Sexual Orientation and Sexual and Reproductive Health Among Adolescent Young Women in the United States

Tornello, Samantha L.; Riskind, Rachel G.; Patterson, Charlotte J.

doi:10.1016/j.jadohealth.2013.08.018

Cited by 150 publications

(110 citation statements)

References 18 publications

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“…In fact, research has shown that bisexual and lesbian identified adolescent girls have a greater risk of reporting teen pregnancy than heterosexual girls. [51][52][53] Taken together, this research suggests that many SMW are not only likely to have engaged in consensual heterosexual sexual intercourse at some point in their lives but that they are also more likely to report risk factors (e.g., sexual abuse) that may directly or indirectly increase their risk of unintended pregnancy. Furthermore, previous research has demonstrated a causal relationship between victimization and depression and hazardous drinking later in life.…”

Section: Introductionmentioning

confidence: 82%

Unintended Pregnancy, Depression, and Hazardous Drinking in a Community-Based Sample of Sexual Minority Women

Everett

McCabe

Hughes

2016

Journal of Women's Health

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Context: Unintended pregnancy is a stressful life event with important implications for women's health. Little research has examined sexual minority women's (SMW; lesbian, bisexual, mostly heterosexual) experiences of unintended pregnancy, and no studies have examined the relationship between unintended pregnancy, mental health, and negative coping behaviors in this population. Methods: We used the Chicago Health and Life Experiences of Women (CHLEW) Study (n = 454), a diverse sample of SMW, to examine the relationship between self-reported unintended pregnancy, depressive symptoms, and hazardous drinking. We used generalized linear model-building techniques and adjusted for key sociodemographic controls, as well as unintended pregnancy risk factors, including childhood physical and sexual abuse and age of sexual debut. Results: Twenty-four percent of the sample reported an unintended pregnancy. SMW who reported unintended pregnancies also reported significantly more depressive symptoms and greater risk of hazardous drinking. Adjusting for childhood abuse explained the relationship between unintended pregnancy and depressive symptoms, but not the relationship between unintended pregnancy and hazardous drinking. Conclusions: Unintended pregnancy among SMW is an understudied topic. Our results suggest that unintended pregnancy is not uncommon among SMW and highlight the need for more research to investigate the mechanisms that link unintended pregnancy to depression and to hazardous drinking within this population.

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Section: Introductionmentioning

confidence: 82%

Unintended Pregnancy, Depression, and Hazardous Drinking in a Community-Based Sample of Sexual Minority Women

Everett

McCabe

Hughes

2016

Journal of Women's Health

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“…One nationally representative study of adolescent and young adult US women found that selfidentified bisexual women reported an earlier age of first sexual intercourse and a greater number of male sexual partners compared to heterosexual women. 13 Another clinicbased study of adult women found that self-identified lesbian and bisexual women were significantly more likely than heterosexual women to have sex with men who have sex with men (MSM), whereas bisexual women were more likely than self-identified heterosexual and lesbian women to report substance use during sex, an indicator of HIV/STI risk. 14 Other studies of women who have sex with women, regardless of sexual identity, indicate that pregnancy 15 and STIs 16,17 are not uncommon in this population.…”

Section: Introductionmentioning

confidence: 99%

Sexual and Reproductive Health Indicators and Intimate Partner Violence Victimization Among Female Family Planning Clinic Patients Who Have Sex with Women and Men

McCauley

Silverman

Decker

et al. 2015

Journal of Women's Health

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Background: Sexual minority women are more likely than heterosexual women to have ever experienced intimate partner violence (IPV). Although IPV is associated with sexual risk and poor reproductive health outcomes among US women overall, little is known about whether IPV is related to sexual and reproductive health indicators among sexual minority women in particular. Methods: Baseline data from a prospective intervention trial were collected from women ages 16-29 years at 24 family planning clinics in western PA (n = 3,455). Multivariable logistic regression for clustered survey data was used to compare women who have sex with men only (WSM) and women who have sex with women and men (WSWM) on (1) IPV prevalence and (2) sexual and reproductive health behaviors, outcomes, and services use, controlling for IPV. Finally, we tested the interaction of sexual minority status and IPV. Results: WSWM were significantly more likely than WSM to report a lifetime history of IPV (adjusted odds ratio (AOR): 3.00; 95% confidence interval (CI): 2.30, 3.09). Controlling for IPV, WSWM reported higher levels of sexual risk behaviors (e.g., unprotected vaginal and anal sex), male-perpetrated reproductive coercion, unwanted pregnancy, and sexually transmitted infection (STI) and pregnancy testing but less contraceptive care seeking. The association between IPV and lifetime STI diagnosis was greater among WSWM than among WSM. Conclusions: IPV was pervasive and associated with sexual risk and reproductive health indicators among WSWM in this clinic-based setting. Healthcare providers' sexual risk assessment and provision of sexual and reproductive health services should be informed by an understanding of women's sexual histories, including sex of sexual partners and IPV history, in order to help ensure that all women receive the clinical care they need.

