TitleAmerican Indian and Alaska Native Men's Use of Sexual Health Services, 2006-2010.
Publication TypeJournal Article
Year of Publication2017
AuthorsCahn, MA, Harvey, SM, Town, MA
JournalPerspect Sex Reprod Health
Date Published2017 09
KeywordsAdolescent, Adult, Alaska Natives, Attitude to Health, European Continental Ancestry Group, Health Services Misuse, Humans, Indians, North American, Male, Men's Health, Needs Assessment, Reproductive Health Services, Sex Counseling, Sexual Health, United States

CONTEXT: American Indian and Alaska Native men experience poorer sexual health than white men. Barriers related to their sex and racial identity may prevent them from seeking care; however, little is known about this population's use of sexual health services.

METHODS: Sexual health service usage was examined among 923 American Indian and Alaska Native men and 5,322 white men aged 15-44 who participated in the 2006-2010 National Survey of Family Growth. Logistic regression models explored differences in service use by race and examined correlates of use among American Indians and Alaska Natives.

RESULTS: Among men aged 15-19 and those aged 35-44, men with incomes greater than 133% of the federal poverty level, men with private insurance, those living in the Northeast and those living in rural areas, American Indians and Alaska Natives were more likely than whites to use STD or HIV services (odds ratios, 1.5-3.2). The odds of birth control service use did not differ by race. Differences in service use were found among American Indian and Alaska Native men: For example, those with a usual source of care had elevated odds of using sexual health services (1.9-3.4), while those reporting no recent testicular exam had reduced odds of using these services (0.3-0.4).

CONCLUSIONS: This study provides baseline data on American Indian and Alaska Native men's use of sexual health services. Research exploring these men's views on these services is needed to help develop programs that better serve them.

Alternate JournalPerspect Sex Reprod Health
PubMed ID28758709