Sexual orientation-related differences in contraceptive use: A brief report based on a cohort of adolescent and young women

Contraception. 2021 Mar;103(3):195-198. doi: 10.1016/j.contraception.2020.11.002. Epub 2020 Nov 13.

Abstract

Objectives: To examine contraceptive methods used by adolescent/young adult women of diverse sexual orientations.

Study design: We collected data from 12,902 females, born 1982-1995, from the longitudinal Growing Up Today Study.

Results: Compared to heterosexuals, lesbians were half as likely to use contraceptives; other sexual minority subgroups (e.g., bisexuals) were more likely to use contraceptives, particularly long-acting reversible contraceptives.

Conclusions: Many sexual minority women use contraception throughout adolescence/young adulthood, though use is low among lesbians.

Implications: With limited contraception use, lesbians miss opportunities for care and need to be brought into the healthcare system in other ways.

Keywords: Bisexual; Contraception uptake; Health disparity; Lesbian; Sexual-minority women.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Adolescent
  • Adult
  • Contraceptive Agents
  • Female
  • Heterosexuality
  • Homosexuality, Female*
  • Humans
  • Sexual Behavior
  • Sexual and Gender Minorities*
  • Young Adult

Substances

  • Contraceptive Agents