title: Increased Body Mass Index Associated with Increased Risky Sexual Behaviors.
abstract: OBJECTIVE
  The increasing prevalence of adolescent obesity has led to consideration of the potential effect of obesity on risky sexual behaviors. In the current study we examined whether body mass index (BMI) was related to age at sexual debut, type of sexual behavior, partner number, and condom use in a population of adolescent women at high risk for obesity and risky sexual behaviors.
  
  
  METHODS
  Cross-sectional examination of 860 sexually active, predominantly minority, adolescent women who received medical care at an urban health center from 2007 through 2013.
  
  
  METHODS
  Self-reported age at sexual debut, types of sexual intercourse, number of partners and condom use was compared with clinically assessed BMI.
  
  
  RESULTS
  BMI was positively associated with number of sexual partners (P = .001) and history of attempted anal intercourse (P = .002). An inverse association was observed with age at first anal intercourse (P = .040).
  
  
  CONCLUSIONS
  In this sample of adolescent women, increased BMI was associated with riskier sexual practices at a younger age. Results of this study suggest that overweight and obese adolescents are a vulnerable population who might need targeted sexual health counseling.
authors.affiliation: The Mount Sinai Adolescent Health Center, Department of Pediatrics, Icahn School of Medicine at Mount Sinai, New York, New York. Electronic address: lonna.gordon@mountsinai.org.
authors.forename: Lonna P
authors.initials: LP
authors.lastname: Gordon
authors.affiliation: The Mount Sinai Adolescent Health Center, Department of Pediatrics, Icahn School of Medicine at Mount Sinai, New York, New York.
authors.forename: Angela
authors.initials: A
authors.lastname: Diaz
authors.affiliation: The Mount Sinai Adolescent Health Center, Department of Pediatrics, Icahn School of Medicine at Mount Sinai, New York, New York.
authors.forename: Christine
authors.initials: C
authors.lastname: Soghomonian
authors.affiliation: The Mount Sinai Adolescent Health Center, Department of Pediatrics, Icahn School of Medicine at Mount Sinai, New York, New York.
authors.forename: Anne T
authors.initials: AT
authors.lastname: Nucci-Sack
authors.affiliation: The Mount Sinai Adolescent Health Center, Department of Pediatrics, Icahn School of Medicine at Mount Sinai, New York, New York.
authors.forename: Jocelyn M
authors.initials: JM
authors.lastname: Weiss
authors.affiliation: Department of Epidemiology and Population Health, Albert Einstein College of Medicine, Bronx, New York.
authors.forename: Howard D
authors.initials: HD
authors.lastname: Strickler
authors.affiliation: Department of Epidemiology and Population Health, Albert Einstein College of Medicine, Bronx, New York; Departments of Pediatrics, Microbiology and Immunology, and Obstetrics and Gynecology and Women's Health, Albert Einstein College of Medicine, Bronx, New York.
authors.forename: Robert D
authors.initials: RD
authors.lastname: Burk
authors.affiliation: Department of Epidemiology and Population Health, Albert Einstein College of Medicine, Bronx, New York.
authors.forename: Nicolas F
authors.initials: NF
authors.lastname: Schlecht
authors.affiliation: The Mount Sinai Adolescent Health Center, Department of Pediatrics, Icahn School of Medicine at Mount Sinai, New York, New York; Department of Psychiatry, Icahn School of Medicine at Mount Sinai, New York, New York.
authors.forename: Christopher N
authors.initials: CN
authors.lastname: Ochner
mesh_terms: D000293:Adolescent; D000294:Adolescent Behavior / Q000523:psychology*; D000328:Adult; D015992:Body Mass Index; D003075:Coitus; D017280:Condoms / Q000706:statistics & numerical data; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D008913:Minority Groups; D050177:Overweight / Q000523:psychology; D063766:Pediatric Obesity / Q000523:psychology*; D012309:Risk-Taking; D021841:Safe Sex; D012725:Sexual Behavior / Q000523:psychology*; D012747:Sexual Partners; D055815:Young Adult
keywords: Adolescence; Anal sex; Coitarche; Obese; Overweight; Risky sexual behavior