Graduate Thesis Or Dissertation
 

Use of Sexual and Reproductive Health Services among American Indians and Alaska Natives including the Role of the Great Recession : Evidence from the National Survey of Family Growth

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  • American Indians and Alaska Natives (AIAN) have more negative sexual and reproductive health outcomes than non-Hispanic whites. Little is known, however, about the factors that lead to sexual and reproductive health disparities for AIANs, including the role of sexual and reproductive health services (SRHS). Logistic regression analyses were performed on data from the 2002 and 2006- 2010 National Survey of Family Growth to 1) provide baseline data on SRHS use prior to the implementation of the Affordable Care Act for a nationally representative sample of AIAN women and men, 2) identify factors associated with SRHS use among AIANs, and 3) assess the impact of the Great Recession on AIAN SRHS use. AIAN women in urban areas were less likely to receive SRHS and birth control services than non-Hispanic whites. Additionally, AIAN women living in the South and with incomes above 133% of the federal poverty level were less likely than non-Hispanic white women to use birth control services. Conversely, AIAN men were equally likely as non-Hispanic whites to use birth control services. AIAN women and men were as likely or more likely to use STI/HIV services than their non- Hispanic white counterparts. Additionally, AIANs use of SRHS did not change as a result of the Recession. However, disparities in birth control service use between AIANs and NHWs persisted during the Recession.
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