Dimensions of sexual orientation and HIV-related risk among adolescent females: evidence from a statewide survey.
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OBJECTIVES: We examined the relationship of 2 dimensions of sexual orientation--sexual identity and sex of partners--with self-reported behaviors and experiences to identify factors that may place adolescent females at risk of HIV/AIDS. METHODS: We gathered data on sexually experienced female high school students from 4 waves of a population-based survey. We used logistic regression analyses to investigate the association between their sexual identity (3666 heterosexual; 184 lesbian, gay, or bisexual; 113 not sure) and sex of partners (3714 male only, 79 female only, and 180 both males and females) with HIV-related risk behaviors. RESULTS: Self-defined sexual identity was often inconsistent with sex of sexual partners. Sexual identities other than heterosexual and having same-sex partners (either exclusively or in addition to male partners) were associated with high rates of several HIV-related risk behaviors. Coerced sexual contact was significantly associated with every risk outcome. AIDS education in school predicted lower HIV risk on 4 of 6 indicators. CONCLUSIONS: Programs to prevent HIV infection among adolescent females should take into account the complexity of sexual orientation and should address the needs and behaviors of sexual-minority youths.
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Studies indicate that certain WSW, particularly adolescents, young women, and WSWM, might be at increased risk for STIs and HIV on the basis of reported risk behaviors.
“Studies indicate that certain WSW, particularly adolescents, young women, and WSWM, might be at increased risk for STIs and HIV on the basis of reported risk behaviors (275–280).”
From Sexually Transmitted Infections Treatment Guidelines, 2021 (2021) · cites this paper as [278]
Cites
(1968) · Medical Entomology and Zoology · Cited by 15,136 · see citing works
The social organization of sexuality: sexual practices in the United States
(1995) · Choice Reviews Online · doi:10.5860/choice.32-4802a · Cited by 2,888 · see citing works
Homosexual Identity Formation: A Theoretical Model
Cass, V. C. (1979) · Journal of Homosexuality · doi:10.1300/j082v04n03_01 · Cited by 2,192 · see citing works
Bontempo, D. E., & D’Augelli, A. R. (2002) · Journal of Adolescent Health · doi:10.1016/s1054-139x(01)00415-3 · Cited by 815 · see citing works
School support groups, other school factors, and the safety of sexual minority adolescents
Goodenow, C., Szalacha, L., & Westheimer, K. (2006) · Psychology in the Schools · doi:10.1002/pits.20173 · Cited by 553 · see citing works
Self-citationSchool-based programs to reduce sexual risk behaviors: a review of effectiveness.
Kirby, D. B., Short, L. M., Collins, J. L., Rugg, D. L., Kolbe, L. J., Howard, M., Miller, B. C., Sonenstein, F. L., & Zabin, L. S. (1994) · Europe PMC (PubMed Central) · Cited by 527 · see citing works
Sexual identity, attractions, and behavior among young sexual-minority women over a 2-year period
Diamond, L. M. (2000) · Developmental Psychology · doi:10.1037/0012-1649.36.2.241 · Cited by 331 · see citing works
Blake, S., Ledsky, R., Lehman, T., Goodenow, C. S., Sawyer, R., & Hack, T. (2001) · American Journal of Public Health · doi:10.2105/ajph.91.6.940 · Cited by 317 · see citing works
Self-citationHomosexual identity development
Troiden, R. R. (1988) · Journal of Adolescent Health Care · doi:10.1016/0197-0070(88)90056-3 · Cited by 284 · see citing works
Measuring sexual orientation in adolescent health surveys: Evaluation of eight school-based surveys
Saewyc, E., Bauer, G. R., Skay, C. L., Bearinger, L. H., Resnick, M. D., Reis, E., & Murphy, A. (2004) · Journal of Adolescent Health · doi:10.1016/j.jadohealth.2004.06.002 · Cited by 275 · see citing works
Adolescent Same-Sex Romantic Attractions and Relationships: Implications for Substance Use and Abuse
Russell, S. T., Driscoll, A. K., & Truong, N. L. (2002) · American Journal of Public Health · doi:10.2105/ajph.92.2.198 · Cited by 263 · see citing works
Sexually transmitted infections and risk behaviours in women who have sex with women.
