Abstract
This chapter focuses on a rarely explored issue. Most people who think of adolescent pregnancy, assumes it is an issue exclusively among heterosexual youth. After all, pregnancy during the teen years usually requires penile–vaginal intercourse; there are no known countries where clinicians will provide artificial insemination to adolescents wishing to become pregnant, as adult lesbian women may do. After thinking about it, people might also consider bisexual adolescents to be at risk for teen pregnancy, because they could have opposite-sex partners, but gay and lesbian teens? A growing body of evidence suggests that not only do some lesbian, gay, bisexual, transgendered, and questioning (LGB) adolescents become pregnant or get someone pregnant, they are actually at higher risk for pregnancy involvement than their heterosexual peers. This chapter will review the global evidence of this higher risk for teen pregnancy, explore possible reasons for this risk among sexual minority young people, and whether this also translates to higher rates of teen parenthood among LGB teens. At the same time, the chapter will suggest some reasons that this has been a relatively hidden issue in adolescent reproductive health, what research is still needed, and what it means for teen pregnancy prevention efforts. The first population-based evidence for higher rates of teen pregnancy involvement among sexual minority youth comes from the Midwestern United States in 1986, when a Minnesota statewide adolescent health survey of students in high school included a question about sexual orientation, attraction, and identity. An analysis of teen pregnancy by sexual orientation among girls in the survey found that girls who identified as lesbian or bisexual were twice as likely to report having been pregnant than girls who identified as exclusively heterosexual.
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Notes
- 1.
The term LGB is used, rather than LGBTQ, because there are no population-based studies about pregnancy among transgender or questioning adolescents, the reported studies include only lesbian, gay and bisexual students. Where studies include a wider range of sexual minority youth, we have used the acronym LGBTQ.
References
Blake, S. M., Ledsky, R., Lehman, T., Goodenow, C., Sawyer, R., & Hack, T. (2001). Preventing sexual risk behaviors among gay, lesbian, and bisexual adolescents: The benefits of gay-sensitive HIV instruction in schools. American Journal of Public Health, 91, 940–946.
Bos, H. M. W., Sandfort, T. G. M., de Bruyn, E. H., & Hakvoort, E. M. (2008). Same-sex attraction, social relationships, psychosocial functioning, and school performance in early adolescence. Developmental Psychology, 44, 59–68.
Busseri, M. A., Willoughby, T., Chalmers, H., & Bogaert, A. F. (2006). Same-sex attraction and successful adolescent development. Journal of Youth and Adolescence, 35, 563–575.
Cochran, B. N., Stewart, A. J., Ginzler, J. A., & Cauce, A. M. (2002). Challenges faced by homeless sexual minorities: Comparison of gay, lesbian, bisexual and transgender homeless adolescents with their heterosexual counterparts. American Journal of Public Health, 92, 773–777.
Feng, Y., Lou, C., Gao, E., Tu, X., Cheng, Y., Emerson, M. R., et al. (2012). Adolescents’ and young adults’ perceptions of homosexuality and related factors in three Asian cities. Journal of Adolescent Health, 50, S52–S60.
Fletcher, R. C. (2011). Social context and social support: Exploring the lived experiences of LGBTQ youth who have been pregnant. Master’s Project: School of Public Health, University of Minnesota.
Flicker S., Flynn S., Larkin J., Travers R., Guta A., Pole J., & Layne C. (2009). Sexpress: The Toronto teen survey report. Toronto, ON: Planned Parenthood Toronto. Retrieved from: http://www.ppt.on.ca/pdf/reports/TTSreportfinal.pdf
Forrest, R., & Saewyc, E. M. (2004). Sexual minority teen parents: Demographics of an unexpected population. Journal of Adolescent Health, 34(2), 122. [Abstract].
Friedman, M. S., Marshal, M. P., Guadamuz, T. E., Wei, C., Saewyc, E., Wong, C. F., et al. (2011). A meta-analysis to examine disparities in childhood sexual abuse, parental physical abuse, and peer victimization among sexual minority and non-sexual minority individuals. American Journal of Public Health, 101(81), 1481–1494.
