{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,18]],"date-time":"2026-09-18T11:02:13Z","timestamp":1789729333889,"version":"4.0.1"},"reference-count":60,"publisher":"SAGE Publications","issue":"6","license":[{"start":{"date-parts":[[2020,6,1]],"date-time":"2020-06-01T00:00:00Z","timestamp":1590969600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Women's Health"],"published-print":{"date-parts":[[2020,6]]},"abstract":"<jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>\n                      In the United States, there have been very few improvements in adverse birth outcomes, such as infant mortality, low birthweight, and preterm birth in recent years. Health promotion before pregnancy (\n                      <jats:italic toggle=\"yes\">e.g.<\/jats:italic>\n                      , preconception care) has been increasingly recognized as an important strategy by which to improve these reproductive outcomes. As of yet, no research has examined sexual orientation disparities in preconception health which has important implications for birth outcomes in the United States, since sexual minority women (SMW) are more likely to report stillbirths, low birthweight, and preterm infants than heterosexual women.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>\n                      This study addresses this gap by utilizing data from the National Longitudinal Study of Adolescent to Adult Health (Add Health) to examine sexual orientation disparities in women's preconception health 1 and 3 years before a live birth (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      \u2009=\u20093,133).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Our findings suggest that, even after controlling for maternal characteristics, SMW are more likely to report adverse health conditions and behaviors before pregnancy relative to heterosexual women 1 year before the survey, including higher odds of binge drinking, other substance use, having a sexually transmitted infection diagnosis, and depression.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Despite new public health policies aimed at improved preconception health, our findings suggest that SMW are even more vulnerable to poor preconception health than their heterosexual counterparts, which has important implications for maternal and child health. This study provides important evidence for the need to invest in the reproductive health of SMW, particularly in the context of pregnancy.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1089\/jwh.2019.8054","type":"journal-article","created":{"date-parts":[[2020,2,27]],"date-time":"2020-02-27T15:27:59Z","timestamp":1582817279000},"page":"755-762","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":27,"title":["Sexual Orientation Disparities in Preconception Health"],"prefix":"10.1177","volume":"29","author":[{"given":"Aubrey","family":"Limburg","sequence":"first","affiliation":[{"name":"Department of Sociology and Institute of Behavioral Science, University of Colorado Boulder, Boulder, Colorado."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bethany G.","family":"Everett","sequence":"additional","affiliation":[{"name":"Department of Sociology, University of Utah, Salt Lake City, Utah."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stefanie","family":"Mollborn","sequence":"additional","affiliation":[{"name":"Department of Sociology and Institute of Behavioral Science, University of Colorado Boulder, Boulder, Colorado."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michelle A.","family":"Kominiarek","sequence":"additional","affiliation":[{"name":"Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, Northwestern University Feinberg School of Medicine, Chicago, Illinois."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2020,6,10]]},"reference":[{"key":"e_1_3_3_2_2","volume-title":"Recent declines in infant mortality in the United States, 2005\u20132011","author":"MacDorman MF","year":"2013","unstructured":"MacDorman MF, , Hoyert DL, , Mathews TJ. Recent declines in infant mortality in the United States, 2005\u20132011. Hyattsville, MD: National Center for Health Statistics, 2013."