Table 2.

Associations among Use of Substances, Sociodemographic Factors and Sexual and Reproductive Health Service Utilization Among Young Women in the United States

	SRH service use among all young women (N=4,421)	SRH service use among sexually-experienced young women (N=2,782)
Substance Use*	OR (95%CI) P	OR (95%CI) P
Tobacco (smoked cigarettes)
None	Ref	Ref
Less than daily	1.2 (0.8,1.7) 0.31	1.1 (0.8,1.7) 0.49
Daily	0.6 (0.4,0.9) 0.02	0.6 (0.4,0.9) 0.02
Alcohol (drinks)
None	Ref	Ref
Once or twice	1.6 (1.1,2.1) 0.003	1.3 (0.9,1.9) 0.23
Several times	1.6 (1.1,2.3) 0.009	1.2 (0.8,1.8) 0.46
Monthly	1.7 (1.2,2.4) 0.002	1.3 (0.9,2.0) 0.22
Weekly	1.5 (1.1,2.3) 0.02	1.2 (0.7,1.9) 0.52
Daily	1.7 (0.8.3.8) 0.18	1.8 (0.7,4.5) 0.24
Binge Drinkingb
None	Ref	Ref
Once or twice	0.8 (0.6,1.1) 0.19	0.9 (0.6,1.2) 0.39
Several times	0.9 (0.6,1.3) 0.43	0.8 (0.5,1.2) 0.33
Monthly	1.0 (0.7,1.5) 0.85	1.1 (0.7,1.9) 0.55
Weekly	0.8 (0.5,1.2) 0.30	0.9 (0.5,1.5) 0.60
Daily	1.5 (0.4,5.6) 0.56	1.7 (0.4,7.2) 0.50
Marijuana
None	Ref	Ref
Once or twice	1.2 (0.9,1.7) 0.21	1.2 (0.8,1.7) 0.49
Several times	1.1 (0.7,1.8) 0.52	1.1 (0.6,1.8) 0.76
Monthly	1.9 (1.0,3.4) 0.04	1.8 (0.9,3.8) 0.10
Weekly	2.4 (1.4,4.3) 0.003	2.7 (1.3,5.3) 0.006
Daily	1.2 (0.7,2.1) 0.45	1.2 (0.7,2.0) 0.62
Other Illicit Drugsc
None	Ref	Ref
Any use	1.1 (0.6,2.0) 0.67	1.0 (0.6,1.7) 0.95
Demographic and Social Factors
Age group
Younger adolescents (ages 15-17 years)	Ref	Ref
Older adolescents (ages 18-19 years)	1.5 (1.1,2.1) 0.01	1.3 (0.8,2.0) 0.25
Young adults (ages 20-24 years)	2.1 (1.5,3.1) <0.001	1.7 (1.1,2.7) 0.02
Highest level education
<High school	Ref	Ref
High school diploma or GED	1.5 (1.0,2.4) 0.07	1.3 (0.8,2.2) 0.29
Any college	2.1 (1.3,3.2) 0.002	2.0 (1.1,3.4) 0.02
Still in High school	1.6 (1.0,2.4) 0.04	1.1 (0.7,2.0) 0.57
Born in the U.S.	Ref	Ref
Born outside the U.S.	0.7 (0.5,0.8) 0.002	0.6 (0.4,0.9) 0.007
Full insurance coverage last year	Ref	Ref
Uninsured last year	0.7 (0.6,1.0) 0.03	0.7 (0.5,0.9) 0.009
Mother's education
<High school	Ref	Ref
High school diploma	1.4 (1.1,1.9) 0.02	1.4 (1.0,2.0) 0.08
>High school	1.4 (1.1,1.9) 0.01	1.4 (1.0,2.0) 0.06
Childhood family situation not intact	Ref	Ref
Intact childhood family situation	0.7 (0.6,0.9) 0.002	0.8 (0.6,1.0) 0.04
Age at menarche (years)
<11	Ref	Ref
11	1.0 (0.6,1.5) 0.92	0.7 (0.4,1.3) 0.24
12	0.6 (0.4,0.8) 0.002	0.6 (0.3,1.0) 0.07
13	0.6 (0.4,0.9) 0.02	0.6 (0.3,0.9) 0.02
14	0.6 (0.4,0.8) 0.002	0.5 (0.3,0.9) 0.02
>14	0.9 (0.6,1.5) 0.81	1.0 (0.6,1.7) 0.99
Never had sexual intercourse	Ref	x
Ever had sexual intercourse	2.6 (1.7,4.0) <0.001
No sexual partners last year	Ref	Ref
1 partner	5.0 (3.3,7.4) <0.001	5.0 (3.3,7.5) <0.001
≥2 partners	5.0 (3.0,7.9) <0.001	4.9 (3.1,7.8) <0.001
No gynecological diagnosis	Ref	Ref
Diagnosed with gynecological problema	3.8 (2.6,5.5) <0.001	2.9 (1.9,4.2) <0.001

SRH = sexual and reproductive health. Results are presented as adjusted odds ratios (OR) with 95% confidence intervals (CI) and P-values (P) from multivariate logistic regression models. Models also controlling for survey year 2002 vs 2006-2008.

^*Substance use characteristics entered together in models.

^aGynecological diagnoses assessed by NSFG may include ovulation problems, ovarian cyst, endometriosis, uterine fibroid, and pelvic inflammatory disease.

^bBinge drinking defined as ≥5 drinks within a few hours.

^cOther illicit drugs may include crack, cocaine, or non-prescription injectable drugs.