Comparing access to sexual and reproductive health services among sexual minority youths and their peers: findings from a national survey in China
被引:2
作者:
Liang, Yun
论文数: 0引用数: 0
h-index: 0
机构:
Tsinghua Univ, Vanke Sch Publ Hlth, 30 Shuangqing Rd, Beijing 100084, Peoples R ChinaTsinghua Univ, Vanke Sch Publ Hlth, 30 Shuangqing Rd, Beijing 100084, Peoples R China
Liang, Yun
[1
]
Hee, Jiayi
论文数: 0引用数: 0
h-index: 0
机构:
Tsinghua Univ, Vanke Sch Publ Hlth, 30 Shuangqing Rd, Beijing 100084, Peoples R ChinaTsinghua Univ, Vanke Sch Publ Hlth, 30 Shuangqing Rd, Beijing 100084, Peoples R China
Hee, Jiayi
[1
]
Peng, Chunxiao
论文数: 0引用数: 0
h-index: 0
机构:
Peking Univ, Sch Publ Hlth, Xueyuan Rd 38, Beijing 100191, Peoples R ChinaTsinghua Univ, Vanke Sch Publ Hlth, 30 Shuangqing Rd, Beijing 100084, Peoples R China
Peng, Chunxiao
[2
]
Li, Chunyan
论文数: 0引用数: 0
h-index: 0
机构:
Univ N Carolina, Gillings Sch Global Publ Hlth, Dept Hlth Behav, Chapel Hill, NC 27566 USA
Univ Tokyo, Tokyo Coll, Bunkyo Ku, Tokyo 1138654, JapanTsinghua Univ, Vanke Sch Publ Hlth, 30 Shuangqing Rd, Beijing 100084, Peoples R China
Li, Chunyan
[3
,4
]
Cao, Wenzhen
论文数: 0引用数: 0
h-index: 0
机构:
Wenzhou Med Univ, Sch Publ Hlth & Management, Wenzhou 325035, Peoples R ChinaTsinghua Univ, Vanke Sch Publ Hlth, 30 Shuangqing Rd, Beijing 100084, Peoples R China
Cao, Wenzhen
[5
]
Tang, Kun
论文数: 0引用数: 0
h-index: 0
机构:
Tsinghua Univ, Vanke Sch Publ Hlth, 30 Shuangqing Rd, Beijing 100084, Peoples R ChinaTsinghua Univ, Vanke Sch Publ Hlth, 30 Shuangqing Rd, Beijing 100084, Peoples R China
Tang, Kun
[1
]
机构:
[1] Tsinghua Univ, Vanke Sch Publ Hlth, 30 Shuangqing Rd, Beijing 100084, Peoples R China
[2] Peking Univ, Sch Publ Hlth, Xueyuan Rd 38, Beijing 100191, Peoples R China
[3] Univ N Carolina, Gillings Sch Global Publ Hlth, Dept Hlth Behav, Chapel Hill, NC 27566 USA
[4] Univ Tokyo, Tokyo Coll, Bunkyo Ku, Tokyo 1138654, Japan
[5] Wenzhou Med Univ, Sch Publ Hlth & Management, Wenzhou 325035, Peoples R China
Sexual and reproductive health;
Healthcare utilization;
Sexual minority youths;
MENTAL-HEALTH;
PHYSICAL HEALTH;
GAY;
DISCRIMINATION;
SUICIDALITY;
DISTRESS;
NEEDS;
WOMEN;
D O I:
10.1186/s12889-022-14508-8
中图分类号:
R1 [预防医学、卫生学];
学科分类号:
1004 ;
120402 ;
摘要:
Background Little is known about the access to measures of sexual and reproductive health (SRH) services among sexual minority communities in China, where sexuality-related stigma and discrimination remains high. The aim of this study is to investigate access to measures of SRH services among Chinese sexual minority youths (SMY) aged 17 to 24 years old. Methods This cross-sectional study utilizes data on 54,580 youths from the 2019-2020 National College Student Survey on Sexual and Reproductive Health, conducted across 31 provinces in mainland China. Multivariable logistic regression modelling was utilized to assess the access to SRH services among Chinese youth with different self-reported sexual orientation. Results The majority of respondents identified as heterosexual (77.6%). The remaining respondents identified as bisexual (9.0%), lesbian or gay (2.8%), others (3.02%), or unknown (7.51%). Gay men reported greater access to free contraceptives at health centers (OR 1.62, 95% CI: 1.32-1.99) and were more likely to have receive medical treatment for sexual and reproductive issues (OR 1.83, 95% CI: 1.26-2.63) compared to heterosexual men. Gay and bisexual men were also more likely to use condom at first sexual intercourse compared to heterosexual men (gay men: OR 1.38, 95% CI: 1.13-1.68; bisexual men: OR 1.33, 95% CI: 1.03-1.71). However, the associations were reversed among women (lesbians: OR 0.05, 95% CI: 0.03 to 0.08; bisexuals: 0.75, 95% CI: 0.65 to 0.86). Conclusions Although SMY reported higher utilization of SRH services compared to their heterosexual counterparts, access to SRH services remains low among Chinese youths. Greater focus should be placed on improving access to SMY-friendly SRH services among Chinese youths.
