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... 25
1982and1995,andsurgicallysterilized
womenrarelyusefamilyplanning
servicesaftertheiroperations.These
trends,alongwiththepotentialeffects
ofchangesinquestionwordingin1995,
deservefurtherdetailedstudy.
Inthe12monthsbeforethe1995
interview,33percentreceivedbirth
control/familyplanningservices;
27percentreceivedabirthcontrol
method,15percentbirthcontrol
counseling,and22percentacheckupor
testrelatedtobirthcontrol(table73).
About62percentofwomen
reportedreceivingaPapsmearand
61percentreceivedapelvicexaminthe
last12months.Thisissimilarto
findingsin1988(32).Thepercents
receivingotherservicesweremuch
lower:16percentreceivedapregnancy
test,17percentanHIVtest,8percent
othersexuallytransmitteddisease(STD)
testsortreatment,and21percentatest
ortreatmentforaninfection(table74).
About34millionwomenreceived
familyplanningorrelatedreproductive
healthservicesfromprivatedoctorsor
healthmaintenanceorganizations
(HMO)in1995.About15million
women,includingsomeofthesame
women,receivedtheseservicesfrom
othersources—forexample,public
familyplanningclinics,otherclinics,
andhospitals.Womenwhousedthese
othersourcestendedtohavelower
incomes.Forexample,only15percent
ofwomen22–44yearsofagewhoused
aprivatedoctororHMOhadincome
lessthan150percentofthepoverty
levelcomparedwith46percentofthose
whousedpublicfamilyplanning
clinics—athreefolddifference(table80).
CigaretteSmoking
About28percentofwomen15–44
yearsofagewerecurrentcigarette
smokersin1995,and14percentwere
formersmokers(table84).These
findingsaresimilartothosefromthe
NHIS(31).Theproportionwho
currentlysmokewasnearlyfourtimes
ashighamongwomenwithlessthana
highschooleducation(47percent)as
amongcollegegraduates(12percent)
(table84).About18percentofpregnant
orpostpartumwomenwerecurrently
smokingin1995.About24percentof
the10millionusersoforal
contraceptiveswerecurrentlysmoking,
and10percentweresmoking15or
morecigarettesperday.Almost
18percentofteenagewomenwere
currentlysmokingin1995(table84).
HumanImmunodeficiency
VirusTestingandRelated
Behavior
Thehumanimmunodeficiencyvirus
(HIV),thevirusthatcausesacquired
immunodeficiencysyndrome(AIDS),
wasthesubjectofseveralquestionsin
the1995NSFG.About48percentof
women15–44yearsofagehavehadan
HIVtestatsometimeintheirlives,
eitheraspartofblooddonationor
unrelatedtoit.Thosemostlikelyto
haveeverbeentestedforHIVwere
women20–34yearsofage
(54–60percent)andthosewithan
educationbeyondhighschool
(55–56percent)(table85).Ofthe11.4
millionwomentestedforHIVinthe12
monthsbeforethe1995survey,the
reasoncitedmostoftenwastofindout
ifshewasinfected(40percent);
23percentweretestedinconnection
withprenatalcare.Hospitalizationor
surgery,applyingforinsurance,and
doctor’sreferralwereeachcitedby
7–8percentofrecentlytestedwomen
(table86).
Intheself-administeredpartofthe
NSFGinterview(AudioCASI),
28percentofunmarriedwomenreported
thattheirmalepartner(s)inthelast12
months‘‘werehavingsexwithother
women’’aroundthesametime.Women
withmorepartnersinthelast12months
weremorelikelytoreportthattheir
malepartners(s)werealsohaving
intercoursewithotherwomen—
15percentofthosewithonepartner
comparedwith57percentofthosewith
threeormorepartners(table87).
Amongunmarriedwomen15–44
yearsofagewhohavehadintercourse
inthepastyearandwhoreportedthat
theyhaveeverusedcondomsfor
diseasepreventionatsometimeintheir
lives,aboutone-thirdreportedthattheir
partnersinthepastyearusedcondoms
fordiseasepreventioneverytimethey
hadintercourse,one-thirdsaidtheyused
condomssometimesbutnoteverytime,
andone-thirdsaidnotatall.Among
unmarriedwomenwithtwoormore
partnersinthepastyear,15percentdid
notusecondomsatallinthepastyear
fordiseasepreventionand19percent
usedthemlessthanhalfthetime;some
ofthesewomenmayhaveused
condomssolelyforcontraception.
