Sexual Orientation Disparities in Pregnancy and Infant Outcomes

Maternal and Child Health Journal
Bethany G EverettTonda L Hughes

Abstract

Objectives Little is known about maternal and infant health among sexual minority women (SMW), despite the large body of research documenting their multiple preconception risk factors. This study used data from the 2006-2015 National Survey of Family Growth (NSFG) to investigate sexual orientation inequities in pregnancy and birth outcomes, including miscarriage, stillbirth, preterm birth, and birth weight. Methods Women reported 19,955 study eligible pregnancies and 15,996 singleton live births. Sexual orientation was measured using self-reported identity and histories of same-sex sexual experiences (heterosexual-WSM [women who only report sex with men]; heterosexual-WSW [women who report sex with women]; bisexual, and lesbian). Logistic regression models were used that adjusted for several maternal characteristics. Results Compared to heterosexual-WSM, heterosexual-WSW (OR 1.25, 95% CI 1.00-1.58) and bisexual and lesbian women (OR 1.77, 95% CI 1.34-2.35) were more likely to report miscarriage, and bisexual and lesbian women were more likely to report a pregnancy ending in stillbirth (OR 2.85, 95% CI 1.40-5.83). Lesbian women were more likely to report low birth weight infants (OR 2.64, 95% CI 1.38-5.07) and bisexual and lesbi...Continue Reading

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Citations

Feb 28, 2020·Journal of Women's Health·Aubrey LimburgMichelle A Kominiarek
Feb 26, 2020·Journal of Women's Health·Daphna Stroumsa, Timothy R B Johnson
Oct 22, 2020·MCN. the American Journal of Maternal Child Nursing·Kellie M GriggsNatalie Ward
Dec 15, 2020·Journal of Midwifery & Women's Health·Ellen L TildenJonathan M Snowden
Mar 10, 2021·Journal of Health and Social Behavior·Bethany G EverettPhoenix A Matthews
Jun 26, 2021·SSM - Population Health·Caroline Sten HartnettBethany G Everett
Aug 22, 2021·Maternal and Child Health Journal·Virginia JenkinsStefanie Mollborn
Aug 28, 2021·International Journal of Environmental Research and Public Health·Hsing-Chen Yang
May 20, 2021·American Journal of Epidemiology·Jae DowningJonathan M Snowden

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