Social Support and Reproductive Health in 15 to 24 Year Old Immigrant Latinas in the San Francisco Bay Area
95.6% of participants were sexually active, with the mean age of sexual initiation being 15.6 years (S.D. 1.7). 30.8% had more than one sexual partner over the past year, 44.6% reported a teen pregnancy, and 12.3% had an abortion. Overall STI prevalence was 13.3%. Compared to those with lower support measures, participants with higher functional tangible support scores, as well as those who identified more people available for affectionate support and positive social interactions (structural support measures), were significantly more likely to have used condoms in the past year (adjusted odds ratios [A.O.R.s]: 2.31, 4.59, and 4.0, respectively, p<0.05). Several measures of structural social support were protective against teen pregnancy: participants who identified more people they could count on for informational, affectionate support and positive social interactions, were less likely to have had a teen pregnancy (A.O.R.s: 0.27, 0.36, and 0.32, respectively, p<0.05,). Overall functional social support was protective against abortion (A.O.R. 0.16, p<0.05). No significant associations were found between measures of social support and STI prevalence; however, a trend was noted whereby participants with higher measures of perceived functional support were more likely to have an STI. Social network characteristics found to be related to outcomes included gender proportions of the network and presence or absence of U.S.-born people in the network.
Several different dimensions of social support are associated with decreased risk of specific reproductive health behaviors and outcomes among young Latina immigrants. Use of a multi-dimensional social support instrument provides for richer analyses of these relationships, generating information that could be utilized for targeting support interventions and risk prevention in this population.
School Location:USA - Connecticut
Source Type:Master's Thesis
Keywords:reproductive health female social support sexual behavior pregnancy in adolescence immigrants questionnaires abortion teenage sexually transmitted diseases risk factors hispanic americans medicine
Date of Publication:03/04/2008