机构:
Univ Auckland, Dept Psychol Med, Auckland, New ZealandUniv Auckland, Dept Psychol Med, Auckland, New Zealand
Chiang, Szu-Ying
;
Fenaughty, John
论文数: 0引用数: 0
h-index: 0
机构:
Univ Auckland, Dept Counselling Human Serv & Social Work, Auckland, New ZealandUniv Auckland, Dept Psychol Med, Auckland, New Zealand
Fenaughty, John
;
Lucassen, Mathijs F. G.
论文数: 0引用数: 0
h-index: 0
机构:
Univ Auckland, Dept Psychol Med, Auckland, New Zealand
Open Univ, Sch Hlth Wellbeing & Social Care, Milton Keynes, Bucks, EnglandUniv Auckland, Dept Psychol Med, Auckland, New Zealand
Lucassen, Mathijs F. G.
;
Fleming, Theresa
论文数: 0引用数: 0
h-index: 0
机构:
Univ Auckland, Dept Psychol Med, Auckland, New Zealand
Victoria Univ Wellington, Fac Hlth, Wellington, New ZealandUniv Auckland, Dept Psychol Med, Auckland, New Zealand
机构:
Univ Washington, Sch Social Work, Seattle, WA 98105 USAUniv Washington, Sch Social Work, Seattle, WA 98105 USA
Fredriksen-Goldsen, Karen I.
;
Simoni, Jane M.
论文数: 0引用数: 0
h-index: 0
机构:
Univ Washington, Dept Psychol, Seattle, WA 98105 USAUniv Washington, Sch Social Work, Seattle, WA 98105 USA
Simoni, Jane M.
;
Kim, Hyun-Jun
论文数: 0引用数: 0
h-index: 0
机构:
Univ Washington, Sch Social Work, Seattle, WA 98105 USAUniv Washington, Sch Social Work, Seattle, WA 98105 USA
Kim, Hyun-Jun
;
Lehavot, Keren
论文数: 0引用数: 0
h-index: 0
机构:
VA Puget Sound Hlth Care Syst, Seattle, WA USA
Univ Washington, Dept Psychiat & Behav Sci, Seattle, WA 98105 USAUniv Washington, Sch Social Work, Seattle, WA 98105 USA
Lehavot, Keren
;
Walters, Karina L.
论文数: 0引用数: 0
h-index: 0
机构:
Univ Washington, Sch Social Work, Seattle, WA 98105 USAUniv Washington, Sch Social Work, Seattle, WA 98105 USA
Walters, Karina L.
;
Yang, Joyce
论文数: 0引用数: 0
h-index: 0
机构:
Univ Washington, Dept Psychol, Seattle, WA 98105 USAUniv Washington, Sch Social Work, Seattle, WA 98105 USA
Yang, Joyce
;
Hoy-Ellis, Charles P.
