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Dimensions of sexual orientation and HIV-related risk among adolescent females: Evidence from a statewide survey

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  • Goodenow, C.
  • Szalacha, L.A.
  • Robin, L.E.
  • Westheimer, K.

Abstract

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.

Suggested Citation

  • Goodenow, C. & Szalacha, L.A. & Robin, L.E. & Westheimer, K., 2008. "Dimensions of sexual orientation and HIV-related risk among adolescent females: Evidence from a statewide survey," American Journal of Public Health, American Public Health Association, vol. 98(6), pages 1051-1058.
    • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2005.080531_3
    DOI: 10.2105/AJPH.2005.080531
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    Cited by:

    1. Elizabeth J. Ela & Jamie Budnick, 2017. "Non-Heterosexuality, Relationships, and Young Women’s Contraceptive Behavior," Demography, Springer;Population Association of America (PAA), vol. 54(3), pages 887-909, June.
    2. Salerno, John P. & Kachingwe, Olivia N. & Fish, Jessica N. & Parekh, Eshana & Geddings-Hayes, Melanie & Boekeloo, Bradley O. & Aparicio, Elizabeth M., 2020. "“Even if you think you can trust them, don’t trust them”: An exploratory analysis of the lived experiences of sexual health among sexual minority girls in foster care," Children and Youth Services Review, Elsevier, vol. 116(C).

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