Your browser doesn't support javascript.
loading
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.
Agénor, Madina; Krieger, Nancy; Austin, S Bryn; Haneuse, Sebastien; Gottlieb, Barbara R.
Afiliação
  • Agénor M; Department of Social and Behavioral Sciences, Harvard School of Public Health, USA. Electronic address: magenor@mail.harvard.edu.
  • Krieger N; Department of Social and Behavioral Sciences, Harvard School of Public Health, USA.
  • Austin SB; Department of Social and Behavioral Sciences, Harvard School of Public Health, USA; Division of Adolescent and Young Adult Medicine, Boston Children's Hospital, USA; Department of Pediatrics, Harvard Medical School, USA.
  • Haneuse S; Department of Biostatistics, Harvard School of Public Health, USA.
  • Gottlieb BR; Department of Social and Behavioral Sciences, Harvard School of Public Health, USA; Harvard Medical School, USA; Department of Medicine, Division of General Internal Medicine and Primary Care, Brigham and Women's Hospital, USA.
Soc Sci Med ; 116: 110-8, 2014 Sep.
Article em En | MEDLINE | ID: mdl-24996219
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 jointly 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.
Assuntos
Palavras-chave

Texto completo: 1 Coleções: 01-internacional Contexto em Saúde: 2_ODS3 Base de dados: MEDLINE Assunto principal: Neoplasias do Colo do Útero / Sexualidade / Grupos Raciais / Teste de Papanicolaou Tipo de estudo: Diagnostic_studies / Prognostic_studies / Qualitative_research / Screening_studies Aspecto: Determinantes_sociais_saude Limite: Adult / Female / Humans Idioma: En Revista: Soc Sci Med Ano de publicação: 2014 Tipo de documento: Article

Texto completo: 1 Coleções: 01-internacional Contexto em Saúde: 2_ODS3 Base de dados: MEDLINE Assunto principal: Neoplasias do Colo do Útero / Sexualidade / Grupos Raciais / Teste de Papanicolaou Tipo de estudo: Diagnostic_studies / Prognostic_studies / Qualitative_research / Screening_studies Aspecto: Determinantes_sociais_saude Limite: Adult / Female / Humans Idioma: En Revista: Soc Sci Med Ano de publicação: 2014 Tipo de documento: Article