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Sexual Behavior and Contraceptive Use among 18- to 19-Year-Old Adolescent Women by Weight Status: A Longitudinal Analysis.
Chang, Tammy; Davis, Matthew M; Kusunoki, Yasamin; Ela, Elizabeth J; Hall, Kelli S; Barber, Jennifer S.
Afiliação
  • Chang T; Department of Family Medicine, University of Michigan, Ann Arbor, MI; Institute for Healthcare Policy and Innovation, University of Michigan, Ann Arbor, MI. Electronic address: tachang@med.umich.edu.
  • Davis MM; Institute for Healthcare Policy and Innovation, University of Michigan, Ann Arbor, MI; Department of Pediatrics and Communicable Diseases and Department of Internal Medicine, University of Michigan, Ann Arbor, MI.
  • Kusunoki Y; Population Studies Center/Survey Research Center, Institute for Social Research, University of Michigan, Ann Arbor, MI; Department of Sociology, University of Michigan, Ann Arbor, MI.
  • Ela EJ; Population Studies Center/Survey Research Center, Institute for Social Research, University of Michigan, Ann Arbor, MI; Department of Sociology, University of Michigan, Ann Arbor, MI.
  • Hall KS; Population Studies Center/Survey Research Center, Institute for Social Research, University of Michigan, Ann Arbor, MI; Department of Obstetrics and Gynecology, University of Michigan, Ann Arbor, MI.
  • Barber JS; Population Studies Center/Survey Research Center, Institute for Social Research, University of Michigan, Ann Arbor, MI; Department of Sociology, University of Michigan, Ann Arbor, MI.
J Pediatr ; 167(3): 586-92, 2015 Sep.
Article em En | MEDLINE | ID: mdl-26143383
OBJECTIVE: To describe the association between weight status and sexual practices among 18- to 19-year-old women. STUDY DESIGN: We analyzed a population-based longitudinal study of 18- to 19-year-old women residing in a Michigan county at cohort inception. Weekly journal surveys measured sexual practices, including contraceptive behaviors. Outcomes included proportion of weeks with a partner, proportion of weeks with sexual intercourse, number of partners, average length of relationships, proportion of weeks with contraception use, and proportion of weeks where contraception was used consistently. We examined 26,545 journal surveys from 900 women over the first study year. Ordinary least squares regression models for each outcome examined differences by weight status, controlling for sociodemographic characteristics. RESULTS: The mean proportion of weeks in which adolescents reported sexual intercourse was 52%; there was no difference by weight status. Among weeks in which adolescents reported sexual activity, obese adolescents had a lower proportion of weeks where any contraception was used compared with normal weight adolescents (84% vs 91%, P = .011). Among weeks in which adolescents reported sexual activity and contraceptive use, obese adolescents had a lower proportion of weeks with consistent contraceptive use (68% vs 78%, P = .016) and oral contraceptive pill use (27% vs 45%, P = .001) compared with normal weight adolescents. All other relationships by weight status were not statistically significant. CONCLUSIONS: In this longitudinal study, obese adolescent women were less likely to use contraception, and less likely to use it consistently when compared with normal weight peers. Findings suggest obesity may be an important factor associated with adolescent women's sexual behavior.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Comportamento Sexual / Peso Corporal / Comportamento do Adolescente / Comportamento Contraceptivo / Obesidade Tipo de estudo: Etiology_studies / Observational_studies / Prognostic_studies / Risk_factors_studies Limite: Adolescent / Adult / Female / Humans País/Região como assunto: America do norte Idioma: En Revista: J Pediatr Ano de publicação: 2015 Tipo de documento: Article País de publicação: Estados Unidos
Texto completo
Adicionar na Minha BVS
Imprimir
XML
PubMed Links
Buscar no Google

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Comportamento Sexual / Peso Corporal / Comportamento do Adolescente / Comportamento Contraceptivo / Obesidade Tipo de estudo: Etiology_studies / Observational_studies / Prognostic_studies / Risk_factors_studies Limite: Adolescent / Adult / Female / Humans País/Região como assunto: America do norte Idioma: En Revista: J Pediatr Ano de publicação: 2015 Tipo de documento: Article País de publicação: Estados Unidos