Reproductive health of young adults with physical disabilities in the U S

[摘要] Objective Previous research shows reduced cervical and breast cancer screening among women with physical disabilities However other indicators of reproductive health have been largely ignored We aimed to compare the reproductive health of young adults in the US with and without physical disabilities in a nationally representative sample Methods Data are from 13 819 respondents aged 18-26 who participated in Waves 1(1994-1995) and III (2001-2002) of the National Longitudinal Study of Adolescent Health (Add Health) Using logistic regression we examined associations between physical disability and multiple reproductive health indicators including sexually transmitted infection (STI) testing STI diagnosis receipt of a gynecologic exam and cervical cancer screening Analyses were stratified by sex and adjusted for the complex study design Results We identified 58% of respondents as having a physical disability In multivariate analyses females with physical disabilities had lower odds of having a Pap smear in the past 12 months than females without disabilities (OR=0 77 95% Cl 061 0 97) Physical disability was not associated with other reproductive health indicators among females or males Conclusion We found few differences in examined reproductive health indicators of young adults with and without physical disabilities but findings suggest differences in some screening services that merit additional study (C) 2010 Elsevier Inc All rights reserved

[发布日期] 2010-12-01

[关键词] Sexually transmitted diseases;Physical disability;Papanicolau smear;Reproductive health