Heather L McCauley1, Rebecca N Dick2, Daniel J Tancredi3, Sandi Goldstein4, Samantha Blackburn5, Jay G Silverman6, Erica Monasterio7, Lisa James8, Elizabeth Miller2. 1. Department of Pediatrics, University of Pittsburgh School of Medicine, Division of Adolescent Medicine, Children's Hospital of Pittsburgh of UPMC, Pittsburgh, Pennsylvania. Electronic address: heather.mccauley@chp.edu. 2. Department of Pediatrics, University of Pittsburgh School of Medicine, Division of Adolescent Medicine, Children's Hospital of Pittsburgh of UPMC, Pittsburgh, Pennsylvania. 3. Department of Pediatrics, UC Davis School of Medicine, Sacramento, California. 4. California Adolescent Health Collaborative, Public Health Institute, Oakland, California. 5. California School-Based Health Alliance, Oakland, California. 6. Division of Global Public Health, UC San Diego School of Medicine, La Jolla, California. 7. Department of Family Health Care Nursing, UCSF School of Nursing, San Francisco, California. 8. Futures Without Violence, San Francisco, California.
Abstract
PURPOSE: Little is known about adolescent relationship abuse (ARA) and related sexual and reproductive health among females who either identify as lesbian or bisexual or engage in sexual behavior with female partners (i.e., sexual minority girls [SMGs]). METHODS: Baseline data were collected from 564 sexually active girls ages 14-19 years seeking care at eight California school-based health centers participating in a randomized controlled trial. Associations between ARA, sexual minority status and study outcomes (vaginal, oral, and anal sex, number and age of sex partners, contraceptive nonuse, reproductive coercion, sexually transmitted infection [STI] and pregnancy testing) were assessed via logistic regression models for clustered survey data. RESULTS: SMGs comprised 23% (n = 130) of the sample. Controlling for exposure to ARA, SMGs were less likely to report recent vaginal sex (adjusted odds ratio [AOR], .51; 95% confidence interval [CI], .35-.75) and more likely to report recent oral sex (AOR, 2.01; 95% CI, 1.38-2.92) and anal sex (AOR, 1.76; 95% CI, 1.26-2.46) compared with heterosexual girls. Heterosexual girls with ARA exposure (AOR, 2.85; 95% CI, 1.07-7.59) and SMGs without ARA exposure (AOR, 3.01; 95% CI, 2.01-4.50) were more likely than nonabused heterosexual girls be seeking care for STI testing or treatment than heterosexual girls without recent victimization. CONCLUSIONS: Findings suggest the need for attention to STI risk among all girls, but SMGs in particular. Clinicians should be trained to assess youth for sexual contacts and sexual identity and counsel all youth on healthy relationships, consensual sex, and safer sex practices relevant to their sexual experiences.
RCT Entities:
PURPOSE: Little is known about adolescent relationship abuse (ARA) and related sexual and reproductive health among females who either identify as lesbian or bisexual or engage in sexual behavior with female partners (i.e., sexual minority girls [SMGs]). METHODS: Baseline data were collected from 564 sexually active girls ages 14-19 years seeking care at eight California school-based health centers participating in a randomized controlled trial. Associations between ARA, sexual minority status and study outcomes (vaginal, oral, and anal sex, number and age of sex partners, contraceptive nonuse, reproductive coercion, sexually transmitted infection [STI] and pregnancy testing) were assessed via logistic regression models for clustered survey data. RESULTS:SMGs comprised 23% (n = 130) of the sample. Controlling for exposure to ARA, SMGs were less likely to report recent vaginal sex (adjusted odds ratio [AOR], .51; 95% confidence interval [CI], .35-.75) and more likely to report recent oral sex (AOR, 2.01; 95% CI, 1.38-2.92) and anal sex (AOR, 1.76; 95% CI, 1.26-2.46) compared with heterosexual girls. Heterosexual girls with ARA exposure (AOR, 2.85; 95% CI, 1.07-7.59) and SMGs without ARA exposure (AOR, 3.01; 95% CI, 2.01-4.50) were more likely than nonabused heterosexual girls be seeking care for STI testing or treatment than heterosexual girls without recent victimization. CONCLUSIONS: Findings suggest the need for attention to STI risk among all girls, but SMGs in particular. Clinicians should be trained to assess youth for sexual contacts and sexual identity and counsel all youth on healthy relationships, consensual sex, and safer sex practices relevant to their sexual experiences.
Authors: Heather L McCauley; Jay G Silverman; Michele R Decker; Madina Agénor; Sonya Borrero; Daniel J Tancredi; Sarah Zelazny; Elizabeth Miller Journal: J Womens Health (Larchmt) Date: 2015-05-11 Impact factor: 2.681
Authors: Brittany M Charlton; Elizabeth Janiak; Audrey J Gaskins; Amy D DiVasta; Rachel K Jones; Stacey A Missmer; Jorge E Chavarro; Vishnudas Sarda; Margaret Rosario; S Bryn Austin Journal: Contraception Date: 2019-05-11 Impact factor: 3.375
Authors: Ariella R Tabaac; Sebastien Haneuse; Michelle Johns; Andy S L Tan; S Bryn Austin; Jennifer Potter; Laura Lindberg; Brittany M Charlton Journal: Sex Res Social Policy Date: 2020-07-22