Girl2Girl: How to develop a salient pregnancy prevention program for cisgender sexual minority adolescent girls

Ybarraa ML, Price-Feeney M,Prescott T, Goodenow C, Saewyc E, Rosariod M.Girl2Girl: How to develop a salient pregnancy prevention program for cisgender sexual minority adolescent girls. Journal of Adolescence. 2020; 85 (41-58). doi.org/10.1016/j.adolescence.2020.09.006 Abstract: Introduction Although sexual minority girls are more likely than heterosexual girls to be pregnant during adolescence, programs tailored to their needs are non-existent. Here we describe the iterative development of Girl2Girl, a text messaging-based pregnancy prevention program for cisgender lesbian, gay, bisexual and other sexual minority (LGB+) girls across the United States. Methods Four activities are described: 1) 8 online focus groups to gain feedback about intended program components (n = 160), … [Read more...]

Reasons Lesbian and Bisexual Adolescent Girls Have or Might Have Sex with Females or Males: Implications for discordance between sexual identity and behaviors and for prevention of pregnancy and STIs

Rosario M, Goodenow C, Ybarra M, Saewyc E, Prescott T. Reasons Lesbian and Bisexual Adolescent Girls Have or Might Have Sex with Females or Males: Implications for Discordance between Sexual Identity and Behaviors and for Prevention of Pregnancy and STIs. J Sex Res. 2020 Oct;57(8):966-978. doi: 10.1080/00224499.2020.1753638. Epub 2020 May 19. Abstract: We examined reasons lesbian and bisexual adolescent girls have sex or, if sexually inexperienced, might have sex with girls or boys, and the role of internalized homonegativity in these relations and among lesbians. Girls were recruited online and classified as lesbian (n = 129) or bisexual (n = 193); the classification was validated. Love and pleasure were common reasons for having sex with girls, although more lesbian girls (LG) than … [Read more...]

A national, qualitative study of sexual decision making by teenage girls who are lesbian, gay, bisexual, or who have another nonheterosexual identity

Ybarra ML, Parrilla JS, Wolowic J, Rosario M, Goodenow C, Saewyc E. A National, Qualitative Study of Sexual Decision Making by Teenage Girls who are Lesbian, Gay, Bisexual, or who have Another Nonheterosexual Identity. J Pediatr. 2020 Feb;217:177-183. doi: 10.1016/j.jpeds.2019.10.038. Epub 2019 Dec 13. Abstract: Objective: To address the significant dearth of literature that examines how girls who are lesbian, gay, bisexual, or who have another nonheterosexual identity (LGB+) decide when and with whom to have sex; and to explore why inexperienced LGB+ girls might have sex with girls or boys. Study design: We conducted 8 online, asynchronous, bulletin board-style focus groups with 160 adolescent girls 14-18 years of age. The transcripts were analyzed using a thematic analysis of … [Read more...]

A cross-sectional study examining the (in)congruency of sexual identity, sexual behavior, and romantic attraction among adolescents in the US

Ybarra ML, Price-Feeney M, Mitchell KJ. A Cross-sectional Study Examining the (In)congruency of Sexual Identity, Sexual Behavior, and Romantic Attraction among Adolescents in the US. J Pediatr. 2019 Nov;214:201-208. doi: 10.1016/j.jpeds.2019.06.046. Epub 2019 Aug 8. Abstract: Objective: To examine how sexual identity, romantic attraction, and sexual behavior co-relate for cisgender adolescents. Study design: The Teen Health and Technology survey was a cross-sectional, self-report online survey. More than 5000 youth between 13 and 18 years of age were randomly recruited through Harris Panel OnLine's panel as well as outreach by GLSEN to over-recruit lesbian, gay, bisexual, and other sexual minority youth. Data were collected between 2010 and 2011. Analyses were conducted in 2018 … [Read more...]