论文数: 0引用数: 0
h-index: 0
机构:
Univ Washington, Sch Social Work, Seattle, WA 98105 USAUniv Washington, Sch Social Work, Seattle, WA 98105 USA
机构:
Univ Denver, Grad Sch Social Work, 2148 S High St, Denver, CO 80208 USAUniv Denver, Grad Sch Social Work, 2148 S High St, Denver, CO 80208 USA
Fulginiti, Anthony
;
Goldbach, Jeremy T.
论文数: 0引用数: 0
h-index: 0
机构:
Univ Southern Calif, Suzanne Dworak Peck Sch Social Work, Los Angeles, CA USAUniv Denver, Grad Sch Social Work, 2148 S High St, Denver, CO 80208 USA
Goldbach, Jeremy T.
;
论文数: 引用数:
h-index:
机构:
Mamey, Mary Rose
;
Rusow, Joshua
论文数: 0引用数: 0
h-index: 0
机构:
Univ Southern Calif, Suzanne Dworak Peck Sch Social Work, Los Angeles, CA USAUniv Denver, Grad Sch Social Work, 2148 S High St, Denver, CO 80208 USA
Rusow, Joshua
;
Srivastava, Ankur
论文数: 0引用数: 0
h-index: 0
机构:
Univ Southern Calif, Suzanne Dworak Peck Sch Social Work, Los Angeles, CA USAUniv Denver, Grad Sch Social Work, 2148 S High St, Denver, CO 80208 USA
Srivastava, Ankur
;
Rhoades, Harmony
论文数: 0引用数: 0
h-index: 0
机构:
Univ Southern Calif, Suzanne Dworak Peck Sch Social Work, Los Angeles, CA USAUniv Denver, Grad Sch Social Work, 2148 S High St, Denver, CO 80208 USA
Rhoades, Harmony
;
Schrager, Sheree M.
论文数: 0引用数: 0
h-index: 0
机构:
Univ Southern Calif, Suzanne Dworak Peck Sch Social Work, Los Angeles, CA USA
Calif State Univ Northridge, Los Angeles, CA 91330 USAUniv Denver, Grad Sch Social Work, 2148 S High St, Denver, CO 80208 USA
Schrager, Sheree M.
;
Bond, David W.
论文数: 0引用数: 0
h-index: 0
机构:
Blue Shield Calif, San Francisco, CA USAUniv Denver, Grad Sch Social Work, 2148 S High St, Denver, CO 80208 USA
Bond, David W.
;
Marshal, Michael P.
论文数: 0引用数: 0
h-index: 0
机构:
Ctr Mental Hlth & Wellness, Pittsburgh, PA USAUniv Denver, Grad Sch Social Work, 2148 S High St, Denver, CO 80208 USA
机构:
Univ Auckland, Dept Psychol Med, Auckland, New ZealandUniv Auckland, Dept Psychol Med, Auckland, New Zealand
Chiang, Szu-Ying
;
Fenaughty, John
论文数: 0引用数: 0
h-index: 0
机构:
Univ Auckland, Dept Counselling Human Serv & Social Work, Auckland, New ZealandUniv Auckland, Dept Psychol Med, Auckland, New Zealand
Fenaughty, John
;
Lucassen, Mathijs F. G.
论文数: 0引用数: 0
h-index: 0
机构:
Univ Auckland, Dept Psychol Med, Auckland, New Zealand
Open Univ, Sch Hlth Wellbeing & Social Care, Milton Keynes, Bucks, EnglandUniv Auckland, Dept Psychol Med, Auckland, New Zealand
Lucassen, Mathijs F. G.
;
Fleming, Theresa
论文数: 0引用数: 0
h-index: 0
机构:
Univ Auckland, Dept Psychol Med, Auckland, New Zealand
Victoria Univ Wellington, Fac Hlth, Wellington, New ZealandUniv Auckland, Dept Psychol Med, Auckland, New Zealand
机构:
Univ Washington, Sch Social Work, Seattle, WA 98105 USAUniv Washington, Sch Social Work, Seattle, WA 98105 USA
Fredriksen-Goldsen, Karen I.
;
Simoni, Jane M.
