Edelman, NL;
de Visser, RO;
Mercer, CH;
McCabe, L;
Cassell, JA;
(2015)
Targeting sexual health services in primary care: A systematic review of the psychosocial correlates of adverse sexual health outcomes reported in probability surveys of women of reproductive age.
Preventive Medicine
, 81
pp. 345-356.
10.1016/j.ypmed.2015.09.019.
Preview |
Text
Mercer_Edelman et al Prev Med 2015.pdf - Published Version Download (714kB) | Preview |
Abstract
BACKGROUND: Women using primary care vary in need for sexually transmitted infections (STIs) testing and contraception. Psychosocial correlates of these needs may be useful for targeting services. We undertook a systematic review to identify psychosocial correlates of STI acquisition, unplanned pregnancy (UP), abortion and risky sexual behaviours in general population samples of women of reproductive age. METHODS: We searched bibliographic databases for probability surveys of women aged 16–44 years in the European Union, USA, Canada, Australia, UK or New Zealand undertaken January 1994–January 2014. RESULTS: Eleven papers were included. Unplanned pregnancy was associated with smoking, depression, being single and sexual debut < 16 years. Abortion was associated with lack of closeness to parents, leaving home at an early age, and relationship break-up. Multiple partnerships were associated with intensity of marijuana and alcohol use, and smoking. STI diagnosis was associated with relationship break-up and younger partners. Non-use of contraception was associated with smoking, obesity, relationship status, sedentary lifestyles, fatalistic pregnancy attitudes and lower alcohol use. Condom non-use was higher (at first sex) with partners 5 + years older and lower (at last sex) in less stable partnerships. CONCLUSION: Psychosocial variables, particularly relationship status and smoking, may help identify women in primary care for STI testing and contraception advice and supply.
| Type: | Article |
|---|---|
| Title: | Targeting sexual health services in primary care: A systematic review of the psychosocial correlates of adverse sexual health outcomes reported in probability surveys of women of reproductive age |
| Open access status: | An open access version is available from UCL Discovery |
| DOI: | 10.1016/j.ypmed.2015.09.019 |
| Publisher version: | http://doi.org/10.1016/j.ypmed.2015.09.019 |
| Language: | English |
| Additional information: | © 2015 The Authors. Published by Elsevier Inc. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). |
| Keywords: | Science & Technology, Life Sciences & Biomedicine, Public, Environmental & Occupational Health, Medicine, General & Internal, General & Internal Medicine, Review, Systematic primary health care, Sexually transmitted diseases, Contraception pregnancy, Unplanned psychosocial factors, UNINTENDED PREGNANCY, UNITED-STATES, LIFE-STYLES, RISK, BRITAIN, ASSOCIATIONS, PARTNERSHIPS, ATTITUDES, BEHAVIOR |
| UCL classification: | UCL UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute for Global Health UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute for Global Health > Infection and Population Health |
| URI: | https://discovery.ucl.ac.uk/id/eprint/1480407 |
Archive Staff Only
 |
View Item |