Gallart, H., & Saewyc, E. M. (2004). Sexual orientation and contraceptive behaviors among Minnesota adolescents. Journal of Adolescent Health, 34(2), 141. [Abstract].
Gangamma, R., Slesnick, N., Toviessi, P., & Serovic, J. (2008). Comparison of HIV risks among gay, lesbian, bisexual and heterosexual homeless youth. Journal of Youth and Adolescence, 37, 456–464.
Goodenow, C., Netherland, J., & Szalacha, L. (2002). AIDS-related risk among adolescent males who have sex with males, females, or both: Evidence from a statewide survey. American Journal of Public Health, 92, 203–210.
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, 98(6), 1051–1058.
Haggstrom-Nordin, E., Borneskog, C., Eriksson, M., & Tydén, T. (2011). Sexual behaviour and contraceptive use among Swedish high school students in two cities: Comparisons between genders, study programmes, and over time. The European Journal of Contraception and Reproductive Health Care, 16, 36–46.
Herrick, A., Marshal, M., Smith, D., Sucato, G., & Stall, R. (2011). Sex while intoxicated: A meta-analysis comparing heterosexual and sexual minority youth. Journal of Adolescent Health, 48(3), 306–309.
Homma, Y., Wang, N., Saewyc, E., & Kishor, N. (2012). The relationship between sexual abuse and risky sexual behavior among adolescent boys: A meta-analysis. Journal of Adolescent Health, 51, 18–24.
Kann, L., Olsen, E. O., McManus, T., Kinchen, S., Chyen, D., Harris, W. A., & Wechsler, H. (2011). Sexual identity, sex of sexual contacts, and health risk behaviors among students in grades 9–12. Youth risk behavior surveillance, selected sites, United States, 2001–2009. Morbidity and Mortality Weekly Report, 60(SS07), pp. 1–133.
Kirby, D., Lepore, G., & Ryan, J. (2005). Sexual risk and protective factors. Factors affecting teen sexual behavior, pregnancy, childbearing, and sexually transmitted disease: Which are important? Which can you change? Washington DC: National Campaign to Prevent Teen Pregnancy. Accessed from www.thenationalcampaign.org
Pinter, B., Verdenik, I., Grebenc, M., & Ceh, F. (2009). Sexual activity and contraceptive use among secondary-school students in Slovenia. The European Journal of Contraception and Reproductive Health Care, 14(2), 127–133.
Pole, J. D., Flicker, S., & the Toronto Teen Sex Survey Team. (2010). Sexual behaviour profile of a diverse group of urban youth: An analysis of the Toronto teen survey. Canadian Journal of Human Sexuality, 19(4), 145–156.
Poon, C., & Saewyc, E. (2009). ‘Out’ yonder: Sexual minority youth in rural and small town areas of British Columbia. American Journal of Public Health, 99, 118–124. PMC2636614.
Reed, S., Miller, R. L., & Timm, T. (2011). Identity and agency: The meaning and value of pregnancy for young black lesbians. Psychology of Women, 35(4), 571–581.
Reis, B., & Saewyc, E. (1999). Eighty-three thousand youth: Selected findings of eight population-based studies as they pertain to anti-gay harassment and the safety and well-being of sexual minority students. May: Safe Schools Coalition of Washington.
Robin, L., Brener, N. D., Donahue, S. F., Hack, T., Hale, K., & Goodenow, C. (2002). Associations between health risk behaviors and opposite-, same-, and both-sex sexual partners in representative samples of Vermont and Massachusetts high school students. Archives of Pediatric and Adolescent Medicine, 156, 349–355.
Rossen, F. V., Lucassen, M. F. G., Denny, S., & Robinson, E. (2009). Youth‘07 The health and wellbeing of secondary school students in New Zealand: Results for young people attracted to the same sex or both sexes. Auckland: The University of Auckland.
Saewyc, E. M. (2011). Research on adolescent sexual orientation: Development, health disparities, stigma and resilience. Journal of Research on Adolescence, 21(1), 256–272.
