Bethany G Everett1, Jessica N Sanders2, Kyl Myers2, Claudia Geist3, David K Turok2. 1. The University of Utah, Department of Sociology, 380 S 1530 E #301, Salt Lake City, UT 84112. Electronic address: Bethany.Everett@Soc.Utah.Edu. 2. University of Utah, Department of Obstetrics and Gynecology, 30 North 1900 East, Room 2B200, Salt Lake City, UT 84132-2209. 3. The University of Utah, Department of Sociology, 380 S 1530 E #301, Salt Lake City, UT 84112.
Abstract
OBJECTIVES: To estimate the prevalence of sexual-minority women among clients in family planning centers and explore differences in LARC uptake by both sexual identity (i.e., exclusively heterosexual, mostly heterosexual, bisexual, lesbian) and sexual behavior in the past 12 months (i.e., only male partners, both male and female partners, only female partners, no partners) among those enrolled in the survey arm of the HER Salt Lake Contraceptive Initiative. METHODS: This survey categorized participants into groups based on reports of sexual identity and sexual behavior. We report contraceptive uptake by these factors, and we used logistic and multinomial logistic models to assess differences in contraceptive method selection by sexual identity and behavior. RESULTS: Among 3901 survey respondents, 32% (n=1230) identified with a sexual-minority identity and 6% had had a female partner in the past 12 months. By identity, bisexual and mostly heterosexual women selected an IUD or implant more frequently than exclusively heterosexual women and demonstrated a preference for the copper T380 IUD. Exclusively heterosexual and lesbian women did not differ in their contraceptive method selection, however, by behavior, women with only female partners selected IUDs or implants less frequently than those with only male partners. CONCLUSION: One in three women attending family planning centers for contraception identified as a sexual minority. Sexual-minority women selected IUDs or implants more frequently than exclusively heterosexual women. IMPLICATIONS: Providers should avoid care assumptions based upon sexual identity. Sexual-minority women should be offered all methods of contraception and be provided with inclusive contraceptive counseling conversations.
OBJECTIVES: To estimate the prevalence of sexual-minority women among clients in family planning centers and explore differences in LARC uptake by both sexual identity (i.e., exclusively heterosexual, mostly heterosexual, bisexual, lesbian) and sexual behavior in the past 12 months (i.e., only male partners, both male and female partners, only female partners, no partners) among those enrolled in the survey arm of the HER Salt Lake Contraceptive Initiative. METHODS: This survey categorized participants into groups based on reports of sexual identity and sexual behavior. We report contraceptive uptake by these factors, and we used logistic and multinomial logistic models to assess differences in contraceptive method selection by sexual identity and behavior. RESULTS: Among 3901 survey respondents, 32% (n=1230) identified with a sexual-minority identity and 6% had had a female partner in the past 12 months. By identity, bisexual and mostly heterosexual women selected an IUD or implant more frequently than exclusively heterosexual women and demonstrated a preference for the copper T380 IUD. Exclusively heterosexual and lesbian women did not differ in their contraceptive method selection, however, by behavior, women with only female partners selected IUDs or implants less frequently than those with only male partners. CONCLUSION: One in three women attending family planning centers for contraception identified as a sexual minority. Sexual-minority women selected IUDs or implants more frequently than exclusively heterosexual women. IMPLICATIONS: Providers should avoid care assumptions based upon sexual identity. Sexual-minority women should be offered all methods of contraception and be provided with inclusive contraceptive counseling conversations.
Authors: Jessica N Sanders; Kyl Myers; Lori M Gawron; Rebecca G Simmons; David K Turok Journal: Am J Public Health Date: 2018-02-22 Impact factor: 9.308
Authors: Brittany M Charlton; Heather L Corliss; Stacey A Missmer; Margaret Rosario; Donna Spiegelman; S Bryn Austin Journal: Am J Obstet Gynecol Date: 2013-06-22 Impact factor: 8.661
Authors: Madelyne Z Greene; Emma Carpenter; C Emily Hendrick; Sadia Haider; Bethany G Everett; Jenny A Higgins Journal: Obstet Gynecol Date: 2019-05 Impact factor: 7.661
Authors: Jenny A Higgins; Emma Carpenter; Bethany G Everett; Madelyne Z Greene; Sadia Haider; C Emily Hendrick Journal: Am J Public Health Date: 2019-09-19 Impact factor: 9.308
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: Lori M Gawron; Rebecca G Simmons; Jessica N Sanders; Kyl Myers; Adi V Gundlapalli; David K Turok Journal: Contraception Date: 2019-12-24 Impact factor: 3.375