Tabaac Ariella R, Haneuse Sebastien, Johns Michelle, Tan Andy S L, Austin S Bryn, Potter Jennifer, Lindberg Laura, Charlton Brittany M
Division of Adolescent/Young Adult Medicine, Boston Children's Hospital, Boston, MA.
Center for Gender Surgery, Boston Children's Hospital, Boston, MA.
Sex Res Social Policy. 2021 Sep;18(3):612-620. doi: 10.1007/s13178-020-00485-3. Epub 2020 Jul 22.
Limited research exists about how receiving/seeking sexual and reproductive health (SRH) information differs by sexual orientation. Our goal was to identify how sources and topics of SRH information differed by sexual orientation during adolescence in a sample of U.S. women.
A sample of 8,541 U.S. women ages 22-35 years from two cohorts of the Growing Up Today Study completed a 2016 questionnaire measure about receiving/seeking SRH information before age 18 years. Adjusted log-linear models assessed differences in SRH information topics and sources by reported sexual orientation (completely heterosexual with no same-sex partners [reference]; completely heterosexual with same-sex partners; mostly heterosexual; bisexual; lesbian).
Compared to the referent, most sexual minority subgroups were more likely to receive/seek information from peers, media, and other sources (e.g., community centers). With the exception of lesbians, sexual minority subgroups were more likely to receive/seek information about contraception, and mostly heterosexual and bisexual women were more likely to receive information about sexually transmitted infections. Conclusions: Findings indicate women of diverse sexual orientations need access to SRH information from sources like schools, peers, and media. Sexual minority women receive/seek information about many SRH topics, which indicates that opportunities to tailor educational resources within and outside of schools are needed so SRH benefits to these populations are maximized.
Specifying sexual minority-sensitive educational materials in sex education policy can meet information needs and aid sexual minority women in making informed sexual health decisions.
关于性取向如何影响获取/寻求性与生殖健康（SRH）信息的研究有限。我们的目标是确定美国女性样本在青春期时，性取向如何导致SRH信息的来源和主题存在差异。
来自“今日成长研究”两个队列的8541名年龄在22 - 35岁的美国女性样本，完成了一项2016年的问卷调查，内容是关于18岁之前获取/寻求SRH信息的情况。调整后的对数线性模型评估了按报告的性取向（完全异性恋且无同性伴侣[参照组]；完全异性恋但有同性伴侣；多数为异性恋；双性恋；女同性恋）划分的SRH信息主题和来源的差异。
与参照组相比，大多数性少数群体亚组更有可能从同伴、媒体和其他来源（如社区中心）获取/寻求信息。除女同性恋者外，性少数群体亚组更有可能获取/寻求关于避孕的信息，多数为异性恋和双性恋女性更有可能获取关于性传播感染的信息。结论：研究结果表明，不同性取向的女性需要从学校、同伴和媒体等来源获取SRH信息。性少数群体女性获取/寻求许多SRH主题的信息，这表明需要在校内和校外提供有针对性的教育资源，以便使这些人群从SRH中获得的益处最大化。
在性教育政策中明确对性少数群体敏感的教育材料，可以满足信息需求，并帮助性少数群体女性做出明智的性健康决策。