Fethers, K. (2000) · Sexually Transmitted Infections · doi:10.1136/sti.76.5.345 · Cited by 251 · see citing works
Saewyc, E., Bearinger, L. H., Blum, R. W., & Resnick, M. D. (1999) · Family Planning Perspectives · doi:10.2307/2991695 · Cited by 181 · see citing works
The Politics of Sexual Identity: Sexual Attraction and Behavior among Lesbian and Bisexual Women
Rust, P. C. (1992) · Social Problems · doi:10.2307/3097016 · Cited by 171 · see citing works
Risk assessment of adolescents with same-sex relationships
Udry, J. R., & Chantala, K. (2002) · Journal of Adolescent Health · doi:10.1016/s1054-139x(02)00374-9 · Cited by 146 · see citing works
Goodenow, C. S., Netherland, J. C., & Szalacha, L. A. (2002) · American Journal of Public Health · doi:10.2105/ajph.92.2.203 · Cited by 141 · see citing works
Self-citationAdolescent Pregnancy and Sexual Risk-Taking Among Sexually Abused Girls
Stock, J. L., Bell, M. A., Boyer, D. K., & Connell, F. A. (1997) · Family Planning Perspectives · doi:10.2307/2953395 · Cited by 134 · see citing works
Self-reported abuse history and adolescent problem behaviors. II. alcohol and drug use
Bensley, L. S., Spieker, S. J., Eenwyk, J. V., & Schoder, J. (1999) · Journal of Adolescent Health · doi:10.1016/s1054-139x(98)00112-8 · Cited by 134 · see citing works
Sexual Orientation, Sexual Abuse, and HIV-Risk Behaviors Among Adolescents in the Pacific Northwest
Saewyc, E., Skay, C. L., Richens, K., Reis, E., Poon, C. S., & Murphy, A. (2006) · American Journal of Public Health · doi:10.2105/ajph.2005.065870 · Cited by 131 · see citing works
Bevier, P., Chiasson, M. A., Heffernan, R. T., & Castro, K. G. (1995) · American Journal of Public Health · doi:10.2105/ajph.85.10.1366 · Cited by 125 · see citing works
Possible Female-to-Female Transmission of Human Immunodeficiency Virus
Marmor, M. F., Weiss, L., Lyden, M., Weiss, S. H., Saxinger, W. C., Spira, T. J., & Feorino, P. M. (1986) · Annals of Internal Medicine · doi:10.7326/0003-4819-105-6-969_1 · Cited by 117 · see citing works
Lemp, G. F., Jones, M., Kellogg, T. A., et al. (1995) · American Journal of Public Health · doi:10.2105/ajph.85.11.1549 · Cited by 106 · see citing works
Sexual Abuse History and Number of Sex Partners Among Female Adolescents
Luster, T., & Small, S. A. (1997) · Family Planning Perspectives · doi:10.2307/2953396 · Cited by 97 · see citing works
Friedman, S. R., Ompad, D. C., Maslow, C. B., et al. (2003) · American Journal of Public Health · doi:10.2105/ajph.93.6.902 · Cited by 70 · see citing works
HIV-Risk Behavior Among Lesbians and Bisexual Women
Einhorn, L., & Polgar, M. (1994) · AIDS Education and Prevention · doi:10.1521/aeap.1994.6.6.514 · Cited by 65 · see citing works
Predictors of HIV antibody testing among gay, lesbian, and bisexual youth
Maguen, S., Armistead, L. P., & Kalichman, S. C. (2000) · Journal of Adolescent Health · doi:10.1016/s1054-139x(99)00078-6 · Cited by 63 · see citing works
Human Immunodeficiency Virus-Infected Adolescents: The First 50 Patients in a New York City Program
Futterman, D. C., Hein, K., Reuben, N., et al. (1993) · PEDIATRICS · doi:10.1542/peds.91.4.730 · Cited by 59 · see citing works
HIV Risk Among Homosexual, Bisexual, and Heterosexual Male and Female Youths
Rotheram–Borus, M. J., Marelich, W. D., & Srinivasan, S. (1999) · Archives of Sexual Behavior · doi:10.1023/a:1018719922709 · Cited by 58 · see citing works
Russel, S. T., & Seif, H. (2010) · Journal of Bisexuality · doi:10.1080/15299716.2010.521065 · Cited by 58 · see citing works
Rosario, M., Meyer‐Bahlburg, H. F. L., Hunter, J., et al. (1999) · AIDS Education and Prevention · doi:10.1521/aeap.1999.11.6.476 · Cited by 56 · see citing works
Rich, J. D., Buck, A., TUOMALA, R. E., & Kazanjian, P. H. (1993) · Clinical Infectious Diseases · doi:10.1093/clinids/17.6.1003 · Cited by 55 · see citing works
Russell, S. T., & Seif, H. (2001) · Journal of Bisexuality · doi:10.1300/j159v02n02_05 · Cited by 41 · see citing works
Gonzáles, V., Washienko, K. M., Krone, M. R., CHAPMAN, L. I., Arredondo, E. M., Huckeba, H. J., & Downer, A. (1999) · American Journal of Public Health · doi:10.2105/ajph.89.12.1841 · Cited by 35 · see citing works
Lr, P., Doll, L., White, C., & Chu, S. (1992) · PubMed · Cited by 34 · see citing works
Lesbian and bisexual women in small cities--at risk for HIV? HIV Prevention Community Collaborative.
