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Table 4 Predictors of perceiving barriers to sexual and reproductive health services

From: Adolescents’ perceived barriers to accessing sexual and reproductive health services in California: a cross-sectional survey

 

Test results

(N = 9,008)

Cost of service

(N = 9,036)

Confidentiality of service

(N = 9,013)

5 or more barriers

(N = 9,167)

 

OR (95% CI)

p

OR (95% CI)

p

OR (95% CI)

p

OR (95% CI)

p

Gender

 Male

Reference

Reference

Reference

Reference

 Female

1.05 (0.96, 1.15)

0.266

1.10 (1.00, 1.20)

0.045

1.48 (1.35, 1.61)

< 0.001

1.68 (1.49, 1.88)

< 0.001

 Transgender/non-binary/multiple genders

0.82 (0.56, 1.21)

0.316

1.89 (1.24, 2.88)

0.003

1.51 (1.01, 2.24)

0.044

2.38 (1.55, 3.63)

< 0.001

Age (continuous)

0.90 (0.87, 0.93)

< 0.001

0.96 (0.93, 0.99)

0.016

0.90 (0.87, 0.93)

< 0.001

0.84 (0.81, 0.88)

< 0.001

Sexual orientation

 Straight/heterosexual

Reference

Reference

Reference

Reference

 LGBQ+

1.21 (1.07, 1.37)

0.002

1.36 (1.20, 1.54)

< 0.001

1.24 (1.10, 1.41)

0.001

1.42 (1.22, 1.64)

< 0.001

Ethnicity/race

 Hispanic

Reference

Reference

Reference

Reference

 Non-Hispanic

  White

0.76 (0.65, 0.88)

< 0.001

0.91 (0.78, 1.06)

0.238

0.82 (0.70, 0.96)

0.012

1.01 (0.83, 1.23)

0.899

  Black

0.88 (0.72, 1.08)

0.224

0.65 (0.53, 0.81)

< 0.001

0.77 (0.62, 0.95)

0.015

0.66 (0.48, 0.90)

0.009

  Asian/Pacific Islander/ Native Hawaiian

1.68 (1.34, 2.11)

< 0.001

1.37 (1.09, 1.72)

0.006

1.14 (0.91, 1.42)

0.262

1.82 (1.42, 2.33)

< 0.001

  American Indian/Alaska Native

1.28 (0.87, 1.89)

0.213

0.76 (0.52, 1.12)

0.167

0.73 (0.50, 1.08)

0.119

1.02 (0.62, 1.68)

0.930

  Multiple

1.01 (0.79, 1.28)

0.954

0.75 (0.59, 0.95)

0.018

0.93 (0.73, 1.18)

0.547

0.69 (0.49, 0.98)

0.036

Living situation

 Stable housing

Reference

Reference

Reference

Reference

 Foster care

1.27 (1.05, 1.53)

0.013

1.02 (0.84, 1.23)

0.854

0.92 (0.76, 1.11)

0.378

0.85 (0.66, 1.10)

0.210

 Juvenile justice facility

0.87 (0.68, 1.11)

0.260

0.58 (0.45, 0.76)

< 0.001

0.42 (0.32, 0.55)

< 0.001

0.47 (0.29, 0.76)

0.002

 Unstable housing

1.13 (0.83, 1.53)

0.430

1.41 (1.04, 1.91)

0.027

1.12 (0.83, 1.52)

0.450

1.06 (0.71, 1.58)

0.768

Ever had vaginal and/or anal sex

 No

Reference

Reference

Reference

Reference

 Yes

0.93 (0.84, 1.04)

0.216

0.80 (0.71, 0.89)

< 0.001

0.91 (0.82, 1.02)

0.101

0.78 (0.67, 0.91)

0.001

  1. Note: Odds ratios are based on mixed-effects logit models, accounting for the nested structure of the data (participants within cohorts and cohorts within agencies)