Teen Pregnancy Risk Factors Among Young Women of Diverse Sexual Orientations
Teen Pregnancy Risk Factors Among Young Women of Diverse Sexual Orientations
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DOI：
10.1542/peds.2017-2278
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发表时间：
2018-04-01
期刊：
影响因子：
8
通讯作者：
Austin, S. Bryn
中科院分区：
文献类型：
--
作者：
Charlton, Brittany M.;Roberts, Andrea L.;Austin, S. Bryn
使用纵向GUTS数据，我们研究了跨性取向群体的青少年怀孕风险因素和性少数群体特有的风险因素。性少数群体（如双性恋和女同性恋）的年轻女性青少年怀孕的可能性大约是异性恋者的两倍。因此，我们假设，青少年怀孕的风险因素会有所不同的性取向群体和其他潜在的风险因素存在的是独特的性少数民族。方法：我们使用多变量对数二项模型收集从7120名年轻女性的纵向队列被称为今天的成长研究，以检查以下潜在的青少年怀孕的风险因素：童年虐待，欺凌受害和犯罪，性别不一致。在性少数群体中，我们还研究了以下内容：性少数发展里程碑，性取向相关的压力，性少数outness，女同性恋，男同性恋和双性恋的社会活动involvement.RESULTS：童年虐待和欺凌是显着的青少年怀孕的危险因素在所有参与者。在调整了儿童期虐待和欺凌后，与性取向相关的青少年怀孕差异有所减弱;这些风险因素解释了45%的差异。在性少数群体中，达到性少数的发展里程碑较早也与增加青少年怀孕risk.CONCLUSIONS：较高的青少年怀孕率与异性恋者相比，在这一队列中的性少数群体的部分原因是儿童期虐待和欺凌，这可能是，在一定程度上，源于性取向相关的歧视。青少年怀孕预防工作的重点是风险因素更常见的年轻女性谁是性少数群体（例如，童年虐待，欺凌）可以帮助减少现有的性取向相关的青少年怀孕的差距。
Using longitudinal GUTS data, we examined teen pregnancy risk factors across sexual orientation groups and risk factors unique to sexual minorities. OBJECTIVES:Young women who are sexual minorities (eg, bisexual and lesbian) are approximately twice as likely as those who are heterosexual to have a teen pregnancy. Therefore, we hypothesized that risk factors for teen pregnancy would vary across sexual orientation groups and that other potential risk factors exist that are unique to sexual minorities.METHODS:We used multivariable log-binomial models gathered from 7120 young women in the longitudinal cohort known as the Growing Up Today Study to examine the following potential teen pregnancy risk factors: childhood maltreatment, bullying victimization and perpetration, and gender nonconformity. Among sexual minorities, we also examined the following: sexual minority developmental milestones, sexual orientation-related stress, sexual minority outness, and lesbian, gay, and bisexual social activity involvement.RESULTS:Childhood maltreatment and bullying were significant teen pregnancy risk factors among all participants. After adjusting for childhood maltreatment and bullying, the sexual orientation-related teen pregnancy disparities were attenuated; these risk factors explained 45% of the disparity. Among sexual minorities, reaching sexual minority developmental milestones earlier was also associated with an increased teen pregnancy risk.CONCLUSIONS:The higher teen pregnancy prevalence among sexual minorities compared with heterosexuals in this cohort was partially explained by childhood maltreatment and bullying, which may, in part, stem from sexual orientation-related discrimination. Teen pregnancy prevention efforts that are focused on risk factors more common among young women who are sexual minorities (eg, childhood maltreatment, bullying) can help to reduce the existing sexual orientation-related teen pregnancy disparity.