Association between body mass index, sexually transmitted infections, and contraceptive compliance

Andrea L. Demaria, Jonathan M. Lugo, Mahbubur Rahman, Richard Pyles, Abbey Berenson

Research output: Contribution to journalArticle

6 Citations (Scopus)

Abstract

Background: Recent studies have examined the relationship between body mass index (BMI) and sexual behaviors, but little information exists on this relationship among racially diverse, low-income women using objectively measured clinical data. The purpose of this study was to examine the association between BMI and sexual behaviors, rates of sexually transmitted infections (STIs) and unintended pregnancy, and contraceptive adherence among adolescent and young adult women. Methods: As part of a larger study, 1,015 Hispanic (54.2%), Black (18.6%) and White (24.8%) women aged 16 to 24 years seeking family planning services at publicly funded reproductive health clinics provided data on their baseline sexual behaviors, and contraceptive use and pregnancy history over 12 months. Objective clinical data were available from medical records at baseline (i.e., height, weight, and Papanicolaou [Pap] smear results), and over a 12-month period (i.e., STI results). Multivariable analyses were used to compare sexual behaviors, STI rates, contraceptive compliance, and unintended pregnancy rates between obese, overweight, and normal weight participants after adjusting for age, race/ethnicity, and other confounders. Results: Overall, 423 (36.6%), 304 (26.3%), and 288 (24.9%) participants were classified as normal weight, overweight, and obese, respectively. No statistically significant association was observed between BMI and sexual behaviors, STI rates (overweight odds ratio [OR] 0.67; 95% confidence interval [95% CI] [0.4, 1.08]; obese OR 0.68; 95% CI [0.42, 1.10]); contraceptive compliance (overweight OR 0.89; 95% CI [0.69, 1.16]; obese OR 0.89; 95% CI 0.68, 1.16]), or unintended pregnancy (overweight OR 1.08 95% CI [0.73, 1.60]; obese OR 1.09; 95% CI [0.72, 1.63]). Conclusion: STI history and contraceptive compliance did not vary by BMI. Therefore, all women should receive equal contraceptive counseling (including condoms) to reduce the risk of unplanned pregnancy and STIs.

Original languageEnglish (US)
Pages (from-to)1062-1068
Number of pages7
JournalJournal of Women's Health
Volume22
Issue number12
DOIs
StatePublished - Dec 1 2013

Fingerprint

Sexually Transmitted Diseases
Contraceptive Agents
Compliance
Body Mass Index
Sexual Behavior
Mass Behavior
Odds Ratio
Confidence Intervals
Reproductive History
Weights and Measures
Unplanned Pregnancy
Papanicolaou Test
Pregnancy
Reproductive Health
Condoms
Family Planning Services
Pregnancy Rate
Hispanic Americans
Medical Records
Counseling

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Association between body mass index, sexually transmitted infections, and contraceptive compliance. / Demaria, Andrea L.; Lugo, Jonathan M.; Rahman, Mahbubur; Pyles, Richard; Berenson, Abbey.

In: Journal of Women's Health, Vol. 22, No. 12, 01.12.2013, p. 1062-1068.

Research output: Contribution to journalArticle

Demaria, Andrea L. ; Lugo, Jonathan M. ; Rahman, Mahbubur ; Pyles, Richard ; Berenson, Abbey. / Association between body mass index, sexually transmitted infections, and contraceptive compliance. In: Journal of Women's Health. 2013 ; Vol. 22, No. 12. pp. 1062-1068.
@article{e354e4ab46fe4e729ad660f33ce2f643,
title = "Association between body mass index, sexually transmitted infections, and contraceptive compliance",
abstract = "Background: Recent studies have examined the relationship between body mass index (BMI) and sexual behaviors, but little information exists on this relationship among racially diverse, low-income women using objectively measured clinical data. The purpose of this study was to examine the association between BMI and sexual behaviors, rates of sexually transmitted infections (STIs) and unintended pregnancy, and contraceptive adherence among adolescent and young adult women. Methods: As part of a larger study, 1,015 Hispanic (54.2{\%}), Black (18.6{\%}) and White (24.8{\%}) women aged 16 to 24 years seeking family planning services at publicly funded reproductive health clinics provided data on their baseline sexual behaviors, and contraceptive use and pregnancy history over 12 months. Objective clinical data were available from medical records at baseline (i.e., height, weight, and Papanicolaou [Pap] smear results), and over a 12-month period (i.e., STI results). Multivariable analyses were used to compare sexual behaviors, STI rates, contraceptive compliance, and unintended pregnancy rates between obese, overweight, and normal weight participants after adjusting for age, race/ethnicity, and other confounders. Results: Overall, 423 (36.6{\%}), 304 (26.3{\%}), and 288 (24.9{\%}) participants were classified as normal weight, overweight, and obese, respectively. No statistically significant association was observed between BMI and sexual behaviors, STI rates (overweight odds ratio [OR] 0.67; 95{\%} confidence interval [95{\%} CI] [0.4, 1.08]; obese OR 0.68; 95{\%} CI [0.42, 1.10]); contraceptive compliance (overweight OR 0.89; 95{\%} CI [0.69, 1.16]; obese OR 0.89; 95{\%} CI 0.68, 1.16]), or unintended pregnancy (overweight OR 1.08 95{\%} CI [0.73, 1.60]; obese OR 1.09; 95{\%} CI [0.72, 1.63]). Conclusion: STI history and contraceptive compliance did not vary by BMI. Therefore, all women should receive equal contraceptive counseling (including condoms) to reduce the risk of unplanned pregnancy and STIs.",
author = "Demaria, {Andrea L.} and Lugo, {Jonathan M.} and Mahbubur Rahman and Richard Pyles and Abbey Berenson",
year = "2013",
month = "12",
day = "1",
doi = "10.1089/jwh.2012.4116",
language = "English (US)",
volume = "22",
pages = "1062--1068",
journal = "Journal of Women's Health",
issn = "1540-9996",
publisher = "Mary Ann Liebert Inc.",
number = "12",

