Young women’s use of reproductive health services declines

Young women are using less care

LOS ANGELES — Fewer U.S. women ages 15 to 24 are receiving reproductive health care, according to a new study. This includes services such as Pap tests, pregnancy tests, contraception prescriptions, tests for sexually transmitted disease and other gynecological and obstetric care.

Researchers used data from the National Survey of Family Growth, which included 4,421 young women polled in 2002 or between 2006 and 2008. Almost 60 percent of young women had received reproductive health care within the last year, but use has fallen by 8 percent between the two time periods. The declines were seen across all demographic and socioeconomic groups. Overall, however, economically disadvantaged women are the least likely to get care.

Between 1995 and 2002, reproductive health service use by young women had increased, noted the authors, led by Kelli Stidham Hall, of the Office of Population Research at Princeton University.

However, several factors may be contributing to the downturn in use, including the decline in public sector clinics serving economically disadvantaged women; increasing unemployment and the corresponding lack of health insurance; updated gynecological health screening guidelines that require fewer Pap tests; and legislation that has increased mandatory parental participation in adolescent sexual and reproductive health care.

New provisions for care under health care reform may bring some of those women back into care, authors noted

Los Angeles Times

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