Accessibility of sexual health services in teenage sexual health service users: local area geospatial analysis

Olsen, J.R. , Cook, P.A., Forster, S. and Phillips-Howard, P.A. (2012) Accessibility of sexual health services in teenage sexual health service users: local area geospatial analysis. Journal of Public Health, 34(3), pp. 438-446. (doi: 10.1093/pubmed/fdr120)

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Background: Teenage pregnancy rates in the UK are the highest in Western Europe. Causes of teenage pregnancies are multifaceted with complex interplay of social, lifestyle and wider determinants influencing risk. Improving access to sexual health services through community services is an important factor in attempting to tackle this issue, but few studies have examined factors that influence this. Methods: Geospatial analysis was conducted on community sexual health service users and teenage conceptions from local sexual health services were recorded. Univariate and multinomial regression was performed to test associations between service type and socio-economic status. Results: No significant differences in accessibility of services between teenage girls who have conceived and those seeking sexual health services were found. Females aged 17 and under were more likely to use a young people's sexual health service than mainstream services (P < 0.001). However, a young person living in the most deprived quintiles was more likely to use a mainstream service if it was closer to their home address (adjusted odds ratios: 2.154, 95% confidence intervals: 1.533–3.027). Conclusions: Service type and socio-economic status impact upon the choices young people make when accessing community sexual health services. The study supports policy for locating young person services within the most deprived areas of a community.

Item Type:Articles
Glasgow Author(s) Enlighten ID:Olsen, Dr Jonathan
Authors: Olsen, J.R., Cook, P.A., Forster, S., and Phillips-Howard, P.A.
College/School:College of Medical Veterinary and Life Sciences > School of Health & Wellbeing > Public Health
Journal Name:Journal of Public Health
Publisher:Oxford University Press
ISSN (Online):1741-3850

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