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Influence of hormonal contraceptive use and health beliefs on sexual orientation disparities in papanicolaou test use

Author

Listed:
  • Charlton, B.M.
  • Corliss, H.L.
  • Missmer, S.A.
  • Frazier, A.L.
  • Rosario, M.
  • Kahn, J.A.
  • Austin, S.B.

Abstract

Objectives. Reproductive health screenings are a necessary part of quality health care. However, sexual minorities underutilize Papanicolaou (Pap) tests more than heterosexuals do, and the reasons are not known. Our objective was to examine if less hormonal contraceptive use or less positive health beliefs about Pap tests explain sexual orientation disparities in Pap test intention and utilization. Methods. We used multivariable regression with prospective data gathered from 3821 females aged 18 to 25 years in the Growing Up Today Study (GUTS). Results. Among lesbians, less hormonal contraceptive use explained 8.6% of the disparities in Pap test intention and 36.1% of the disparities in Pap test utilization. Less positive health beliefs associated with Pap testing explained 19.1% of the disparities in Pap test intention. Together, less hormonal contraceptive use and less positive health beliefs explained 29.3% of the disparities in Pap test intention and 42.2% of the disparities in Pap test utilization. Conclusions. Hormonal contraceptive use and health beliefs, to a lesser extent, help to explain sexual orientation disparities in intention and receipt of a Pap test, especially among lesbians.

Suggested Citation

  • Charlton, B.M. & Corliss, H.L. & Missmer, S.A. & Frazier, A.L. & Rosario, M. & Kahn, J.A. & Austin, S.B., 2014. "Influence of hormonal contraceptive use and health beliefs on sexual orientation disparities in papanicolaou test use," American Journal of Public Health, American Public Health Association, vol. 104(2), pages 319-325.
    • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2012.301114_8
    DOI: 10.2105/AJPH.2012.301114
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    Cited by:

    1. Alexa L. Solazzo & Bridget K. Gorman & Justin T. Denney, 2017. "Cancer Screening Utilization Among U.S. Women: How Mammogram and Pap Test Use Varies Among Heterosexual, Lesbian, and Bisexual Women," Population Research and Policy Review, Springer;Southern Demographic Association (SDA), vol. 36(3), pages 357-377, June.
    2. Carpenter, Christopher S. & Gonzales, Gilbert & McKay, Tara & Sansone, Dario, 2020. "Effects of the Affordable Care Act Dependent Coverage Mandate on Health Insurance Coverage for Individuals in Same-Sex Couples," IZA Discussion Papers 13119, Institute of Labor Economics (IZA).
    3. Ssirai Kim & Sun-Young Lee & Smi Choi-Kwon, 2020. "Cervical Cancer Screening and Human Papillomavirus Vaccination among Korean Sexual Minority Women by Sex of Their Sexual Partners," IJERPH, MDPI, vol. 17(23), pages 1-11, November.
    4. Agénor, Madina & Krieger, Nancy & Austin, S. Bryn & Haneuse, Sebastien & Gottlieb, Barbara R., 2014. "At the intersection of sexual orientation, race/ethnicity, and cervical cancer screening: Assessing Pap test use disparities by sex of sexual partners among black, Latina, and white U.S. women," Social Science & Medicine, Elsevier, vol. 116(C), pages 110-118.

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