Sexual and reproductive health behaviors and experiences reported by young women with cystic fibrosis

Traci M. Kazmerski, Gregory S. Sawicki, Elizabeth Miller, Kelley A. Jones, Kaleab Z. Abebe, Lisa K. Tuchman, Sigrid Ladores, Ronald C. Rubenstein, Scott D. Sagel, Daniel J. Weiner, Joseph M. Pilewski, David M. Orenstein, Sonya Borrero

Research output: Contribution to journalArticle

11 Citations (Scopus)

Abstract

Background: The prevalence of general and disease-specific sexual and reproductive health (SRH) concerns is unknown in the United States (U.S.) female CF population. This study aimed to describe and compare the SRH experiences and behaviors of young women with CF with the general U.S. population. Methods: Young women with CF ages 15-24. years from five geographically diverse U.S. CF centers participated in a survey investigating SRH. Results were summarized and compared to the U.S. National Survey of Family Growth (NSFG) using logistic regression adjusting for confounders. Findings: A total of 188 young women with CF (mean age 19.7. ±. 2.7. years) completed the survey; data were compared to 1997 NSFG respondents (mean age 19.6. ±. 0.10. years). Fifty-four percent of women with CF reported having had vaginal sex with a male partner compared to 66% of U.S. women (p = 0.55). Women with CF were less likely to have ever used contraception (55% vs. 74%, p = 0.0001) or have been tested for sexually transmitted infections in the past year (19% vs. 34%, p = 0.001) compared to the general population. Two percent of women with CF reported having ever been pregnant compared to 24% of U.S. women (p. <. 0.0001). One-third of young women with CF reported perceived pubertal delay, 16% urinary incontinence, 16% sexual dysfunction, and 49% yeast infections. Interpretation: Young women with CF face significant SRH concerns and appear to be experiencing gaps in SRH care provision. Opportunities exist for intervention development around this aspect of comprehensive CF care. Funding: CF Foundation (KAZMER15A0); U.S. National Institutes of Health (UL1TR000005).

Original languageEnglish (US)
JournalJournal of Cystic Fibrosis
DOIs
StateAccepted/In press - 2017
Externally publishedYes

Fingerprint

Reproductive Behavior
Reproductive Health
Health Behavior
Cystic Fibrosis
Population
National Institutes of Health (U.S.)
Urinary Incontinence
Growth
Sexually Transmitted Diseases
Contraception
Yeasts
Logistic Models
Surveys and Questionnaires
Delivery of Health Care

Keywords

  • Cystic fibrosis
  • Sexual and reproductive health
  • Women's health

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Pulmonary and Respiratory Medicine

Cite this

Kazmerski, T. M., Sawicki, G. S., Miller, E., Jones, K. A., Abebe, K. Z., Tuchman, L. K., ... Borrero, S. (Accepted/In press). Sexual and reproductive health behaviors and experiences reported by young women with cystic fibrosis. Journal of Cystic Fibrosis. https://doi.org/10.1016/j.jcf.2017.07.017

Sexual and reproductive health behaviors and experiences reported by young women with cystic fibrosis. / Kazmerski, Traci M.; Sawicki, Gregory S.; Miller, Elizabeth; Jones, Kelley A.; Abebe, Kaleab Z.; Tuchman, Lisa K.; Ladores, Sigrid; Rubenstein, Ronald C.; Sagel, Scott D.; Weiner, Daniel J.; Pilewski, Joseph M.; Orenstein, David M.; Borrero, Sonya.

In: Journal of Cystic Fibrosis, 2017.

Research output: Contribution to journalArticle

Kazmerski, TM, Sawicki, GS, Miller, E, Jones, KA, Abebe, KZ, Tuchman, LK, Ladores, S, Rubenstein, RC, Sagel, SD, Weiner, DJ, Pilewski, JM, Orenstein, DM & Borrero, S 2017, 'Sexual and reproductive health behaviors and experiences reported by young women with cystic fibrosis', Journal of Cystic Fibrosis. https://doi.org/10.1016/j.jcf.2017.07.017
Kazmerski, Traci M. ; Sawicki, Gregory S. ; Miller, Elizabeth ; Jones, Kelley A. ; Abebe, Kaleab Z. ; Tuchman, Lisa K. ; Ladores, Sigrid ; Rubenstein, Ronald C. ; Sagel, Scott D. ; Weiner, Daniel J. ; Pilewski, Joseph M. ; Orenstein, David M. ; Borrero, Sonya. / Sexual and reproductive health behaviors and experiences reported by young women with cystic fibrosis. In: Journal of Cystic Fibrosis. 2017.
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abstract = "Background: The prevalence of general and disease-specific sexual and reproductive health (SRH) concerns is unknown in the United States (U.S.) female CF population. This study aimed to describe and compare the SRH experiences and behaviors of young women with CF with the general U.S. population. Methods: Young women with CF ages 15-24. years from five geographically diverse U.S. CF centers participated in a survey investigating SRH. Results were summarized and compared to the U.S. National Survey of Family Growth (NSFG) using logistic regression adjusting for confounders. Findings: A total of 188 young women with CF (mean age 19.7. ±. 2.7. years) completed the survey; data were compared to 1997 NSFG respondents (mean age 19.6. ±. 0.10. years). Fifty-four percent of women with CF reported having had vaginal sex with a male partner compared to 66{\%} of U.S. women (p = 0.55). Women with CF were less likely to have ever used contraception (55{\%} vs. 74{\%}, p = 0.0001) or have been tested for sexually transmitted infections in the past year (19{\%} vs. 34{\%}, p = 0.001) compared to the general population. Two percent of women with CF reported having ever been pregnant compared to 24{\%} of U.S. women (p. <. 0.0001). One-third of young women with CF reported perceived pubertal delay, 16{\%} urinary incontinence, 16{\%} sexual dysfunction, and 49{\%} yeast infections. Interpretation: Young women with CF face significant SRH concerns and appear to be experiencing gaps in SRH care provision. Opportunities exist for intervention development around this aspect of comprehensive CF care. Funding: CF Foundation (KAZMER15A0); U.S. National Institutes of Health (UL1TR000005).",
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AU - Tuchman, Lisa K.

AU - Ladores, Sigrid

AU - Rubenstein, Ronald C.

AU - Sagel, Scott D.

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AU - Borrero, Sonya

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