Feasibility, acceptability, and process indicators for Guy2Guy, an mHealth HIV prevention program for sexual minority adolescent boys

Ybarra ML, Prescott T, Mustanski B, Parsons J, Bull SS. Feasibility, Acceptability, and Process Indicators for Guy2Guy, an mHealth HIV Prevention Program for Sexual Minority Adolescent Boys. J Adolesc Health. 2019 Sep;65(3):417-422. doi: 10.1016/j.jadohealth.2019.04.025. Epub 2019 Jul 2. Abstract: Purpose: Guy2Guy is one of the first mHealth HIV prevention programs for sexual minority boys aged 14-18 years, evaluated nationally. Here, we examine the program's feasibility and acceptability and explore participants' feedback about program content and components intended to invigorate program engagement. Methods: Guy2Guy was tested in a randomized controlled trial of 302 youth assigned to either the intervention or an attention-matched control group. At 3-month follow-up, … [Read more...]

Health indicators of lesbian, gay, bisexual, and other sexual minority (LGB+) youth living in rural communities

Price-Feeny M, Ybarra ML, Mitchell KJ. Health indicators of lesbian, gay, bisexual, and other sexual minority (LGB+) youth living in rural communities. J Pediatr. In press. https://doi.org/10.1016/j.jpeds.2018.09.059 Abstract:  OBJECTIVE: To investigate whether the intersectionality of being lesbian, gay, bisexual, and other sexual minority youth (LGB+) and living in a rural community may portend worse concurrent health indicators than identifying as heterosexual and/or living in a nonrural community. STUDY DESIGN: Data were collected online between 2010 and 2011 from 5100 13- to-18-year-old youth across the US. Youth were randomly recruited from within the Harris Panel Online and through targeted outreach efforts to LGBT+ youth by a youth-focused nonprofit. The survey questionnaire … [Read more...]

The effect of a text messaging based HIV prevention program on sexual minority male youths: A national evaluation of information, motivation and behavioral skills in a randomized controlled trial of Guy2Guy

Ybarra ML, Liu W, Prescott TL, Phillips II G, Mustanski B. The effect of a text messaging based HIV prevention program on sexual minority male youths: A national evaluation of information, motivation and behavioral skills in a randomized controlled trial of Guy2Guy. Journ. of Adolesc. 2018. https://doi.org/10.1007/s10461-018-2118-1 Abstract: There is a paucity of literature documenting how the constructs of the Information–Motivation–Behavioral Skills (IMB) model are affected by exposure to technology-based HIV prevention programs. Guy2Guy, based on the IMB model, is the first comprehensive HIV prevention program delivered via text messaging and tested nationally among sexual minority adolescent males. Between June and November 2014, 302 14–18year old gay, bisexual, and/or queer … [Read more...]

Why girls choose not to use barriers to prevent sexually transmitted infection during female-to-female sex

Doull M, Wolowic J, Saewyc E, Rosario M, Prescott T, Ybarra M. Why girls choose not to use barriers to prevent sexually transmitted infection during female-to-female sex. Journ. of Adoles. Health. 2017; 1-6. doi: https://doi.org/10.1016/j.jadohealth.2017.10.005 Abstract: Purpose: Using data from a national qualitative study of lesbian, bisexual, and other sexual minority adolescent girls in the U.S., this study examined their awareness of the risk of sexually transmitted infection (STI) and opportunities for barrier use. Methods: Online asynchronous focus groups were conducted with lesbian and bisexual (LB) girls ages 14–18 years. Girls were assigned to online groups based on their self-identified sexual identity and whether they were sexually experienced or not. Two moderators … [Read more...]

Motivations of sexual minority girls for sex with females and males

Goodenow C, Ybarra ML, Saewyc E, Rosario M, Price-Feeney M, Prescott T. Motivations of sexual minority girls for sex with females and males. Oral presentation at the 2017 Annual Meeting of the Society for the Scientific Study of Sexuality; 11 Nov 2017, Atlanta, GA. Motivations of sexual minority girls for sex with females and males from Center for Innovative Public Health Research … [Read more...]

Opportunities and challenges represented by online recruitment and enrollment of sexual minority adolescent girls in research

Prescott T, Price-Feeney M, Ybarra ML. Opportunities and challenges represented by online recruitment and enrollment of sexual minority adolescent girls in research. Oral presentation at the 2017 Annual Meeting of the Society for the Scientific Study of Sexuality; 9-12 Nov 2017, Atlanta, GA. Opportunities and challenges represented by online recruitment and enrollment of sexual minority adolescent girls in research from Center for Innovative Public Health Research … [Read more...]