TY - JOUR
T1 - Sexual behaviors, risks, and sexual health outcomes for adolescent females following bariatric surgery
AU - TeenView Study Group
AU - Teen-LABS Consortium
AU - Zeller, Meg H.
AU - Brown, Jennifer L.
AU - Reiter-Purtill, Jennifer
AU - Sarwer, David B.
AU - Black, Lora
AU - Jenkins, Todd M.
AU - McCracken, Katherine A.
AU - Courcoulas, Anita P.
AU - Inge, Thomas H.
AU - Noll, Jennie G.
AU - Doland, Faye
AU - Morgenthal, Ashley
AU - Howarth, Taylor
AU - Comstock, Sara
AU - Kirk, Shelley
AU - Helmrath, Michael
AU - Lee, Margaret Callie
AU - Allen, David
AU - Garland, Beth
AU - Washington, Gia
AU - Mikhail, Carmen
AU - Brandt, Mary L.
AU - Blake, Ronette
AU - El Nokali, Nermeen
AU - Rofey, Dana
AU - Arslanian, Silva
AU - Desai, Krishna
AU - Seay, Amy
AU - Haynes, Beverly
AU - Austin, Heather
AU - Harmon, Carroll
AU - Ginn, Melissa
AU - Baughcum, Amy E.
AU - Michalsky, Marc P.
AU - Christian, Michelle Starkey
AU - Andringa, Jennifer
AU - Powers, Carolyn
AU - Akers, Rachel
N1 - Funding Information:
Thomas H. Inge has served as a consultant for Zafgen Corporation, Biomedical Insights, and L&E Research, and received honoraria from Standard Bariatrics, UpToDate, and Independent Medical Expert Consulting Services, all unrelated to this project. Anita P. Courcoulas has received research grants from Allurion Inc. David B. Sarwer has served as consultant for BARONova, Merz, and NovoNordisk.
Funding Information:
The TeenView ancillary studies (R01DK080020 and R01DA033415; PI: Zeller) were conducted in collaboration with the Teen-LABS Consortium. Teen-LABS was funded by cooperative agreements with the National Institute of Diabetes and Digestive and Kidney Diseases through grants U01DK072493, UM1DK072493, and UM1DK095710 (University of Cincinnati). Dr. Black’s effort was supported by a National Institutes of Health postdoctoral training grant (T32 DK063929).
Funding Information:
The authors would like to acknowledge the contributions of additional TeenView Study Group Co-Investigators and staff. Cincinnati Children's Hospital Medical Center: Faye Doland, BS; Ashley Morgenthal, BS; Taylor Howarth, BS; Sara Comstock, MA; Shelley Kirk, PhD; Michael Helmrath, MD, PhD. Texas Children's Hospital: Margaret Callie Lee, MPH; David Allen, BS; Beth Garland, PhD; Gia Washington, PhD; Carmen Mikhail, PhD; Mary L. Brandt, MD. University of Pittsburgh Medical Center: Ronette Blake, BS; Nermeen El Nokali, PhD; Dana Rofey, PhD; Silva Arslanian, MD; Anita P. Courcoulas, MD, MPH. Children's Hospital of Alabama University of Alabama: Krishna Desai, MD; Amy Seay, PhD; Beverly Haynes, BSN; Heather Austin, PhD; Carroll Harmon, MD, PhD. Nationwide Children's Hospital Medical Center: Melissa Ginn, BS; Amy E. Baughcum, PhD; Marc P. Michalsky, MD. Teen-LABS Data Coordinating Center: Michelle Starkey Christian; Jennifer Andringa, BS; Carolyn Powers, RD; Rachel Akers, MPH. The TeenView ancillary studies (R01DK080020 and R01DA033415; PI: Zeller) were conducted in collaboration with the Teen-LABS Consortium. Teen-LABS was funded by cooperative agreements with the National Institute of Diabetes and Digestive and Kidney Diseases through grants U01DK072493, UM1DK072493, and UM1DK095710 (University of Cincinnati). Dr. Black's effort was supported by a National Institutes of Health postdoctoral training grant (T32 DK063929).
Publisher Copyright:
© 2019 American Society for Bariatric Surgery
PY - 2019/6
Y1 - 2019/6
N2 - 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; Mage = 16.95 ± 1.44 yr; body mass index: MBMI = 50.99 ± 8.42; 63.1% white) and nonsurgical comparators (n = 68; Mage = 16.18 ± 1.36 yr; MBMI = 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 (MBMI = 39.27 ± 10.08) and 49 nonsurgical females (MBMI = 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.
AB - 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; Mage = 16.95 ± 1.44 yr; body mass index: MBMI = 50.99 ± 8.42; 63.1% white) and nonsurgical comparators (n = 68; Mage = 16.18 ± 1.36 yr; MBMI = 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 (MBMI = 39.27 ± 10.08) and 49 nonsurgical females (MBMI = 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.
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U2 - 10.1016/j.soard.2019.03.001
DO - 10.1016/j.soard.2019.03.001
M3 - Article
C2 - 31023575
AN - SCOPUS:85064485062
SN - 1550-7289
VL - 15
SP - 969
EP - 978
JO - Surgery for Obesity and Related Diseases
JF - Surgery for Obesity and Related Diseases
IS - 6
ER -