},{"key":"e_1_3_3_3_2","volume-title":"Born too soon: The global action report on preterm birth","author":"March of Dimes","year":"2012","unstructured":"March of Dimes. Born too soon: The global action report on preterm birth. New York: World Health Organization, 2012."},{"key":"e_1_3_3_4_2","volume-title":"Births: Final data for 2016","author":"Martin JA","year":"2018","unstructured":"Martin JA, , Hamilton BE, , Osterman MJ, , Driscoll AK, , Drake P. Births: Final data for 2016. Hyattsville, MD: National Vital Statistics System, 2018."},{"key":"e_1_3_3_5_2","volume-title":"Describing the increase in preterm births in the United States, 2014\u20132016","author":"Martin JA","year":"2018","unstructured":"Martin JA, , Osterman MJK. Describing the increase in preterm births in the United States, 2014\u20132016. Hyattsville, MD: National Center for Health Statistics, 2018."},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0000000000001556"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.1093\/phr\/116.4.306"},{"key":"e_1_3_3_8_2","doi-asserted-by":"publisher","DOI":"10.1055\/s-0032-1316439"},{"key":"e_1_3_3_9_2","doi-asserted-by":"publisher","DOI":"10.1067\/mob.2002.127140"},{"key":"e_1_3_3_10_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10995-006-0100-4"},{"key":"e_1_3_3_11_2","unstructured":"CDC. Overview | Preconception care | CDC. Center for Disease Control and Prevention 2014. Available at: https:\/\/cdc.gov\/preconception\/overview.html Accessed February25 2019."},{"key":"e_1_3_3_12_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10654-011-9586-1"},{"key":"e_1_3_3_13_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10995-013-1296-8"},{"key":"e_1_3_3_14_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10995-006-0115-x"},{"key":"e_1_3_3_15_2","doi-asserted-by":"publisher","DOI":"10.1093\/aje\/kwg201"},{"key":"e_1_3_3_16_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10995-011-0916-4"},{"key":"e_1_3_3_17_2","unstructured":"Healthy People 2020. Maternal infant and child health | Healthy people 2020. Available at: https:\/\/healthypeople.gov\/2020\/topics-objectives\/topic\/maternal-infant-and-child-health Accessed March5 2019."},{"key":"e_1_3_3_18_2","first-page":"1","article-title":"Recommendations to improve preconception health and health care\u2014United States: Report of the CDC\/ATSDR preconception care work group and the select panel on preconception care","volume":"55","author":"Johnson K","year":"2006","unstructured":"Johnson K, , Posner SF, , Biermann J, et al. Recommendations to improve preconception health and health care\u2014United States: Report of the CDC\/ATSDR preconception care work group and the select panel on preconception care. MMWR Recomm Rep, 2006; 55:1\u2013234.","journal-title":"MMWR Recomm Rep"},{"key":"e_1_3_3_19_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2008.08.060"},{"key":"e_1_3_3_20_2","doi-asserted-by":"publisher","DOI":"10.1089\/jwh.2011.3259"},{"key":"e_1_3_3_21_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10995-015-1848-1"},{"key":"e_1_3_3_22_2","doi-asserted-by":"publisher","DOI":"10.15288\/jsad.2008.69.129"},{"key":"e_1_3_3_23_2","doi-asserted-by":"publisher","DOI":"10.1001\/archpedi.158.4.317"},{"key":"e_1_3_3_24_2","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2004.061077"},{"key":"e_1_3_3_25_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.addbeh.2009.12.019"},{"key":"e_1_3_3_26_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10508-012-9902-1"},{"key":"e_1_3_3_27_2","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2012.301150"},{"key":"e_1_3_3_28_2","doi-asserted-by":"publisher","DOI":"10.1038\/oby.2007.34"},{"key":"e_1_3_3_29_2","doi-asserted-by":"publisher","DOI":"10.1037\/0003-066X.56.11.931"},{"key":"e_1_3_3_30_2","doi-asserted-by":"publisher","DOI":"10.1037\/0022-006X.71.1.53"},{"key":"e_1_3_3_31_2","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.91.6.933"},{"key":"e_1_3_3_32_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10995-018-2595-x"},{"key":"e_1_3_3_33_2","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2009.160804"},{"key":"e_1_3_3_34_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11113-013-9282-9"},{"key":"e_1_3_3_35_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.whi.2018.10.006"