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Healthcare access and service use among Behavioral Risk Factor Surveillance System respondents engaging in high-risk sexual behaviors, 2016.

INTRODUCTION
Access to healthcare services such as screening, testing, and treatment for sexually transmitted diseases (STDs) is vital for those who engage in high-risk behaviors. Studies examining the relationship between high-risk behaviors and healthcare access and utilization are crucial for determining whether persons at risk are receiving appropriate health services.


METHODS
We examined 2016 data from the Behavioral Risk Factor Surveillance System. Our study population included persons aged 18-65 years. Chi-square and logistic regression analyses were used to examine relationships between high-risk behaviors including drug use and high risk sexual behaviors, and access to and utilization of healthcare services.


RESULTS
Among our study population, 6.2% engaged in a high-risk behavior in the past year. Those engaging in high risk behaviors were more likely to have no health insurance coverage (1.23 OR; 95% CI: 1.13, 1.34), no personal health care provider (1.14 OR; 95% CI: 1.06, 1.21), have foregone care because of cost (1.54 OR; 95% CI: 1.42, 1.65), or have had no routine check-up in the past two years (1.16 OR; 95% CI: 1.09, 1.25).


CONCLUSIONS
Those who engaged in high risk behaviors had poorer healthcare access and utilization outcomes. Future studies should incorporate the relationships between changes in behaviors, healthcare access and utilization, and resulting STD morbidity.