Journal article - Review
Reproductive Health Considerations in Sexual and/or Gender Minority Adolescents
Journal of pediatric & adolescent gynecology, v 32(1)
01 Feb 2019
PMID: 30317009
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Disparities exist in the area of reproductive health for lesbian, gay, bisexual (LGB), and transgender and gender nonconforming (TGNC) adolescents compared with cisgender, heterosexual adolescents, particularly related to pregnancy and pregnancy risk factors. Review of the literature indicates an estimated increased risk of adolescent pregnancy involvement between 2 and 10 times higher for LGB youth compared with heterosexual youth. This might be explained by a broad spectrum of sexual health risks experienced, including an earlier age of sexual debut, exposure to sexual abuse, and a higher number of sexual partners. TGNC youth face conflict with their gender identity and potentially their sexual orientation. It is likely that their experience is similar to cisgender LGB adolescents as it pertains to reproductive health considerations. TGNC adolescents additionally confront the added challenge of fertility preservation. Health care providers play an important role in identifying and addressing these risk factors to improve the health of LGB and TGNC adolescents. Unfortunately, whether implicit or explicit, bias among health care providers exists and affects patient care. We believe it is the responsibility of health care providers to be informed about the increased needs of these patients and to provide appropriate risk-reducing management while using inclusive and sensitive history-taking and language.
Metrics
Details
- Title
- Reproductive Health Considerations in Sexual and/or Gender Minority Adolescents
- Creators
- Mathew Leonardi - Nepean HospitalHelena Frecker - St. Michael's HospitalAyden I. Scheim - University of California San DiegoSari Kives - St. Michael's Hospital
- Publication Details
- Journal of pediatric & adolescent gynecology, v 32(1)
- Publisher
- Elsevier
- Number of pages
- 6
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Epidemiology and Biostatistics
- Web of Science ID
- WOS:000454947900004
- Scopus ID
- 2-s2.0-85057619458
- Other Identifier
- 991020100069004721
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- Collaboration types
- Domestic collaboration
- International collaboration
- Web of Science research areas
- Obstetrics & Gynecology
- Pediatrics