Sexual Orientation Disparities in Pregnancy Risk Behaviors and Pregnancy Among Sexually Active Teenage Girls: Updates from the Youth Risk Behavior Survey
Sexual Orientation Disparities in Pregnancy Risk Behaviors and Pregnancy Among Sexually Active Teenage Girls: Updates from the Youth Risk Behavior Survey
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DOI：
10.1089/lgbt.2018.0206
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发表时间：
2019-10-01
期刊：
影响因子：
4.8
通讯作者：
Phillips, Gregory
中科院分区：
文献类型：
--
作者：
Everett, Bethany G.;Turner, Blair;Phillips, Gregory
目的：本研究的目的是确定性身份和/或性行为在多大程度上与怀孕风险因素（性行为前使用安全套、酒精或其他药物，以及世界卫生组织[WHO]第一级[即宫内节育器、植入物]或第二级[即注射、药丸、贴片或戒指]避孕措施的使用）和报告与男性伴侣发生性关系的女高中生的青少年怀孕相关。方法：数据来自青少年危险行为调查（YRBS; 2005-2015） （n = 63,313）。采用Logistic回归分析怀孕危险行为与青少年怀孕的性别认同与行为差异。性别认同和行为之间的相互作用也被测试。所有模型调整为YRBS复杂采样帧。结果：与异性恋女孩相比，报告不确定其性别身份的女孩在最后性行为中较少使用避孕套或世卫组织第一级或第二级避孕方法，并且更有可能报告在最后性行为中使用酒精或其他药物。被认定为女同性恋的女孩在最后一次性行为中使用避孕套的可能性也更小，而报告有男性和女性性伴侣的女孩更有可能报告使用酒精或其他药物，而在最后一次性行为中使用避孕套的可能性更小。双性恋的女孩比异性恋的女孩更有可能在青少年时期怀孕。结论：我们的研究结果支持在青少年怀孕和怀孕风险研究中对性身份和性行为进行评估的必要性。此外，研究发现，不确定自己性别身份的女孩表现出更高的风险，这凸显了对这一群体进行额外研究的必要性。
Purpose: The purpose of this study was to determine the extent to which sexual identity and/or sexual behaviors were associated with pregnancy risk factors (condom use, alcohol or other drug use before sex, and World Health Organization [WHO] Tier 1 [i.e., intrauterine device, implant] or Tier 2 [i.e., injectable, pill, patch, or ring] contraception use) and teen pregnancy among female high school students who reported having a sexual relationship with a male partner. Methods: Data were from the Youth Risk Behavior Survey (YRBS; 2005-2015) (n = 63,313). Logistic regression was used to analyze sexual identity and behavior disparities in pregnancy risk behaviors and teen pregnancy. Interactions between sexual identity and behavior were also tested. All models adjusted for the YRBS complex sampling frame. Results: Girls who reported being unsure of their sexual identity were less likely to use condoms or a WHO Tier 1 or Tier 2 contraceptive method at last sex, and more likely to report alcohol or other drug use at last sex than heterosexual girls. Girls who identified as lesbian were also less likely to use a condom at last sex, and girls who reported both male and female sexual partners were more likely to report alcohol or other drug use and less likely to use condoms at last sex. Girls who identified as bisexual were more likely to report pregnancy during teenage years than girls who identified as heterosexual. Conclusion: Our results support the need to assess both sexual identity and sexual behavior in research on teen pregnancy and pregnancy risk. Furthermore, the finding that girls who were unsure of their sexual identity showed heightened risk highlights the need for additional research that includes this group.