255559 Young women's use of substances and reproductive health services: Is there a link?

Tuesday, October 30, 2012

Kelli Hall, PhD, MSN, NP , Office of Population Research; Center for Health and Wellbeing, Princeton University, Princeton, NJ
Caroline Moreau, MD, PhD , Office of Population Research, Princeton University, Princeton, NJ
James Trussell, PhD , Office of Population Research, Princeton University, Princeton, NJ
Objective: To investigate associations between young women's use of substances and preventive sexual and reproductive health (SRH) services.

Methods: We used data from young women 15-24yrs (n=4,421) in the National Survey of Family Growth, 2002-2008. With descriptive, bivariate and multivariate logistic regression statistics, we analyzed relationships between recent use of tobacco, alcohol, marijuana and illicit drugs and use of preventive SRH services.

Results: Over half (59%) young women used SRH services including contraception (48%), gynecological exam (47%), and STI testing/treatment (17%) services. Proportions of service use increased with frequency of all substance use (p-values<0.001). Among sexually-experienced women, weekly marijuana use was positively associated with SRH service use (OR 2.7,CI 1.3,5.3,p=0.006), including gynecological exam services (OR 2.5,CI 1.4,4.3,p=0.002). Alcohol use was also associated with gynecological services. Daily smoking was negatively associated with service use (OR 0.6,CI 0.4,0.9,p=0.02), including contraceptive services (OR 0.6,CI 0.4,0.8,p=0.001). All substances were positively associated with STI service use.

Conclusion: Associations between substance use and SRH service use varied by substance and service type. Future research can determine socioeconomic differentials, implications for substance use screening in SRH settings and strategies to improve preventive care-seeking among tobacco-users.

Learning Areas:
Public health or related research
Social and behavioral sciences

Learning Objectives:
Evaluate associations between substance use and use of sexual and reproductive health services among young U.S. women

Keywords: Substance Abuse, Reproductive Health

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am a sexual and reproductive and adolescent health researcher and provider
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.