American Indian and Alaska Native men experience poorer sexual health than white men. Barriers related to their sex and racial identity may prevent them from seeking care; however, little is known about this population's use of sexual health services.
Sexual health service usage was examined among 923 American Indian and Alaska Native men and 5,322 white men aged 15–44 who participated in the 2006–2010 National Survey of Family Growth. Logistic regression models explored differences in service use by race and examined correlates of use among American Indians and Alaska Natives.
Among men aged 15–19 and those aged 35–44, men with incomes greater than 133% of the federal poverty level, men with private insurance, those living in the Northeast and those living in rural areas, American Indians and Alaska Natives were more likely than whites to use STD or HIV services (odds ratios, 1.5–3.2). The odds of birth control service use did not differ by race. Differences in service use were found among American Indian and Alaska Native men: For example, those with a usual source of care had elevated odds of using sexual health services (1.9–3.4), while those reporting no recent testicular exam had reduced odds of using these services (0.3–0.4).
This study provides baseline data on American Indian and Alaska Native men's use of sexual health services. Research exploring these men's views on these services is needed to help develop programs that better serve them.
Megan A. Cahn is postdoctoral research fellow, and S. Marie Harvey is associate dean for research and graduate programs and distinguished professor, both at the College of Public Health and Human Sciences, Oregon State University, Corvallis, OR. At the time this article was written, Matthew A. Town was adjunct faculty, School of Community Health, College of Urban and Public Affairs, Portland State University, Portland, OR.