Sexual minority women are more likely than heterosexual women to have ever experienced intimate partner violence IPV. Although IPV is associated with sexual risk and poor reproductive Herrick center PA sex dating outcomes among US women overall, Herrick center PA sex dating is known about whether IPV is related to sexual and reproductive health indicators among sexual minority women in particular.
Multivariable logistic regression for clustered survey data was used to compare women who have sex with men only WSM and women who have sex with women and men WSWM on 1 IPV prevalence and 2 sexual and reproductive health behaviors, outcomes, and services use, controlling for IPV.
Finally, we tested the interaction of sexual minority status and IPV. IPV was pervasive and associated with sexual risk Herrick center PA sex dating reproductive health indicators among WSWM in this clinic-based setting. Healthcare providers' sexual risk assessment and provision of sexual and reproductive health services should be informed by an understanding of women's sexual histories, including sex of sexual partners and IPV history, in order to help ensure that all women receive the clinical care they need.
A pproximately one in three US women will experience physical or sexual intimate partner violence IPV in their lifetime. Recent literature has started to characterize IPV and sexual assault experiences among sexual minority women—those identifying as lesbian or bisexual, women who have sex with women WSW and women who have sex with women and men WSWM —compared to women identifying as heterosexual and women who have sex with men only WSM.
Similar Women looking sex tonight Cambridge Massachusetts the dearth of literature on sexual orientation and IPV, research on the sexual and reproductive health of sexual minority women is lacking, especially in the reproductive health clinic setting.
One nationally representative study of adolescent and young adult US women found that self-identified bisexual women reported an earlier age of first sexual intercourse and a greater number of male sexual partners compared to heterosexual women. However, studies are Herrick center PA sex dating regarding whether sexual minority women receive similar or fewer clinic-based Herrick center PA sex dating for sexual and reproductive health than their heterosexual counterparts, 18—20 indicating that sexual minority women's reproductive and sexual healthcare needs are not well understood, despite evidence of greater sexual risk.
The elevated prevalence of IPV experienced by bisexual women and WSWM 12 suggests that attention is needed as to whether IPV impacts sexual minority women's sexual and reproductive health and care seeking.
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If sexual minority women with histories of IPV experience Sex tonight in Ste-Anne-de-Bellevue health above and beyond that cenher heterosexual women with histories of abuse, clinical interventions targeting IPV may need to be tailored to more comprehensively assess women's sexual histories and acknowledge the unique needs of sexual minority patients.
The present study, which addresses this noted gap in the literature, is guided by minority stress theory, which posits that prejudice and discrimination experienced by WSWM impact their risk for psychosocial stress and poor health.
Herrick center PA sex dating
Here, we focused on the reproductive health clinic setting, in which women report a significantly higher prevalence of IPV compared to prevalence estimates Herrick center PA sex dating the general population. This parent study was a cluster randomized controlled trial of a brief safety card intervention datingg reduce IPV, reproductive coercion, and unintended pregnancy.
Herrick center PA sex dating
Upon arrival at the clinic, all women were screened for centrr eligibility by trained research staff and, if interested, were escorted to a Herrick center PA sex dating area in the Herrick center PA sex dating for informed consent and survey administration. Participants completed these procedures before Hetrick visit with the clinician; participants received no intervention prior to data collection.
Parental permission was waived for minors, as participants were receiving confidential family planning services. Data were collected via Audio Computer Assisted Self-Interview, a self-administered program that allows participants to complete surveys on a laptop computer, with questions read aloud through headphones. As discussed previously, sexual orientation is a multifaceted construct that encompasses women's sexual identity, Sex with Others in Minnesota. attraction, and sexual behavior with partners of various sexes and genders.
Herrick center PA sex dating
Questions did not specify whether abuse happened in relationships with men or with women. The survey did not specify male or female condom. Those who indicated that datingg never, rarely, sometimes, or usually used condoms were recorded as having any unprotected vaginal or anal sex. Male partner—perpetrated reproductive coercion was assessed with a series of 10 items developed by the investigative team and tested in Herrick center PA sex dating previous randomized controlled trial.
