details

• Alternative Title:
  J Adolesc Health
• Personal Author:
  Marcell, Arik V. ; Gibbs, Susannah E. ; Pilgrim, Nanlesta A. ; Page, Kathleen R. ; Sanders, Renata ; Jennings, Jacky ; Loosier, Penny S. ; Dittus, Patricia J.
• 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.
  
  
• Subjects:
  Adolescent Adult Cross-Sectional Studies Humans Male Primary Health Care Reproductive Health Services Sexual Behavior Sexual Health Sexually Transmitted Diseases United States Young Adult

  More +
• Keywords:
  Male Adolescents Quality Of Care Sexual And Reproductive Health Care Young Adult Men
• Source:
  J Adolesc Health. 62(4):382-389
• Pubmed ID:
  29128296
• Pubmed Central ID:
  PMC6080721
• Document Type:
  Journal Article
• Funding:
  H25 PS003796/PS/NCHHSTP CDC HHSUnited States/ ; H25 PS005095/PS/NCHHSTP CDC HHSUnited States/ ; P30 AI094189/AI/NIAID NIH HHSUnited States/
• Volume:
  62
• Issue:
  4
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha-512:25e960bf99cc85f3685d410fe48ff122841a18b2c88312350fb31761b3503f31a66ae25682e4011db9571105fd38c1515d51b8dfb17082a928635fccd79e2111
• Download URL:
  https://stacks.cdc.gov/view/cdc/57909/cdc_57909_DS1.pdf
• File Type:
  [PDF - 117.93 KB ]