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Reproductive health and sexual violence among urban American Indian and Alaska Native young women: select findings from the National Survey of Family Growth (2002)

TitleReproductive health and sexual violence among urban American Indian and Alaska Native young women: select findings from the National Survey of Family Growth (2002)
Publication TypeJournal Article
Year of Publication2012
AuthorsRutman, S, Taualii, M, Ned, D, Tetrick, C
JournalMatern Child Health JMatern Child Health J
Volume16 Suppl 2
Pagination347-52
Date PublishedDec
ISBN Number1573-6628 (Electronic)<br/>1092-7875 (Linking)
Accession Number22903302
KeywordsAdolescent, Adult, Alaska/epidemiology, Contraception Behavior, Contraceptive Agents, Female, Female, Health Surveys, Humans, Indians, North American/statistics & numerical data, Inuits/statistics & numerical data, Population Surveillance, Pregnancy, Pregnancy, Unplanned, Prevalence, Reproductive Health/ ethnology, Risk Factors, Sex Offenses/ ethnology, Sexual Behavior/ ethnology, Sexual Partners, Socioeconomic Factors, Urban Population/statistics & numerical data, Young Adult
AbstractExisting data on American Indians and Alaska Natives (AI/ANs) has indicated high rates of unintended pregnancy, high-risk sexual behavior, and experiences of sexual violence. This study from the first analysis to examine AI/ANs and the urban AI/AN subgroup in the National Survey of Family Growth (NSFG) reports new findings of reproductive health and sexual violence among urban AI/AN young women. We examined 2002 NSFG data on urban AI/AN women ages 15-24 years for pregnancies/births, unintended pregnancy, sexual initiation and contraceptive use. We also examined non-voluntary first sexual intercourse among urban AI/AN women ages 18-44 years. Prevalence estimates and 95 % confidence intervals were calculated. Findings include prevalence rates of risk factors among urban AI/AN women ages 15-24 years including unprotected first sex (38 %), first sex with much older partners (36 %), three or more pregnancies (13 %) and births (5 %) and unintended pregnancies (26 %). Seventeen percent of urban AI/ANs ages 18-44 years reported experiencing non-voluntary first sex. Sixty-one percent of urban AI/AN women ages 15-24 years were not using any method of contraception. Current contraceptive methods among those using a method included: injections/implants (23 %), contraceptive pills (32 %) and condoms (25 %). Findings describe reproductive health risk factors among young urban AI/AN women and highlight the need for enhanced surveillance on these issues. Those working to improve AI/AN health need these data to guide programming and identify resources for implementing and evaluating strategies that address risk factors for this overlooked population.
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