@article{ref1,
title="Targeting sexual health services in primary care: a systematic review of the psychosocial correlates of adverse sexual health outcomes reported in probability surveys of women of reproductive age",
journal="Preventive medicine",
year="2015",
author="Edelman, Natalie L. and de Visser, Richard O. and Mercer, Catherine H. and McCabe, Lucy and Cassell, Jackie A.",
volume="81",
number="",
pages="345-356",
abstract="BACKGROUND: Women using primary care vary in need for sexually transmitted infections (STIs) testing and contraception. Psychosocial correlates of these needs may be useful for targeting services. We undertook a systematic review to identify psychosocial correlates of STI acquisition, unplanned pregnancy (UP), abortion and risky sexual behaviours in general population samples of women of reproductive age. <br><br>METHODS: We searched bibliographic databases for probability surveys of women aged 16-44years in the European Union, USA, Canada, Australia, UK or New Zealand undertaken January 1994-January 2014. <br><br>RESULTS: Eleven papers were included. Unplanned pregnancy was associated with smoking, depression, being single and sexual debut <16 years. Abortion was associated with lack of closeness to parents, leaving home at an early age, and relationship break-up. Multiple partnerships were associated intensity of marijuana and alcohol use, and smoking. STI diagnosis was associated with relationship break-up and younger partners. Non-use of contraception was associated with smoking, obesity, relationship status, sedentary lifestyles, fatalistic pregnancy attitudes and lower alcohol use. Condom non-use was higher (at first sex)with partners5+ years older and lower (at last sex)in less stable partnerships. <br><br>CONCLUSION: Psychosocial variables, particularly relationship status and smoking, may help identify women in primary care for STI testing and contraception advice and supply.<p /> <p>Language: en</p>",
language="en",
issn="0091-7435",
doi="10.1016/j.ypmed.2015.09.019",
url="http://dx.doi.org/10.1016/j.ypmed.2015.09.019"
}