}

TY - JOUR

T1 - Association between body mass index, sexually transmitted infections, and contraceptive compliance

AU - Demaria, Andrea L.

AU - Lugo, Jonathan M.

AU - Rahman, Mahbubur

AU - Pyles, Richard

AU - Berenson, Abbey

PY - 2013/12/1

Y1 - 2013/12/1

N2 - Background: Recent studies have examined the relationship between body mass index (BMI) and sexual behaviors, but little information exists on this relationship among racially diverse, low-income women using objectively measured clinical data. The purpose of this study was to examine the association between BMI and sexual behaviors, rates of sexually transmitted infections (STIs) and unintended pregnancy, and contraceptive adherence among adolescent and young adult women. Methods: As part of a larger study, 1,015 Hispanic (54.2%), Black (18.6%) and White (24.8%) women aged 16 to 24 years seeking family planning services at publicly funded reproductive health clinics provided data on their baseline sexual behaviors, and contraceptive use and pregnancy history over 12 months. Objective clinical data were available from medical records at baseline (i.e., height, weight, and Papanicolaou [Pap] smear results), and over a 12-month period (i.e., STI results). Multivariable analyses were used to compare sexual behaviors, STI rates, contraceptive compliance, and unintended pregnancy rates between obese, overweight, and normal weight participants after adjusting for age, race/ethnicity, and other confounders. Results: Overall, 423 (36.6%), 304 (26.3%), and 288 (24.9%) participants were classified as normal weight, overweight, and obese, respectively. No statistically significant association was observed between BMI and sexual behaviors, STI rates (overweight odds ratio [OR] 0.67; 95% confidence interval [95% CI] [0.4, 1.08]; obese OR 0.68; 95% CI [0.42, 1.10]); contraceptive compliance (overweight OR 0.89; 95% CI [0.69, 1.16]; obese OR 0.89; 95% CI 0.68, 1.16]), or unintended pregnancy (overweight OR 1.08 95% CI [0.73, 1.60]; obese OR 1.09; 95% CI [0.72, 1.63]). Conclusion: STI history and contraceptive compliance did not vary by BMI. Therefore, all women should receive equal contraceptive counseling (including condoms) to reduce the risk of unplanned pregnancy and STIs.

AB - Background: Recent studies have examined the relationship between body mass index (BMI) and sexual behaviors, but little information exists on this relationship among racially diverse, low-income women using objectively measured clinical data. The purpose of this study was to examine the association between BMI and sexual behaviors, rates of sexually transmitted infections (STIs) and unintended pregnancy, and contraceptive adherence among adolescent and young adult women. Methods: As part of a larger study, 1,015 Hispanic (54.2%), Black (18.6%) and White (24.8%) women aged 16 to 24 years seeking family planning services at publicly funded reproductive health clinics provided data on their baseline sexual behaviors, and contraceptive use and pregnancy history over 12 months. Objective clinical data were available from medical records at baseline (i.e., height, weight, and Papanicolaou [Pap] smear results), and over a 12-month period (i.e., STI results). Multivariable analyses were used to compare sexual behaviors, STI rates, contraceptive compliance, and unintended pregnancy rates between obese, overweight, and normal weight participants after adjusting for age, race/ethnicity, and other confounders. Results: Overall, 423 (36.6%), 304 (26.3%), and 288 (24.9%) participants were classified as normal weight, overweight, and obese, respectively. No statistically significant association was observed between BMI and sexual behaviors, STI rates (overweight odds ratio [OR] 0.67; 95% confidence interval [95% CI] [0.4, 1.08]; obese OR 0.68; 95% CI [0.42, 1.10]); contraceptive compliance (overweight OR 0.89; 95% CI [0.69, 1.16]; obese OR 0.89; 95% CI 0.68, 1.16]), or unintended pregnancy (overweight OR 1.08 95% CI [0.73, 1.60]; obese OR 1.09; 95% CI [0.72, 1.63]). Conclusion: STI history and contraceptive compliance did not vary by BMI. Therefore, all women should receive equal contraceptive counseling (including condoms) to reduce the risk of unplanned pregnancy and STIs.

UR - http://www.scopus.com/inward/record.url?scp=84888878472&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84888878472&partnerID=8YFLogxK

U2 - 10.1089/jwh.2012.4116

DO - 10.1089/jwh.2012.4116

M3 - Article

VL - 22

SP - 1062

EP - 1068

JO - Journal of Women's Health

JF - Journal of Women's Health

SN - 1540-9996

IS - 12

ER -