ArticleThe Journal of adolescent health : official publication of the Society for Adolescent Medicine2016
Teen Pregnancy Among Sexual Minority Women: Results From the National Longitudinal Study of Adolescent to Adult Health.
Article in The Journal of adolescent health : official publication of the Society for Adolescent Medicine, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers.
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Who cites it
30 citing papers in PubMed.
- Structural Minority Stress Predicts Suicidality, Substance Use, and Sexual Risk Behaviors among Sexual Minority Adolescents.Psychology of sexual orientation and gender diversity · 2026Article
- Child abuse and experiences of discrimination are linked to fear of childbirth among younger patients in the US: a cohort study.BMC pregnancy and childbirth · 2025Article
- Beyond stigma: Clinician bias in contraceptive counseling to sexual and gender minority youth.Contraception · 2025Article
- Article
- Sexuality and Gender Diversity Among Adolescents in Australia, 2019-2021.JAMA network open · 2024Article
- Female adolescent sexual reproductive health service utilization concerns: A qualitative enquiry in the Tema metropolis of Ghana.PloS one · 2024Article
- Sexual Minority Men's Perspectives and Experiences of Adolescent Pregnancy Risk and Pregnancy Prevention Behaviors.Journal of sex research · 2022Article
- Association of pregnancy attitudes and intentions with sexual activity and psychiatric symptoms in justice-involved youth.Children and youth services review · 2022Article
- Mothers' Sexual Identity and Children's Health.Population research and policy review · 2022Article
- Healthcare providers' perspectives on pregnancy experiences among sexual and gender minority youth.Sexual & reproductive healthcare : official journal of the Swedish Association of Midwives · 2022Article
- Women's experiences with person-centered family planning care: Differences by sociodemographic characteristics.Contraception: X · 2022Article
- Sexual Health Information Sources, Needs, and Preferences of Young Adult Sexual Minority Cisgender Women and Non-Binary Individuals Assigned Female at Birth.Sexuality research & social policy : journal of NSRC : SR & SP · 2021Article
- The Sexual and Reproductive Health Burden Index: Development, Validity, and Community-Level Analyses of a Composite Spatial Measure.Journal of urban health : bulletin of the New York Academy of Medicine · 2021Article
- "Even if you think you can trust them, don't trust them": An exploratory analysis of the lived experiences of sexual health among sexual minority girls in foster care.Children and youth services review · 2020Article
- Racial/Ethnic Differences in Unwanted Pregnancy: Moderation by Sexual Orientation.Journal of marriage and the family · 2020Article
- Innovation and Integration of Sexuality in Family Life Education.Family relations · 2020Article
- Pregnancy (im)possibilities: identifying factors that influence sexual minority women's pregnancy desires.Social work in health care · 2020Article
- Sexual Minority Women and Contraceptive Use: Complex Pathways Between Sexual Orientation and Health Outcomes.American journal of public health · 2019Article
- Sexual Orientation Disparities in Pregnancy Risk Behaviors and Pregnancy Among Sexually Active Teenage Girls: Updates from the Youth Risk Behavior Survey.LGBT health · 2019Article
- Teen Pregnancy Experiences of Sexual Minority Women.Journal of pediatric and adolescent gynecology · 2019Article
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Authors and funding
3 authors.
Funding
Abstract
purposeThe purpose of this study was to explore the association between sexual orientation and teen pregnancy (before age 20 years) in a U.S. nationally representative cohort of young adult females aged 24-32 years.
methodsA total of 5,972 participants in Waves I and IV of the National Longitudinal Study of Adolescent to Adult Health were included. Self-reported sexual orientation identity was categorized as heterosexual, and three sexual minority (SM) groups: mostly heterosexual, bisexual, and lesbian (combining "mostly homosexual" and "100% homosexual"). Stepwise multivariate regression models were fit to compare odds of teen pregnancy and relative risk ratios of timing of teen pregnancy, between heterosexual and SM groups, adjusting for sociodemographic characteristics, sexual victimization history, and sexual risk behaviors.
resultsAfter adjusting for sociodemographics and sexual victimization, bisexual women had significantly higher odds than heterosexual peers of teen pregnancy (odds ratio [OR] = 1.70; 95% confidence interval [CI] = 1.05-2.75); this association was marginally significant after adjusting for sexual risk behaviors. Bisexuals were also more likely to have an early (before age 18 years) teen pregnancy (OR = 2.04; 95% CI = 1.17-3.56). In contrast, lesbian women were significantly less likely to have a teen pregnancy than heterosexual (OR = .47; 95% CI = .23-.97), mostly heterosexual (OR = .46; 95% CI = .21-.99), and bisexual (OR = .29; 95% CI = .12-.71) women in final models.
conclusionsExpanding on extant literature, we found opposing risk patterns for teen pregnancy between bisexual and lesbian women, likely due to distinct patterns of sexual risk taking. Findings suggest that SM-inclusive teen pregnancy prevention efforts tailored to meet the unique needs of SM young women, particularly bisexuals, are needed.
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