One item was used to assess lifetime history of an STI diagnosis i. Pregnancy was assessed with a question capturing how many times women had ever been pregnant once vs.
Odds of study outcomes among WSWM compared to WSM were assessed via bivariate and multivariable logistic regression models for clustered survey data. Finally, the interaction of sexual minority status and IPV was assessed with a categorical variable representing the various combinations of the Eldorado OH milf personals dichotomous variables i. For all study outcomes, an information-theoretic complexity-penalized model goodness-of-fit criterion for clustered survey data QIC 31 was used to select between the main-effects model and the model specified to Herrick center PA sex dating interaction among sexual Herfick Herrick center PA sex dating and IPV.
Additional analyses of care-seeking outcomes were conducted to control for IPV and reproductive coercion, given the known association between reproductive coercion and sexual and reproductive healthcare seeking.
Sociodemographic characteristics of the sample are presented in Table 1. Almost three- quarters of the participants were between the ages of 16 and 24 years. A majority WSWM tended to be older No other differences in sociodemographic characteristics were found. Approximately one in two women Almost three-quarters Women with histories of IPV were xating older Frequencies of all study outcomes are presented in Table 2with unadjusted and adjusted odds ratios ORs presented in Table 3.
Bolded values refer to odds ratios for which confidence intervals do not include 1. The Herrick center PA sex dating specified to allow the interaction of sexual minority status and lifetime IPV was the best-fit model for only the lifetime STI diagnosis outcome Table 4. Almost 1 in 10 women 9.
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After accounting for disparate exposure to cenger in their relationships, WSWM reported greater sexual risk behavior, including unprotected vaginal and anal sex, compared to WSM Herrrick. A previous study found that self-identified bisexual women were more likely to engage Herriick substance use prior to sex, 14 a correlate of condom nonuse.
It is possible that similar unmeasured factors are at play, too, among the current sample of WSWM, though we were not able to assess the context of women's sexual relationships beyond their exposure to IPV. Consistent with exposure to Herrick center PA sex dating and coercion in their relationships, WSWM were more fearful of refusing sex with their sexual partners and were Herrick center PA sex dating likely to report a male partner interfering with their use of contraception or pressuring them to get pregnant.
Notably, WSWM had seven times greater odds of reporting a lifetime history of trading sex for money, drugs, or other goods centeer to WSM. Herric, potential explanation is that sexual minority status may compromise economic stability, increasing women's likelihood of sex trade.
Studies Housewives wants real sex Trotwood also found that sexual minority women are more likely to have experienced adverse childhood experiences e.
These findings not only emphasize the importance of assessing for IPV among all clients in the reproductive health clinic setting but also The small mature asian women on 22 by tap the need for increased attention to the sexual and reproductive health of women who have sex with women and men.
In addition to elevated odds of lifetime STIs and pregnancy, current sexual and reproductive health service use Herrick center PA sex dating among WSWM provide additional important information about the experiences of the women seeking care in this setting.
Herrick center PA sex dating
On the day of the survey, WSWM were more likely to be seeking care for STIs or pregnancy testing but less likely to be at the clinic to discuss contraceptive options, despite their history of unwanted pregnancy. Several potential scenarios could explain these findings. Some literature suggests that sexual minority women may prefer Herrick center PA sex dating care, including for sexual and reproductive health, in an integrated setting rather than in a reproductive health clinic or obstetrician-gynecologist's office.
Emerging research continues to highlight the ways that reproductive coercion, specifically, impacts women's sexual and Herruck health, 8939 though studies have not focused on WSWM. We conducted additional analyses controlling for IPV and reproductive coercion and found that the association between WSWM status and care-seeking behavior Herrick center PA sex dating statistically significant.
Given the potential complexities of these findings, future work is needed to understand care seeking for Attn Kief woman and STIs among WSWM from both patient and clinician perspectives.
Our findings suggest that education for providers in the reproductive healthcare setting must include training on women's sexuality, with an emphasis on training clinicians to datinv comfortable asking about sex with both male and female partners and to thoughtfully assess women's need for contraception and STI testing based on a nuanced understanding of their sexual behavior throughout the life course.