Saewyc, E., & Chen, W. (2012). Weakening the links between violence exposure and teen pregnancy involvement in Western Canada: Protective factors that may promote resilience. Journal of Adolescent Health, 50(2), S6.
Saewyc, E. M., Skay, C. L., Bearinger, L. H., Blum, R. W., & Resnick, M. D. (1998). Sexual orientation, sexual behaviors, and pregnancy among American Indian adolescents. Journal of Adolescent Health, 23, 238–247.
Saewyc, E. M., Bearinger, L. H., Blum, R. W., & Resnick, M. D. (1999). Sexual intercourse, abuse, and pregnancy among adolescent women: Does sexual orientation make a difference? Family Planning Perspectives, 31(3), 127–131.
Saewyc, E. M., Magee, L. L., & Pettingell, S. E. (2004a). Teenage pregnancy and associated risk behaviors among sexually abused adolescents. Perspectives on Sexual and Reproductive Health, 36(3), 98–105.
Saewyc, E. M., Pettingell, S. L., & Skay, C. L. (2004b). Teen pregnancy among sexual minority youth in population-based surveys of the 1990s: Countertrends in a population at risk. Journal of Adolescent Health, 34(2), 125–126.
Saewyc, E., Richens, K., Skay, C. L., Reis, E., Poon, C., & Murphy, A. (2006). Sexual orientation, sexual abuse, and HIV-risk behaviors among adolescents in the Pacific Northwest. American Journal of Public Health, 96(6), 1104–1110. PMC1470640.
Saewyc, E. M., MacKay, L., Anderson, J., & Drozda, C. (2008a). It’s not what you think: Sexually exploited youth in British Columbia. Monograph, Vancouver: University of British Columbia.
Saewyc, E. M., Poon. C., Homma, Y., & Skay, C. L. (2008b). Stigma management? The links between enacted stigma and teen pregnancy trends among gay, lesbian and bisexual students in British Columbia. Canadian Journal of Human Sexuality, 17(3), 123–131. PMC2655734.
Saewyc, E. M., Poon, C., Skay, C., & Homma, Y. (2008c). The role of protective factors in reducing the odds of teen pregnancy involvement among bisexual adolescents in Canada and the U.S. International Journal of Psychology, 46(3&4), 555.
Saewyc, E. M, Homma, Y., Skay, C. L., Bearinger, L., Resnick, M., & Reis, E. (2009). Protective factors in the lives of bisexual adolescents in North America. American Journal of Public Health, 99, 110–117. PMC2636603.
Saewyc, E., Chen, W., & Hirakata, P. (2010). Quantifying the influence of violence exposure on adolescent risk behaviours in Western Canada. Journal of Adolescent Health, 46, S65.
Schubotz, D., & O’Hara, M. (2011). A shared future? Exclusion, stigmatization and mental health among same-sex attracted young people in Northern Ireland. Youth and Society, 43(2), 488–508.
Smith, A., Saewyc, E., Albert, M., MacKay, L., Northcott, M., & The McCreary Centre Society. (2007). Against the Odds: A profile of marginalized and street-involved youth in BC. Vancouver, BC: McCreary Centre Society.
Smith, A., Stewart, D., Peled, M., Poon, C. Saewyc, E., & The McCreary Centre Society. (2009). A picture of health: Highlights of the 2008 British Columbia Adolescent Health Survey. Vancouver, BC: McCreary Centre Society.
Smith, A., Stewart, D., Poon, C., Saewyc, E., & the McCreary Centre Society. (2011). Fostering potential: The lives of BC youth with government care experience. Vancouver, BC: McCreary Centre Society.
Travers, R., Newton, H., & Munro, L. (2011). “Because it was expected”: Heterosexism as a determinant of adolescent pregnancy among sexually diverse youth. Canadian Journal of Community Mental Health, 30(2), 65–79.
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Saewyc, E.M. (2014). Adolescent Pregnancy Among Lesbian, Gay, and Bisexual Teens. In: Cherry, A., Dillon, M. (eds) International Handbook of Adolescent Pregnancy. Springer, Boston, MA. https://doi.org/10.1007/978-1-4899-8026-7_8
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