Abstract
Investigations of reproductive health within Lationos living in the United States suggest that sexual behaviors and contraception use practices vary by ethnicity and between foreign- and US-born adolescents. This article compares high-risk sexual behaviors and reproductive health among foreign-born Latinas, US-born Latinas, and US-born non-Latinas aged 15–24 years. We recruited 361 females from reproductive health clinics in the San Francisco Bay Area of California between 1995 and 1998; these women completed an interview that assessed sexual risk behaviors and history of pregnancy, abortion, and sexually transmitted infections. Current chlamydial and gonococcal infections were detected through biological testing. Among participants aged 15–18 years, US-born Latinas were more likely to have been pregnant (odds ratio [OR] comparing US-born Latinas and US-born non-Latinas=3.9, 95% confidence interval [CI] 1.3, 11.4), whereas among respondents aged 19–24 years, foreign-born Latinas were more likely to have been pregnant than US-born Latinas (OR=11.3, 95% CI 1.0, 130.8) and US-born non-Latinas (OR=64.2, 95%CI 9.9, 416.3). US-born Latinas were most likely to have had an abortion (OR comparing US-born Latinas and US-born non-Latinas=2.0, 95% CI 0.9, 4.7). They were also most likely to have chlamydial infection at study enrollment (8.2% prevalence compared to 2.2% and 1.0% for foreign-born Latinas and US-born non-Latinas, respectively; P=0.009). Reproductive health differences between foreign and US-born females and within the US-born population warrant further examination and highlight the need for targeted prevention.
Keywords: Abortion, Adolescence, Hispanic Americans, Immigrants, Pregnancy, Sex behavior, Sexually transmitted diseases
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References
- 1.From Generation to Generation: the Health and Well-Being of Children in Immigrant Families. Washington, DC: National Research Council/Institute of Medicine; 1998. [Google Scholar]
- 2.Fact Sheet on Adolescent Demographics. San Francisco, CA: National Adolescent Health Information Center, University of California, San Francisco; 2000. [Google Scholar]
- 3.Johnson H. Undocumented Immigration to California, 1980–1993. San Francisco, CA: Public Policy Institute of California; 1996. [Google Scholar]
- 4.Brindis C, Wolfe A. Trends in Adolescent Population Growth in California and in the United States, 1995–2005. San Francisco, CA: National Adolescent Health Information Center and Center for Reproductive Health Policy, University of California, San Francisco; 1997. [Google Scholar]
- 5.Population Changes and Distribution 1990–2000. Washington, DC: US Census Bureau, Population Division; 2001. [Google Scholar]
- 6.Grieco E, Cassidy R. Overview of Race and Hispanic Origin 2000. Washington, DC: US Census Bureau, Population Division; 2001. [Google Scholar]
- 7.Tracking the Hidden Epidemics: Trends in STDs in the United States, 2000. Atlanta, GA: Centers for Disease Control and Prevention; 2000. [Google Scholar]
- 8.Henshaw S, Forrest J. Women at Risk of Unintended Pregnancy, 1990 Estimates: the Need for Family Planning Services, Each State and County. New York, NY: The Alan Guttmacher Institute; 1993. [Google Scholar]
- 9.Ellen J, Kent C, Gurvey J, Bolan G. A comparison of the sexual mixing patterns of adolescents diagnosed with chlamydia and gonorrhea. In: The Ninth International Symposium on Human Chlamydial Infection. 1998:15–18.
- 10.Ventura S, Mathews T, Curtin S. National Vital Statistics Reports. Hyattsville, MD: National Center for Health Statistics; 1999. Declines in teenage birth rates, 1991–98: update of national and state trends. [PubMed] [Google Scholar]
- 11.Aneshensel C, Becerra R, Fielder E, Schuler R. Onset of fertility-related events during adolescence: a prospective comparison of Mexican American and non-Hispanic white females. Am J Public Health. 1990;80:959–963. doi: 10.2105/AJPH.80.8.959. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 12.Brindis C, Wolfe A, McCarter V, Ball S, Starbuck-Morales S. The associations between immigrant status and risk-behavior patterns in Latino adolescents. J Adolesc Health. 1995;17:99–105. doi: 10.1016/1054-139X(94)00101-J. [DOI] [PubMed] [Google Scholar]
- 13.Ebin V, Sneed C, Morisky D, Rotheram-Borus M, Magnusson A, Malotte C. Acculturation and interrelationships between problem and health-promoting behaviors among Latino adolescents. J Adolesc Health. 2001;28:62–72. doi: 10.1016/S1054-139X(00)00162-2. [DOI] [PubMed] [Google Scholar]
- 14.Loue S, editor. Handbook of Immigrant Health. New York, NY: Plenum Press; 1998. [Google Scholar]
- 15.Hines AM, Caetano R. Alcohol and AIDS-related sexual behavior among Hispanics: acculturation and gender differences. AIDS Educ Prev. 1998;10:533–547. [PubMed] [Google Scholar]
- 16.Piccinino L, Mosher W. Trends in contraceptive use in the United States: 1982–1995. Fam Plann Perspect. 1998;30:4–10. doi: 10.2307/2991517. [DOI] [PubMed] [Google Scholar]
- 17.Minnis A, Padian N. Choice of female-controlled barrier methods among young women and their male sexual partners. Fam Plann Perspect. 2001;33:28–34. doi: 10.2307/2673739. [DOI] [PubMed] [Google Scholar]
- 18.Sabogal F, Marin G, Otero-Sabogal R, Marin B. Hispanic familism and acculturation: what changes and what doesn't? Hisp J Behav Sci. 1987;9:397–412. doi: 10.1177/07399863870094003. [DOI] [Google Scholar]
- 19.Johnson P, Johnson H. Cultural and familial influences that maintain the negative meaning of alcohol. J Stud Alcohol. 1999;79:79–83. doi: 10.15288/jsas.1999.s13.79. [DOI] [PubMed] [Google Scholar]
- 20.Marin B, Coyle K, Gomez C, Carvajal S, Kirby D. Older boyfriends and girlfriends increase risk of sexual initiation in young adolescents. J Adolesc Health. 2000;27:409–418. doi: 10.1016/S1054-139X(00)00097-5. [DOI] [PubMed] [Google Scholar]
- 21.Fishbein M, Pequegnat W. Evaluating AIDS prevention interventions using behavioral and biological outcome measures. Sex Transm Dis. 2000;27:101–110. doi: 10.1097/00007435-200002000-00008. [DOI] [PubMed] [Google Scholar]