Sexual behaviors, risks, and sexual health outcomes for adolescent females following bariatric surgery

被引：9

作者：

Zeller, Meg H. ^{[1
]}

Brown, Jennifer L. ^{[2
]}

Reiter-Purtill, Jennifer ^{[3
]}

Sarwer, David B. ^{[4
]}

Black, Lora ^{[5
]}

Jenkins, Todd M. ^{[6
]}

McCracken, Katherine A. ^{[7
]}

Courcoulas, Anita P. ^{[8
,13
]}

Inge, Thomas H. ^{[9
]}

Noll, Jennie G. ^{[10
]}

Doland, Faye ^{[11
]}

Morgenthal, Ashley ^{[11
]}

Howarth, Taylor ^{[11
]}

Comstock, Sara ^{[11
]}

Kirk, Shelley ^{[11
]}

Helmrath, Michael ^{[11
]}

Lee, Margaret Callie ^{[12
]}

Allen, David ^{[12
]}

Garland, Beth ^{[12
]}

Washington, Gia ^{[12
]}

Mikhail, Carmen ^{[12
]}

Brandt, Mary L. ^{[12
]}

Blake, Ronette ^{[13
]}

El Nokali, Nermeen ^{[13
]}

Rofey, Dana ^{[13
]}

Arslanian, Silva ^{[13
]}

Courcoulas, Anita P. ^{[8
,13
]}

Desai, Krishna ^{[14
]}

Seay, Amy ^{[14
]}

Haynes, Beverly ^{[14
]}

Austin, Heather ^{[14
]}

Harmon, Carroll ^{[14
]}

Ginn, Melissa ^{[15
]}

Baughcum, Amy E. ^{[15
]}

Michalsky, Marc P. ^{[15
]}

Christian, Michelle Starkey ^{[16
]}

Andringa, Jennifer ^{[16
]}

Powers, Carolyn ^{[16
]}

Akers, Rachel ^{[16
]}

机构：

[1] Cincinnati Childrens Hosp Med Ctr, Dept Pediat, 3333 Bumet Ave, Cincinnati, OH 45229 USA

[2] Univ Cincinnati, Dept Psychiat & Behav Neurosci, Cincinnati, OH USA

[3] Cincinnati Childrens Hosp Med Ctr, Div Behav Med & Clin Psychol, Cincinnati, OH 45229 USA

[4] Temple Univ, Coll Publ Hlth, Ctr Obes Res & Educ, Philadelphia, PA 19122 USA

[5] Univ Kansas, Med Ctr, Dept Psychiat & Behav Sci, Kansas City, MO USA

[6] Cincinnati Childrens Hosp Med Ctr, Div Gen & Thorac Surg, Cincinnati, OH 45229 USA

[7] Nationwide Childrens Hosp, Med Ctr, Dept Pediat & Adolescent Gynecol, Columbus, OH USA

[8] Univ Pittsburgh, Dept Surg, Med Ctr, Pittsburgh, PA USA

[9] Colorado Childrens Hosp, Dept Pediat Surg, Aurora, CO USA

[10] Penn State Univ, Dept Human Dev & Family Studies, State Coll, PA USA

[11] Cincinnati Childrens Hosp Med Ctr, Cincinnati, OH 45229 USA

[12] Texas Childrens Hosp, Houston, TX 77030 USA

[13] Univ Pittsburgh, Med Ctr, Pittsburgh, PA USA

[14] Univ Alabama, Childrens Hosp Alabama, Tuscaloosa, AL 35487 USA

[15] Nationwide Childrens Hosp, Med Ctr, Columbus, OH USA

[16] Teen LABS Data Coordinating Ctr, Cincinnati, OH USA

来源：

SURGERY FOR OBESITY AND RELATED DISEASES | 2019年 / 15卷 / 06期

基金：

美国国家卫生研究院;

关键词：

Adolescent; Young adult; Sexual behavior; Health risk; Pregnancy; QUALITY-OF-LIFE; WEIGHT-LOSS; SEVERE OBESITY; UNITED-STATES; SENSATION SEEKING; SUBSTANCE USE; WOMEN; DYSREGULATION; ASSOCIATIONS; IMPULSIVITY;

D O I：

10.1016/j.soard.2019.03.001

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

Background: Adolescents females with severe obesity are less likely to be sexually active, but those who are sexually active engage in risky sexual behaviors. Objectives: To examine patterns and predictors of sexual risk behaviors, contraception practices, and sexual health outcomes in female adolescents with severe obesity who did or did not undergo bariatric surgery across 4 years. Setting: Five academic medical centers. Methods: Using a prospective observational controlled design, female adolescents undergoing bariatric surgery (n = 111; M-age = 16.95 +/- 1.44 yr; body mass index: M-BMI = 50.99 +/- 8.42; 63.1% white) and nonsurgical comparators (n = 68; M-age = 16.18 +/- 1.36 yr; M-BMI = 46.47 +/- 5.83; 55.9% white) completed the Sexual Activities and Attitudes Questionnaire at presurgery/baseline and 24- and 48-month follow-up, with 83 surgical females (M-BMI = 39.27 +/- 10.08) and 49 nonsurgical females (M-BMI = 48.56 +/- 9.84) participating at 48 months. Results: Most experienced sexual debut during the 4-year study period, with a greater increase in behaviors conferring risk for sexually transmitted infections (STIs) for surgical females (P = .03). Half (50% surgical, 44.2% nonsurgical, P = .48) reported partner condom use at last sexual intercourse. The proportion of participants who had ever contracted an STI was similar (18.7% surgical, 14.3% nonsurgical). Surgical patients were more likely to report a pregnancy (25.3% surgical, 8.2% nonsurgical, P = .02) and live birth (16 births in 15 surgical, 1 nonsurgical), with 50% of offspring in the surgical cohort born to teen mothers (age <= 19 yr). Conclusions: Bariatric care guidelines and practices for adolescent females must emphasize the risks and consequences of teen or unintended pregnancies, sexual decision -making, dual protection, and STI prevention strategies to optimize health and well-being for the long term. (C) 2019 American Society for Bariatric Surgery. Published by Elsevier Inc. All rights reserved.

引用

页码：969 / 978

页数：10

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