Platform Research Presentations II: Sexual Health
6. Quality of Sexual & Reproductive Health Care Receipt Among Young Males Aged 15-24

https://doi.org/10.1016/j.jadohealth.2014.10.009Get rights and content

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Purpose

Young men experience disparities in sexual and reproductive health care (SRHC) receipt. This study's goal was to examine extent to which young men receive quality SRHC, as recently recommended by CDC's and OPA's Providing Quality Family Planning Services, and characteristics of males reporting higher quality SRHC receipt.

Methods

Cross-sectional sample of male patients aged 15-24 recruited from 7 clinics (3 primary care, 2 STD, 2 family planning) over 2-weeks in Baltimore, MD. Patients completed ACASI surveys (in English or Spanish) at visit end. Participation rate was 89%; final analytic sample included 77 sexually experienced males to date. Patients reported on SRHC receipt by doctor assessed here with 4 composite scores summed across items within each domain: sexual history taking (practices, partner number and

Results

Mean (SD) participant age was 20.0 (2.5); 83% were non-Hispanic Black and 8% Hispanic (29% completed Spanish ACASI). Patients were diverse in reports of sexual attraction (77% to females, 16% males, 4% both, 4% not sure); visit reason (88% annual/STD-related, 12% other); and time since last visit (36% first visit, 56% <2 years, 8% ≥2 years). 25% were seen by male doctor. Although some patients reported SRHC receipt (all sexual history questions asked (21%), topics counseled (43%), materials

Conclusions

Study findings confirm suboptimal delivery of SRHC to all males and highlights disparities of SRHC delivery among male sub-populations (Hispanics & males attracted to both sexes). Future work needs to improve providers' delivery of quality SRHC to all males.

Sources of Support

CDC1H25PS003796 (Secretary's Minority AIDS Initiative Fund).

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