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Assessment of Child Anthropometry in a Large Epidemiologic Study
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Increased Body Mass Index Associated with Increased Risky Sexual Behaviors.

Lonna P Gordon1, Angela Diaz1, Christine Soghomonian1

  • 1The Mount Sinai Adolescent Health Center, Department of Pediatrics, Icahn School of Medicine at Mount Sinai, New York, New York.

Journal of Pediatric and Adolescent Gynecology
|September 12, 2015
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Higher body mass index (BMI) in adolescent women is linked to earlier sexual debut and increased numbers of sexual partners. Overweight and obese teens may need targeted sexual health education.

Keywords:
AdolescenceAnal sexCoitarcheObeseOverweightRisky sexual behavior

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Area of Science:

  • Public Health
  • Adolescent Health
  • Obesity Research

Background:

  • Adolescent obesity is a growing concern.
  • Obesity may influence adolescent sexual behaviors.

Purpose of the Study:

  • To investigate the relationship between body mass index (BMI) and sexual behaviors in at-risk adolescent women.
  • Examined BMI's association with age at sexual debut, sexual behavior types, partner numbers, and condom use.

Main Methods:

  • Cross-sectional study of 860 sexually active adolescent women.
  • Data collected from 2007-2013 at an urban health center.
  • Compared self-reported sexual behaviors with clinically assessed BMI.

Main Results:

  • Increased BMI correlated positively with a higher number of sexual partners (P = .001).
  • Higher BMI was associated with a history of attempted anal intercourse (P = .002).
  • An inverse association was found between BMI and age at first anal intercourse (P = .040).

Conclusions:

  • In this cohort, elevated BMI in adolescent women correlated with riskier sexual practices initiated at a younger age.
  • Overweight and obese adolescents represent a vulnerable group requiring tailored sexual health counseling.
  • Findings highlight the need for integrated obesity and sexual health interventions for adolescents.