Unseen Risks: HIV-Related Risk Behaviors Among Ethnically Diverse Sexual Minority Adolescent Females

Thoma, Brian C.; Huebner, David M.; Rullo, Jordan

doi:10.1521/aeap.2013.25.6.535

Cited by 15 publications

(14 citation statements)

References 17 publications

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“…Consistent with previous research (Goodenow, Szalacha, Robin, & Westheimer, 2008; Rosario, Hunter, Maguen, Gwadz, & Smith, 2001; Rotheram-Borus, Marelich, & Srinivasan, 1999; Thoma, Huebner, & Rullo, 2013), rates of penile–anal sex with one’s most recent sexual partner appear to be higher for bisexual than for gay, lesbian, and queer women in the current study — although direct statistical comparisons were not made. Nonetheless, bisexual women in the current sample appear to be more likely than gay, lesbian, and queer women to engage in sexual expression online.…”

Section: Discussionsupporting

confidence: 89%

“…None of the effective behavioral interventions identified by the Centers for Disease Control and Prevention target LGB adolescent women (Centers for Disease Control and Prevention, 2013). Although often assumed to be at low risk for STIs (Montcalm & Myer, 2000), these data add to the research suggesting that adolescent LGB women would likely benefit from targeted HIV/STI prevention messaging (Goodenow et al, 2008; Rosario, Meyer-Bahlburg, Hunter, & Gwadz, 1999; Saewyc et al, 2006; Thoma et al, 2013). …”

Section: Discussionmentioning

confidence: 86%

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A National Study of Lesbian, Gay, Bisexual (LGB), and Non-LGB Youth Sexual Behavior Online and In-Person

Ybarra

Mitchell

2015

Arch Sex Behav

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Online and in-person sexual behaviors of cisgender lesbian, gay, queer, bisexual, heterosexual, questioning, unsure, and youth of other sexual identities were examined using data from the Teen Health and Technology study. Data were collected online between August 2010 and January 2011 from 5,078 youth 13–18 years old. Results suggested, depending on sexual identity, between 4–35% of youth had sexual conversations and 2–24% shared sexual photos with someone online in the past year. Among the 22% of youth who had oral, vaginal, and/or anal sex, between 5–30% met one of their two most recent sexual partners online. Inconsistent condom use was associated with increased odds of meeting one’s most recent partner online for heterosexual adolescent men. For gay and queer adolescent men, having an older partner, a partner with a lifetime history of sexually transmitted infections (STI), and concurrent sex partners were each significantly associated with increased odds of having met one’s most recent sex partner online. None of the examined characteristics significantly predicted meeting one’s most recent sexual partner online versus in-person for heterosexual; bisexual; or gay, lesbian, and queer women. The Internet is not replacing in-person exploration and expression of one’s sexuality and meeting sexual partners online appears to be uncommon in adolescence across sexual identities. Healthy sexuality programming that acknowledges some youth are meeting partners online is warranted, but this should not be a main focal point. Instead, inclusive STI prevention programming that provides skills to reduce risk when engaging in all types of sex and is critical.

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Section: Discussionsupporting

confidence: 89%

Section: Discussionmentioning

confidence: 86%

A National Study of Lesbian, Gay, Bisexual (LGB), and Non-LGB Youth Sexual Behavior Online and In-Person

Ybarra

Mitchell

2015

Arch Sex Behav

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“…The sexual identity of girls who test positive for STIs is often assumed to be heterosexual, 2 whether true or not. This likely underestimates the true STI risk for sexual minority girls, thereby contributing to a widely held perception among health professionals that lesbians, most particularly, are not at risk for STIs.…”

Section: Discussionmentioning

confidence: 99%

Sexual Behaviors and Partner Characteristics by Sexual Identity Among Adolescent Girls

Ybarra

Rosario

Saewyc

et al. 2016

Journal of Adolescent Health

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Purpose Data 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. Methods Data were collected online in 2010–2011 among 2,823 girls, aged 13 to 18 years, in the U.S. 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. Results Lesbian 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. Conclusions Sexual 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.

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“…Sexual minority youth are also at risk for bullying and physical victimization, which is associated with a number of adverse health outcomes including depression, substance use, and sexual risk behavior . However, as with the empirical literature among adult sexual minority populations, sexual health research with adolescents has focused largely on young men who have sex with men or examined lesbian, bisexual and gay adolescents or lesbian and gay young women as a homogenous group . Moreover, little research has examined young sexual minority women's use of HIV and STI testing services—a preventative strategy indicative of risk awareness, with implications for secondary prevention .…”

mentioning

confidence: 99%

Health Risk Behaviors in a Representative Sample of Bisexual and Heterosexual Female High School Students in Massachusetts

Hughto

Biello

Reisner

et al. 2015

Journal of School Health

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BACKGROUND Differences in sexual health-related outcomes by sexual behavior and identity remain under-investigated among bisexual female adolescents. METHODS Data from girls (N = 875) who participated in the Massachusetts Youth Risk Behavior Surveillance survey were analyzed. Weighted logistic regression models were fit to examine sexual and psychosocial health by lifetime sexual behavior (behaviorally bisexual vs. behaviorally heterosexual) and sexual identity (bisexual vs. heterosexual) adjusting for grade and race/ethnicity. RESULTS Overall, 10.5% of girls reported lifetime bisexual behavior and 8.1% reported a bisexual identity. Behavior and identity were discordant for bisexual young women as 53.2% of behaviorally bisexual students had a bisexual identity and 46.8% had a heterosexual identity. Bisexual identity and behavior were associated with unprotected intercourse at last sexual encounter, early sexual debut, 4 or more lifetime partners, history of forced/unwanted sex, STI testing history, past-year depression, and past-month drug use (all ps < .05). CONCLUSION Bisexuality, whether defined by identity or behavior, is associated with adverse sexual and psychosocial health outcomes in adolescent girls. Studies that explore wellness across the lifespan, and are designed to recognize developmental differences burgeoning in adolescence, may provide insights into the differential sexual risk outcomes observed among bisexual girls.

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Unseen Risks: HIV-Related Risk Behaviors Among Ethnically Diverse Sexual Minority Adolescent Females

Cited by 15 publications

References 17 publications

A National Study of Lesbian, Gay, Bisexual (LGB), and Non-LGB Youth Sexual Behavior Online and In-Person

A National Study of Lesbian, Gay, Bisexual (LGB), and Non-LGB Youth Sexual Behavior Online and In-Person

Sexual Behaviors and Partner Characteristics by Sexual Identity Among Adolescent Girls

Health Risk Behaviors in a Representative Sample of Bisexual and Heterosexual Female High School Students in Massachusetts

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