论文数: 0引用数: 0
h-index: 0
机构:
Univ Washington, Dept Psychol, Seattle, WA 98105 USAUniv Washington, Sch Social Work, Seattle, WA 98105 USA
Simoni, Jane M.
;
Kim, Hyun-Jun
论文数: 0引用数: 0
h-index: 0
机构:
Univ Washington, Sch Social Work, Seattle, WA 98105 USAUniv Washington, Sch Social Work, Seattle, WA 98105 USA
Kim, Hyun-Jun
;
Lehavot, Keren
论文数: 0引用数: 0
h-index: 0
机构:
VA Puget Sound Hlth Care Syst, Seattle, WA USA
Univ Washington, Dept Psychiat & Behav Sci, Seattle, WA 98105 USAUniv Washington, Sch Social Work, Seattle, WA 98105 USA
Lehavot, Keren
;
Walters, Karina L.
论文数: 0引用数: 0
h-index: 0
机构:
Univ Washington, Sch Social Work, Seattle, WA 98105 USAUniv Washington, Sch Social Work, Seattle, WA 98105 USA
Walters, Karina L.
;
Yang, Joyce
论文数: 0引用数: 0
h-index: 0
机构:
Univ Washington, Dept Psychol, Seattle, WA 98105 USAUniv Washington, Sch Social Work, Seattle, WA 98105 USA
Yang, Joyce
;
Hoy-Ellis, Charles P.
论文数: 0引用数: 0
h-index: 0
机构:
Univ Washington, Sch Social Work, Seattle, WA 98105 USAUniv Washington, Sch Social Work, Seattle, WA 98105 USA
机构:
Univ Denver, Grad Sch Social Work, 2148 S High St, Denver, CO 80208 USAUniv Denver, Grad Sch Social Work, 2148 S High St, Denver, CO 80208 USA
Fulginiti, Anthony
;
Goldbach, Jeremy T.
论文数: 0引用数: 0
h-index: 0
机构:
Univ Southern Calif, Suzanne Dworak Peck Sch Social Work, Los Angeles, CA USAUniv Denver, Grad Sch Social Work, 2148 S High St, Denver, CO 80208 USA
Goldbach, Jeremy T.
;
论文数: 引用数:
h-index:
机构:
Mamey, Mary Rose
;
Rusow, Joshua
论文数: 0引用数: 0
h-index: 0
机构:
Univ Southern Calif, Suzanne Dworak Peck Sch Social Work, Los Angeles, CA USAUniv Denver, Grad Sch Social Work, 2148 S High St, Denver, CO 80208 USA
Rusow, Joshua
;
Srivastava, Ankur
论文数: 0引用数: 0
h-index: 0
机构:
Univ Southern Calif, Suzanne Dworak Peck Sch Social Work, Los Angeles, CA USAUniv Denver, Grad Sch Social Work, 2148 S High St, Denver, CO 80208 USA
Srivastava, Ankur
;
Rhoades, Harmony
论文数: 0引用数: 0
h-index: 0
机构:
Univ Southern Calif, Suzanne Dworak Peck Sch Social Work, Los Angeles, CA USAUniv Denver, Grad Sch Social Work, 2148 S High St, Denver, CO 80208 USA
Rhoades, Harmony
;
Schrager, Sheree M.
论文数: 0引用数: 0
h-index: 0
机构:
Univ Southern Calif, Suzanne Dworak Peck Sch Social Work, Los Angeles, CA USA
Calif State Univ Northridge, Los Angeles, CA 91330 USAUniv Denver, Grad Sch Social Work, 2148 S High St, Denver, CO 80208 USA
Schrager, Sheree M.
;
Bond, David W.
论文数: 0引用数: 0
h-index: 0
机构:
Blue Shield Calif, San Francisco, CA USAUniv Denver, Grad Sch Social Work, 2148 S High St, Denver, CO 80208 USA
Bond, David W.
;
Marshal, Michael P.
论文数: 0引用数: 0
h-index: 0
机构:
Ctr Mental Hlth & Wellness, Pittsburgh, PA USAUniv Denver, Grad Sch Social Work, 2148 S High St, Denver, CO 80208 USA