Table 3.

Associations among Use of Substances and Types of Sexual and Reproductive Health Service Utilization for Sexually-Experienced Young Women in the United States

Substance Use^*	Contraceptive Service Use^a	Sexually Transmitted Infection Service Use^b	Gynecological Exam Service Use^c
	OR (95%CI) P	OR (95%CI) P	OR (95%CI) P
Tobacco (smoked cigarettes)
None	Ref	Ref	Ref
Less than daily	1.1 (0.8,1.4) 0.71	1.3 (1.0,1.8) 0.09	1.0 (0.8,1.4) 0.85
Daily	0.6 (0.4,0.8) 0.001	1.8 (1.3,2.5) 0.001	1.0 (0.7,1.4) 0.99
Alcohol (drinks)
None	Ref	Ref	Ref
Once or twice	1.1 (0.7,1.7) 0.56	1.3 (0.8,2.1) 0.34	1.6 (1.1,2.3) 0.02
Several times	0.9 (0.6,1.3) 0.44	1.7 (1.1,2.6) 0.03	1.5 (1.1,2.1) 0.02
Monthly	0.9 (0.6,1.3) 0.55	1.2 (0.7,1.9) 0.48	1.5 (1.0,2.1) 0.04
Weekly	1.0 (0.7,1.6) 0.92	1.8 (1.1,2.9) 0.03	1.7 (1.1,2.4) 0.01
Daily	1.2 (0.6,2.5) 0.64	2.6 (1.1,5.8) 0.02	1.7 (0.7,4.2) 0.25
Binge Drinking^d
None	Ref	Ref	Ref
Once or twice	0.9 (0.6,1.1) 0.29	1.2 (0.8,1.8) 0.31	1.1 (0.8,1.5) 0.68
Several times	1.0 (0.7,1.4) 0.81	1.2 (0.7,1.8) 0.50	1.1 (0.8,1.5) 0.73
Monthly	1.2 (0.9,1.7) 0.27	1.7 (1.1,2.5) 0.02	1.3 (0.9,2.0) 0.15
Weekly	0.9 (0.6,1.4) 0.73	1.6 (0.9,2.7) 0.11	0.9 (0.5,1.5) 0.72
Daily	1.5 (0.5,4.7) 0.46	1.6 (0.5,4.7) 0.43	1.9 (0.5,6.7) 0.32
Marijuana
None	Ref	Ref	Ref
Once or twice	1.1 (0.8,1.5) 0.67	1.6 (1.1,2.3) 0.009	1.2 (0.8,1.7) 0.32
Several times	0.9 (0.6,1.4) 0.66	1.6 (1.0,2.5) 0.04	1.0 (0.6,1.7) 0.91
Monthly	0.7 (0.4,1.3) 0.24	1.9 (1.0,3.5) 0.05	1.3 (0.8,2.2) 0.33
Weekly	1.2 (0.7,2.2) 0.45	2.9 (1.7,5.2) <0.001	2.5 (1.4,4.3) 0.002
Daily	0.8 (0.5,1.2) 0.23	1.6 (1.0,2.6) 0.04	1.5 (0.9,2.4) 0.14
Other Illicit Drugs^e
None	Ref	Ref	Ref
Any use	0.7 (0.4,1.0) 0.10	2.2 (1.4,3.5) 0.001	1.1 (0.7,1.8) 0.66

Sample is sexually experienced young women (N=2,782).

Contraceptive services may include contraceptive method provision, check-up, counseling, emergency contraception provision/counseling.^a

Sexually transmitted infection services may include testing and treatment for any sexually transmitted infection.

Other gynecological services may include services for a pap smear, pelvic or other gynecological exam. Results are presented as adjusted odds ratios (OR) with 95% confidence intervals (CI) and P-values (P) from multivariate logistic regression models.

Substance use characteristics entered together in models. Models also controlling for survey year 2002 vs 2006-2008.

Binge drinking defined as ≥5 drinks within a few hours.

Other illicit drugs include crack, cocaine, or injectable drugs.