},{"key":"e_1_3_3_36_2","doi-asserted-by":"publisher","DOI":"10.3201\/eid1011.040467"},{"key":"e_1_3_3_37_2","doi-asserted-by":"publisher","DOI":"10.1363\/psrh.12087"},{"key":"e_1_3_3_38_2","doi-asserted-by":"publisher","DOI":"10.1089\/jwh.2017.6866"},{"key":"e_1_3_3_39_2","doi-asserted-by":"publisher","DOI":"10.1089\/jwh.2015.5290"},{"key":"e_1_3_3_40_2","doi-asserted-by":"publisher","DOI":"10.1363\/psrh.12032"},{"key":"e_1_3_3_41_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.contraception.2008.09.009"},{"key":"e_1_3_3_42_2","doi-asserted-by":"publisher","DOI":"10.1363\/3619204"},{"key":"e_1_3_3_43_2","doi-asserted-by":"publisher","DOI":"10.1007\/s13524-014-0359-9"},{"key":"e_1_3_3_44_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1728-4465.2009.00192.x"},{"key":"e_1_3_3_45_2","volume-title":"Design features of add health","author":"Harris KM","year":"2011","unstructured":"Harris KM. Design features of add health. Chapel Hill, NC: University of North Carolina Chapel Hill, 2011."},{"key":"e_1_3_3_46_2","doi-asserted-by":"crossref","unstructured":"Harris KM Urdy JR. National longitudinal study of adolescent health (add health) 1994\u20132008: Biomarker data restricted use. 2012. https:\/\/www.icpsr.umich.edu\/icpsrweb\/DSDR\/studies\/21600 Accessed February21 2020.","DOI":"10.3886\/ICPSR33443.v1"},{"key":"e_1_3_3_47_2","doi-asserted-by":"publisher","DOI":"10.1177\/014662167700100306"},{"key":"e_1_3_3_48_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10995-016-2213-8"},{"key":"e_1_3_3_49_2","doi-asserted-by":"publisher","DOI":"10.1215\/03616878-1966333"},{"key":"e_1_3_3_50_2","doi-asserted-by":"publisher","DOI":"10.1086\/680404"},{"key":"e_1_3_3_51_2","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2015.302631"},{"key":"e_1_3_3_52_2","doi-asserted-by":"publisher","DOI":"10.5172\/conu.2013.44.1.120"},{"key":"e_1_3_3_53_2","doi-asserted-by":"publisher","DOI":"10.1215\/9780822390220"},{"key":"e_1_3_3_54_2","doi-asserted-by":"publisher","DOI":"10.1370\/afm.1173"},{"key":"e_1_3_3_55_2","doi-asserted-by":"publisher","DOI":"10.1055\/s-0037-1604464"},{"key":"e_1_3_3_56_2","volume-title":"Reaching out to \u201cother\u201d special populations: Providing services to lesbian, gay, bisexual and transgender patients","author":"National Association of Community Health Centers","year":"2007","unstructured":"National Association of Community Health Centers. Reaching out to \u201cother\u201d special populations: Providing services to lesbian, gay, bisexual and transgender patients. Bethesda, MD: NACHC, 2007."},{"key":"e_1_3_3_57_2","volume-title":"Advancing effective communication, cultural competence, and patient- and family-centered care for lesbian, gay, bisexual, and transgender (LGBT) community: A field guide","author":"The Joint Commission","year":"2011","unstructured":"The Joint Commission. Advancing effective communication, cultural competence, and patient- and family-centered care for lesbian, gay, bisexual, and transgender (LGBT) community: A field guide. Oak Brook, IL: The Joint Commission, 2011."},{"key":"e_1_3_3_58_2","doi-asserted-by":"publisher","DOI":"10.1353\/cpr.2019.0053"},{"key":"e_1_3_3_59_2","doi-asserted-by":"publisher","DOI":"10.1089\/jwh.2012.3900"},{"key":"e_1_3_3_60_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11606-013-2491-4"},{"key":"e_1_3_3_61_2","doi-asserted-by":"publisher","DOI":"10.1093\/hsw\/36.1.55"}],"container-title":["Journal of Women's Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1089\/jwh.2019.8054","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1089\/jwh.2019.8054","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1089\/jwh.2019.8054","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T17:51:47Z","timestamp":1777657907000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1089\/jwh.2019.8054"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,6]]},"references-count":60,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2020,6]]}},"alternative-id":["10.1089\/jwh.2019.8054"],"URL":"https:\/\/doi.org\/10.1089\/jwh.2019.8054","relation":{},"ISSN":["1540-9996","1931-843X"],"issn-type":[{"value":"1540-9996","type":"print"},{"value":"1931-843X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,6]]}}}