Sexual Behaviors and Partner Characteristics by Sexual Identity Among Adolescent Girls.
Sexual Behaviors and Partner Characteristics by Sexual Identity Among Adolescent Girls.
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青春期女孩的性行为和伴侣特征（按性别认同）。
DOI：
10.1016/j.jadohealth.2015.11.001
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发表时间：
2016
期刊：
影响因子：
--
通讯作者：
Goodenow,Carol
中科院分区：
文献类型：
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作者：
Ybarra,MicheleL;Rosario,Margaret;Saewyc,Elizabeth;Goodenow,Carol
研究目的：数据显示，女同性恋和双性恋青少年从事危险性行为的比率高于异性恋女孩。这些发现是否也适用于其他性别身份的女孩，还不太清楚。女同性恋者与双性恋青少年报告的危险性行为的潜在差异也在literature.MethodsData在2010-2011年在线收集了2,823名女孩，年龄在13-18岁，在美国。多项逻辑回归用于量化（1）女同性恋;（2）双性恋;（3）质疑，不确定或其他（QUO）身份;（0）异性恋女孩之间的性行为比较。Logistic回归比较女同性恋和双性恋adolescents.ResultsLesbian和双性恋青少年的一生和过去一年的性伴侣比异性恋女孩。与异性恋女孩相比，双性恋女孩也更有可能报告阴茎-肛门和阴茎-阴道性行为，而女同性恋者更有可能报告几乎所有类型的性行为的早期首次性行为。女同性恋者也更有可能报告不经常使用避孕套，并且不太可能与伴侣谈论使用障碍（例如，第一次性交前的牙齿屏障。相对于女同性恋者，双性恋女孩报告的第一次性行为年龄较大，几乎所有的性行为和最近的男性伴侣，阴茎阴道和阴茎肛交的终身患病率较高。QUO和异性恋girls.ConclusionsSexual少数青少年之间的差异不大，注意到是不相同的性风险。提供者需要对这些差异及其对患者健康和咨询的影响保持敏感。
PurposeData suggest that lesbian and bisexual adolescents engage in risky sexual behaviors at higher rates than heterosexual girls. Whether these findings also apply to girls of other sexual identities is less well understood. Potential differences in risky sexual behaviors reported by lesbian versus bisexual adolescents are also underreported in the literature.MethodsData were collected online in 2010–2011 among 2,823 girls, aged 13–18 years, in the United States. Multinomial logistic regression was used to quantify comparisons of sexual behaviors between (1) lesbian; (2) bisexual; and (3) questioning, unsure, or other (QUO) identity; and (0) heterosexual girls. Logistic regression compared lesbian and bisexual adolescents.ResultsLesbian and bisexual adolescents reported significantly more lifetime and past-year sexual partners than heterosexual girls. Bisexual girls were also more likely to report penile-anal and penile-vaginal sex, whereas lesbians were more likely to report earlier sexual debut for almost all types of sex, as compared to heterosexual girls. Lesbians also were more likely to report infrequent condom use and less likely to have conversations with partners about the use of barriers (e.g., dental dams) before first sex. Relative to lesbians, bisexual girls reported older age at first sex for almost all sexual behaviors and higher lifetime prevalence of recent male partners, penile-vaginal, and penile-anal sex. Few differences were noted between QUO and heterosexual girls.ConclusionsSexual minority adolescents are not identical in terms of sexual risk. Providers need to be sensitive to these differences and their implications for health and counseling of patients.