Journal of Adolescent Health
Volume 55, Issue 5, 2014, Pages 716-719

Acculturation, sexual behaviors, and health care access among Hispanic and non-Hispanic white adolescents and young adults in the United States, 2006-2010 (Article)

Haderxhanaj L.T.* , Dittus P.J. , Loosier P.S. , Rhodes S.D. , Bloom F.R. , Leichliter J.S.
  • a Division of STD Prevention, National Center for HIV/AIDS, Centers for Disease Control and Prevention, 600 Clifton Road, Mailstop E-02, Atlanta, GA 30333, United States
  • b Division of STD Prevention, National Center for HIV/AIDS, Centers for Disease Control and Prevention, 600 Clifton Road, Mailstop E-02, Atlanta, GA 30333, United States
  • c Division of STD Prevention, National Center for HIV/AIDS, Centers for Disease Control and Prevention, 600 Clifton Road, Mailstop E-02, Atlanta, GA 30333, United States
  • d Division of Public Health Services, School of Medicine, Wake Forest University, Winston-Salem, NC, United States
  • e Division of STD Prevention, National Center for HIV/AIDS, Centers for Disease Control and Prevention, 600 Clifton Road, Mailstop E-02, Atlanta, GA 30333, United States
  • f Division of STD Prevention, National Center for HIV/AIDS, Centers for Disease Control and Prevention, 600 Clifton Road, Mailstop E-02, Atlanta, GA 30333, United States

Abstract

Purpose To examine national estimates of sexual behaviors and health care access by acculturation among adolescents.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.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 ≥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.Conclusions Interventions to reduce risk and increase health care access are needed for immigrant Hispanic youth, particularly Spanish-speaking immigrants. © 2014 Society for Adolescent Health and Medicine.

Author Keywords

access to health care Adolescents Sexually transmitted diseases Sexual behavior

Index Keywords

coitus immigrant sexual behavior Caucasian human epidemiology Odds Ratio statistics and numerical data Confidence Intervals Risk Reduction Behavior ethnology Hispanic Americans condom use Confidence interval Young Adult United States Humans migrant Hispanic Adolescent male Emigrants and Immigrants Acculturation female cultural factor Article adult health care access European Continental Ancestry Group risk reduction attitude to health Health Services Accessibility health care delivery
Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-84908321511&doi=10.1016%2fj.jadohealth.2014.06.018&partnerID=40&md5=1da7bc6998f2cbf9e4ba2ea2b31d45c8
DOI: 10.1016/j.jadohealth.2014.06.018
ISSN: 1054139X
Cited by: 7
Original Language: English