Home > Publications . Search All . Browse All . Country . Browse PSC Pubs . PSC Report Series

PSC In The News

RSS Feed icon

Smock cited in amicus brief for Supreme Court case on citizenship rights for foreign-born children of unwed parents

Levy, Buchmueller and colleagues examine Medicaid expansion's impact on ER visits

ISR data show large partisan gap in consumer expectations for economy

More News

Highlights

MiCDA Research Fellowship - applications due July 21, 2017

U-M awarded $58 million to develop ideas for preventing and treating health problems

Bailey, Eisenberg , and Fomby promoted at PSC

Former PSC trainee Eric Chyn wins PAA's Dorothy S. Thomas Award for best paper

More Highlights

Kelli Stidham Hall photo

The Link Between Substance Use and Reproductive Health Service Utilization Among Young US Women

Publication Abstract

Hall, Kelli Stidham, Caroline Moreau, and James Trussell. 2013. "The Link Between Substance Use and Reproductive Health Service Utilization Among Young US Women." Substance Abuse, 34(3): 283-291.

Background: The authors sought to investigate associations between young women's use of alcohol and other substances and their sexual and reproductive health (SRH) service utilization. Methods: The authors used data from 4421 young women aged 15-24years in the nationally representative study, National Survey of Family Growth, 2002-2008. The authors examined associations between frequency of tobacco, alcohol, marijuana, and illicit drug use and SRH service use in the past year using logistic regression. Results: Over half (59%) of the young women used SRH services, including contraception (48%), gynecological examination (47%), and sexually transmitted infection (STI) testing/treatment (17%) services. Proportions of SRH service use increased with higher frequencies of substance use (all Pvalues <.001); service use was particularly common among daily substance users (range: 72% of daily marijuana users to 83% of daily binge drinkers). In multivariable analyses, associations between substance and SRH service use varied by substance and service type: weekly marijuana (odds ratio [OR] = 2.5, 95% confidence interval [95% CI] = 1.4, 4.3, P= .002) and alcohol (OR= 1.7, 95% CI = 1.1, 2.4, P = .01) use were positively associated with gynecological service use. All substances were positively associated with STI service use. However, daily smoking was negatively associated with contraceptive service use (OR = 0.6, 95% CI = 0.4, 0.8, P = .001). Conclusion: SRH service use was common among women reporting frequent substance use. SRH settings provide an opportunity to deliver substance use screening and preventive care to young women.

DOI:10.1080/08897077.2013.772934 (Full Text)

PMCID: PMC3775705. (Pub Med Central)

Browse | Search : All Pubs | Next