Furtherresearchisneededonthesedata
todeterminetheextenttowhich
unprotectedintercourseoccurredandin
whichgroupsofthepopulation
(table88,alsoseeDefinitionsofTerms).
PelvicInflammatoryDisease
andDouching
Pelvicinflammatorydisease,or
PID,iscausedbyavarietyofinfectious
agents.PIDcancauserecurrentpain,
ectopicpregnancy,andcanleadto
infertilityifleftuntreatedorrecurrent
(33).In1995,8percentofwomen
reportedthattheyhadbeentreatedfor
PIDatsometimeintheirlives—
8percentofHispanicwomen,7percent
ofNon-Hispanicwhitewomen,and
11percentofblackwomen.PIDwas
twiceascommonamongwomenwho
doucheregularly(12percent)compared
withwomenwhodonotdouche
(6percent).PIDwasalsotwiceas
commonamongthosewith10ormore
sexualpartnersintheirlifetimes
(14percent)asamongwomenwith2–3
partners(7percent)(table89).These
findingsaresimilartothoseinthe1982
and1988NSFG,butitappearsthatthe
prevalenceofPIDhasdeclined,from
14percentin198 2to1 1percentin1988
and8percentin1995(34).
Douchinghasbeenassociatedwith
PID,ectopicpregnancy,infertility,and
cervicalcancer(35).In1988,37percent
ofwomen15–44yearsofagereported
thattheyweredouchingregularly.In
1995,thisproportionhaddeclinedto
27percent.However,douchingwasstill
morecommonthanaverageamong
Hispanicwomen(34percent),black
women(55percent),womenwhodid
notfinishhighschool(53percent),and
thosewhohavehadPID(41percent).
Blackcollegegraduateswerefourtimes
aslikelytodoucheregularlyaswhite
collegegraduates(40percentversus
9percent)(table90).
Series23,No.19[Page9
Table ... 25
1982and1995,andsurgicallysterilized
womenrarelyusefamilyplanning
servicesaftertheiroperations.These
trends,alongwiththepotentialeffects
ofchangesinquestionwordingin1995,
deservefurtherdetailedstudy.
Inthe12monthsbeforethe1995
interview,33percentreceivedbirth
control/familyplanningservices;
27percentreceivedabirthcontrol
method,15percentbirthcontrol
counseling,and22percentacheckupor
testrelatedtobirthcontrol(table73).
About62percentofwomen
reportedreceivingaPapsmearand
61percentreceivedapelvicexaminthe
last12months.Thisissimilarto
findingsin1988(32).Thepercents
receivingotherservicesweremuch
lower:16percentreceivedapregnancy
test,17percentanHIVtest,8percent
othersexuallytransmitteddisease(STD)
testsortreatment,and21percentatest
ortreatmentforaninfection(table74).
About34millionwomenreceived
familyplanningorrelatedreproductive
healthservicesfromprivatedoctorsor
healthmaintenanceorganizations
(HMO)in1995.About15million
women,includingsomeofthesame
women,receivedtheseservicesfrom
othersources—forexample,public
familyplanningclinics,otherclinics,
andhospitals.Womenwhousedthese
othersourcestendedtohavelower
incomes.Forexample,only15percent
ofwomen22–44yearsofagewhoused
aprivatedoctororHMOhadincome
lessthan150percentofthepoverty
levelcomparedwith46percentofthose
whousedpublicfamilyplanning
clinics—athreefolddifference(table80).
CigaretteSmoking
About28percentofwomen15–44
yearsofagewerecurrentcigarette
smokersin1995,and14percentwere
formersmokers(table84).These
findingsaresimilartothosefromthe
NHIS(31).Theproportionwho
currentlysmokewasnearlyfourtimes
ashighamongwomenwithlessthana
highschooleducation(47percent)as
amongcollegegraduates(12percent)
(table84).About18percentofpregnant
orpostpartumwomenwerecurrently
smokingin1995.About24percentof
the10millionusersoforal
contraceptiveswerecurrentlysmoking,
and10percentweresmoking15or
morecigarettesperday.Almost
18percentofteenagewomenwere
currentlysmokingin1995(table84).