Norman, A. D., Perry, M. J., Stevenson, L., et al. (1996) · PubMed · Cited by 19 · see citing works
[Probable HIV transmission by female homosexual contact].
Ar, T., Romani, A., Carranza, C. M., et al. (1995) · PubMed · Cited by 19 · see citing works
Prevalence of unprotected sex and HIV‐antibody testing among gay, lesbian, and bisexual youth
Maguen, S., & Armistead, L. P. (2000) · The Journal of Sex Research · doi:10.1080/00224490009552034 · Cited by 15 · see citing works
Lesbians' Sexual History With Men: Implications for Taking a Sexual History
Diamant, A. L., Schuster, M. A., McGuigan, K., & Lever, J. (1999) · Archives of Internal Medicine · doi:10.1001/archinte.159.22.2730 · Cited by 15 · see citing works
Interventions to Reduce Sexual Risk for Human Immunodeficiency Virus in Adolescents
Johnson, B. T., Carey, M. P., Marsh, K. L., Levin, K. D., & Scott‐Sheldon, L. A. J. (2003) · Archives of Pediatrics and Adolescent Medicine · doi:10.1001/archpedi.157.4.381 · Cited by 10 · see citing works
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Sexually Transmitted Infections Treatment Guidelines, 2021
Workowski, K. A., Bachmann, L. H., Chan, P. A., Johnston, C. M., Muzny, C. A., Park, I., Reno, H., Zenilman, J. M., & Bolan, G. A. (2021) · MMWR. Recommendations and Reports · doi:10.15585/mmwr.rr7004a1 · Cited by 2,759 · see citing works
Wolff, M., Wells, B., Ventura-DiPersia, C., Renson, A., & Grov, C. (2017) · The Journal of Sex Research · doi:10.1080/00224499.2016.1255872 · Cited by 122 · see citing works
Xu, F., Sternberg, M. R., & Markowitz, L. E. (2010) · Sexually Transmitted Diseases · doi:10.1097/olq.0b013e3181db2e18 · Cited by 109 · see citing works
Sexual identity, partner gender, and sexual health among adolescent girls in the United States.
Riskind, R. G., Tornello, S. L., Younger, B. C., & Patterson, C. J. (2014) · American Journal of Public Health · doi:10.2105/ajph.2014.302037 · Cited by 41 · see citing works
- Authors
- Goodenow, C., Szalacha, L. A., Robin, L. E., & Westheimer, K.
- Affiliations
- Centers for Disease Control and Prevention (US)
- Venue
- American Journal of Public Health
- Publisher
- American Public Health Association
- Published
- 2008-06
- Volume
- 98
- Issue
- 6
- Pages
- 1051-1058
- ISSN
- 0090-0036 (ISSN-L)
- 1541-0048
- PMC
- PMC2377290
- OpenAlex
- W2100248162
- Cited by
- 155
- References
- 39
- Citations by year
- 2026: 5 · 2025: 3 · 2024: 2 · 2023: 6 · 2022: 3 · 2021: 8 · 2020: 6 · 2019: 16 · 2018: 7 · 2017: 14 · 2016: 13 · 2015: 10 · 2014: 11 · 2013: 18 · 2012: 7
- FWCI
- 11.60
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- American Journal of Public Health (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- RePEc: Research Papers in Economics (submittedVersion)
- Funders
- U.S. Public Health Service (CCU122623)
- Topics
- Social Sciences › Psychology › Social Psychology › LGBTQ Health, Identity, and Policy
- Health Sciences › Health Professions › General Health Professions › Adolescent Sexual and Reproductive Health
- Health Sciences › Medicine › Infectious Diseases › HIV/AIDS Research and Interventions
- Keywords
- sexual orientation, HIV risk, adolescent girls, sexual identity, sexual minority youth, HIV/AIDS education, high school students, sexual risk behavior
- MeSH terms
- Adolescent, Female, Humans, Massachusetts, Surveys and Questionnaires, Risk-Taking, Sexual Behavior, Sexual Partners, HIV Infections, Logistic Models
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