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“…Earlier research reported that LGBT youth seemed more sexually active and it was more common from them to have a very early sexual debut, higher numbers of sexual partners and more experience of oral and anal sex (Tornello et al, 2014). This was true for both of our minority groups, but was most pronounced in the RFSL member group, which may be due to them being older and having more sexual experiences.…”

Section: Discussionmentioning

confidence: 53%

Sexual behaviour, debut and identity among Swedish Schoolchildren

Kastbom¹

2015

Linköping University Medical Dissertations

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Background: Sexual behaviour among schoolchildren and adolescents is a sparsely researched area and there are delicate methodological obstacles and ethical concerns when conducting such research. Still it is a subject that engages both parents and professionals. A sexualized behaviour or an early sexual debut (younger than 14 years) can be a sign of sexual abuse. It is therefore of importance to describe what is common and what is uncommon sexual behaviour among children and what the consequences of an early or a late sexual debut may be for the individual upon reaching late adolescence. Adolescents who identify themselves as lesbian, gay or bisexual (LGB) are also a group that needs further attention and research since they are often described as having a lower quality of life and more often experience child abuse than heterosexual teens. Aims: The research leading to this thesis had four goals: 1) to elucidate the sexual behaviour of children between the ages of 7 and 13 as observed by their parents, 2) to investigate the relationship between an early sexual debut (before 14 years of age) and socio-demographic data, sexual experience, health, experience of child abuse and behaviour at 18-years-of-age, 3) to explore associations with no sexual debut (no oral, vaginal or anal sex) at the age of 18, and 4) to describe the relationship between sexual identification and socio-demographic background data, sexual behaviour, health and health behaviour, experiences of child sexual and/or physical abuse and present behaviour among Swedish adolescents. Methods: The parents of 418 children answered questionnaires about their child’s behaviour, both general and sexual, and a sample of 3432 Swedish high school students completed a survey about sexuality, health and abuse at the age of 18. In addition, 362 members of the Swedish Federation for Lesbian, Gay, Bisexual and Transgender Rights (RFSL) completed the same survey at a mean age of 21.4 years. Results: Most of the sexual behaviours among the schoolchildren were common, and in part related to, or varied with, age and gender. A small number of sexual behaviours often referred to as sexualised or problematic behaviours (for example, kissing adults with the tongue, imitating intercourse, masturbating in public, and touching other children’s genitals with the mouth) were found to be very unusual or not reported by any parent in this normative group of Swedish children. Among the adolescents, an early debut (younger than 14 years of age) correlated positively with number of partners, experience of oral and anal sex, smoking, drug and alcohol use and antisocial behaviour, such as being violent, lying, stealing and running away from home. Girls with an early sexual debut had significantly more experience of sexual abuse while boys with an early sexual debut were more likely to have a weak sense of coherence, low self-esteem and poor mental health, together with experience of sexual abuse, selling sex and physical abuse. A multiple logistic regression model showed that a number...

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Sexual Orientation and Sexual and Reproductive Health Among Adolescent Young Women in the United States

Cited by 150 publications

References 18 publications

Unintended Pregnancy, Depression, and Hazardous Drinking in a Community-Based Sample of Sexual Minority Women

Unintended Pregnancy, Depression, and Hazardous Drinking in a Community-Based Sample of Sexual Minority Women

Sexual and Reproductive Health Indicators and Intimate Partner Violence Victimization Among Female Family Planning Clinic Patients Who Have Sex with Women and Men

Sexual behaviour, debut and identity among Swedish Schoolchildren

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