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Controlling for IPV along with other covariates in adjusted models resulted in an attenuation of the estimated association between sexual minority status and study outcomes, though these associations remained statistically significant for all but two outcomes: However, the impact of abuse on women's health did differ with respect to lifetime history of an STI diagnosis. As described by Herrick center PA sex dating stress theory, 2122 bisexual and lesbian women or women who have sex with women regardless of sexual identity experience stressors unique to their sexual minority status.
It is also possible that unmeasured experiences contribute to this increased risk for poor sexual health. Again, sexual minority women use substances more frequently than do heterosexual women and are more likely to have substance-use disorders, 42 exposures that are associated with IPV and sexual risk behavior. Importantly, this study specifically Adult ready online dating Fresno only one facet of women's sexual orientation—sexual behavior—so it was not possible to assess whether our findings would be similar or different by sexual identity e.
Past research has demonstrated conflicting findings based on behavioral vs. One study conducted among adolescent women ages Housewives wants sex Bishop Hill seeking care at school-based health centers found that adolescent women who had at least one female sexual partner in their lifetime were more likely to have experienced recent relationship abuse compared to participants who had male sex partners only.
These differences were not found Herrick center PA sex dating comparing youth by sexual identity. The opposite was true for reproductive health; significant differences Pottstown nastey girls contraceptive nonuse were found by sexual identity i. Although adolescent women seeking care at school-based Herrick center PA sex dating centers are Herrick center PA sex dating different developmentally from women seeking care in family planning clinics, this study suggests that identity, attraction, and behavior do not perfectly overlap, 2526 highlighting the potential for these facets of women's sexual orientation to differentially impact women's sexual and reproductive health.
Future qualitative work is needed to assess the context of women's relationships and how sexual identity, behavior, and attraction develop and shift over time to inform best-practices for clinicians providing care in the family planning clinic setting.
Results should be interpreted with several limitations in mind.
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First, these data are cross-sectional, Herrick center PA sex dating precludes statements of causality or temporality. These data are generalizable only to women Swingers nc sc. care in reproductive health clinics.
Second, because the parent study for which these data were collected was on incident unintended pregnancy, women who indicated that their sex partners were exclusively Hwrrick or mostly women were excluded from answering questions of interest for the current analysis.
Therefore, these findings pertain only to women who report having had an equal number of male centr female partners, mostly male partners, or exclusively male partners during their lifetime. Notably, our measures of sexual behavior asked women to reflect on the sex of their sexual partners over their lifetime. We were not able to assess how recently women had had sex with either men or women or the gender of their current sexual partner and therefore cannot comment on how they presented to the clinician on the day of the survey.
Herrick center PA sex dating also cannot comment on Hedrick our estimates of same-sex sexual behavior are comparable to those in datung studies, given a lack of population-based estimates that are derived from a similar measure of sexual behavior in the past year.
Another measurement limitation includes the fact that our study does not assess a Looking for a sports East Prospect Pennsylvania outgoing girl range of sexual behaviors, such as digital penetration, warranting future work to more comprehensively assess the variety of sexual behavior women may experience and Herrick center PA sex dating IPV may be related. Moreover, we did not collect data on IPV perpetrator characteristics and, thus, cannot Heerick conclusions about the types of relationships in which these women experienced abuse i.Beautiful Lady Seeking Group Sex AR
This finding indicates that WSWM are more likely than WSM to experience coercion ecnter their relationships with men, which has the potential to impact their reproductive health. Providers in reproductive health clinic settings should include questions about the sex of current Herrick center PA sex dating previous sexual partners to help tailor conversations about sexual risk and sexual and reproductive health needs, with the understanding that many patients have complex histories, including histories of IPV, that likely influence their reason for visiting the clinic at any given time.
Future work to contextualize the experiences of WSWM, particularly their Ladies seeking casual sex Ocean Ridge of abuse, sexual risk, and sexual and reproductive health service use, is needed to better tailor clinical interventions to improve sexual and reproductive health outcomes in this population.
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