HumanImmunodeficiency
VirusTestingandRelated
Behavior
Thehumanimmunodeficiencyvirus
(HIV),thevirusthatcausesacquired
immunodeficiencysyndrome(AIDS),
wasthesubjectofseveralquestionsin
the1995NSFG.About48percentof
women15–44yearsofagehavehadan
HIVtestatsometimeintheirlives,
eitheraspartofblooddonationor
unrelatedtoit.Thosemostlikelyto
haveeverbeentestedforHIVwere
women20–34yearsofage
(54–60percent)andthosewithan
educationbeyondhighschool
(55–56percent)(table85).Ofthe11.4
millionwomentestedforHIVinthe12
monthsbeforethe1995survey,the
reasoncitedmostoftenwastofindout
ifshewasinfected(40percent);
23percentweretestedinconnection
withprenatalcare.Hospitalizationor
surgery,applyingforinsurance,and
doctor’sreferralwereeachcitedby
7–8percentofrecentlytestedwomen
(table86).
Intheself-administeredpartofthe
NSFGinterview(AudioCASI),
28percentofunmarriedwomenreported
thattheirmalepartner(s)inthelast12
months‘‘werehavingsexwithother
women’’aroundthesametime.Women
withmorepartnersinthelast12months
weremorelikelytoreportthattheir
malepartners(s)werealsohaving
intercoursewithotherwomen—
15percentofthosewithonepartner
comparedwith57percentofthosewith
threeormorepartners(table87).
Amongunmarriedwomen15–44
yearsofagewhohavehadintercourse
inthepastyearandwhoreportedthat
theyhaveeverusedcondomsfor
diseasepreventionatsometimeintheir
lives,aboutone-thirdreportedthattheir
partnersinthepastyearusedcondoms
fordiseasepreventioneverytimethey
hadintercourse,one-thirdsaidtheyused
condomssometimesbutnoteverytime,
andone-thirdsaidnotatall.Among
unmarriedwomenwithtwoormore
partnersinthepastyear,15percentdid
notusecondomsatallinthepastyear
fordiseasepreventionand19percent
usedthemlessthanhalfthetime;some
ofthesewomenmayhaveused
condomssolelyforcontraception.
Furtherresearchisneededonthesedata
todeterminetheextenttowhich
unprotectedintercourseoccurredandin
whichgroupsofthepopulation
(table88,alsoseeDefinitionsofTerms).
PelvicInflammatoryDisease
andDouching
Pelvicinflammatorydisease,or
PID,iscausedbyavarietyofinfectious
agents.PIDcancauserecurrentpain,
ectopicpregnancy,andcanleadto
infertilityifleftuntreatedorrecurrent
(33).In1995,8percentofwomen
reportedthattheyhadbeentreatedfor
PIDatsometimeintheirlives—
8percentofHispanicwomen,7percent
ofNon-Hispanicwhitewomen,and
11percentofblackwomen.PIDwas
twiceascommonamongwomenwho
doucheregularly(12percent)compared
withwomenwhodonotdouche
(6percent).PIDwasalsotwiceas
commonamongthosewith10ormore
sexualpartnersintheirlifetimes
(14percent)asamongwomenwith2–3
partners(7percent)(table89).These
findingsaresimilartothoseinthe1982
and1988NSFG,butitappearsthatthe
prevalenceofPIDhasdeclined,from
14percentin198 2to1 1percentin1988
and8percentin1995(34).
Douchinghasbeenassociatedwith
PID,ectopicpregnancy,infertility,and
cervicalcancer(35).In1988,37percent
ofwomen15–44yearsofagereported
thattheyweredouchingregularly.In
1995,thisproportionhaddeclinedto
27percent.However,douchingwasstill
morecommonthanaverageamong
Hispanicwomen(34percent),black
women(55percent),womenwhodid
notfinishhighschool(53percent),and
thosewhohavehadPID(41percent).
Blackcollegegraduateswerefourtimes
aslikelytodoucheregularlyaswhite
collegegraduates(40percentversus
9percent)(table90).
Series23,No.19[Page9
Table ... or divorced, then custodial parent remarried. See ‘‘Definitions of Terms.’’
3
Limited to women 22–44 years of age at time of interview.
NOTE: Percents may not add to 100 due to rounding.
Page 36...