| Description |
-
Understanding how various dimensions of social inequality shape the
health of individuals and populations poses a key challenge for public health.
Guided by ecosocial theory and intersectionality, we used data from the 2006-2010
National Survey of Family Growth, a national probability sample, to investigate
how one dimension of sexual orientation, sex of sexual partners, and
race/ethnicity ... read morejointly influence Pap test use among black, Latina and white U.S.
women aged 21-44 years (N = 8840) We tested for an interaction between sex of
sexual partners and race/ethnicity (p = 0.015) and estimated multivariable
logistic regression models for each racial/ethnic group, adjusting for
socio-demographic factors. The adjusted odds of Pap test use for women with only
female sexual partners in the past year were significantly lower than for women
with only male sexual partners in the past year among white women (odds ratio [OR]
= 0.25, 95% confidence interval [CI]: 0.12,0.52) and may be lower among black
women (OR = 0.32, 95% CI: 0.07,1.52); no difference was apparent among Latina
women (OR = 1.54, 95% CI: 0.31,7.73) Further, the adjusted odds of Pap test use
for women with no sexual partners in the past year were significantly lower than
for women with only male sexual partners in the past year among white (OR = 0.30,
95% CI: 0.22,0.41) and black (OR = 0.23, 95% CI: 0.15,0.37) women and marginally
lower among Latina women (OR = 0.63, 95% CI: 0.38,1.03) Adding health care
indicators to the models completely explained Pap test use disparities for women
with only female vs. only male sexual partners among white women and for women
with no vs. only male sexual partners among Latina women. Ecosocial theory and
intersectionality can be used in tandem to conceptually and operationally
elucidate previously unanalyzed health disparities by multiple dimensions of
social inequality.read less
|
|---|
This object is in collection
| Citation |
- Agénor, M., Krieger, N., Austin, S. B., Haneuse, S., & Gottlieb, B. R. (2014). At the intersection of sexual orientation, race/ethnicity, and cervical cancer screening: Assessing Pap test use disparities by sex of sexual partners among black, Latina, and white U.S. women. Social Science & Medicine, 116, 110-118. doi:10.1016/j.socscimed.2014.06.039.
|
|---|
