{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,5]],"date-time":"2026-09-05T08:57:27Z","timestamp":1788598647093,"version":"build-2803163510"},"reference-count":30,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2016,5,30]],"date-time":"2016-05-30T00:00:00Z","timestamp":1464566400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","award":["T32DK063929"],"award-info":[{"award-number":["T32DK063929"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000009","name":"Foundation for the National Institutes of Health","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100000009","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Pediatric Obesity"],"published-print":{"date-parts":[[2017,10]]},"abstract":"<jats:title>Summary<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>There is an increasing adolescent population with severe obesity with impairments in social and romantic relationships that are seeking clinical weight management, including weight loss surgery (WLS).<\/jats:p><\/jats:sec><jats:sec><jats:title>Objective<\/jats:title><jats:p>To document romantic, sexual and sexual risk behaviours in a clinical sample of adolescent females with severe obesity (BMI\u2009<jats:styled-content>&gt;<\/jats:styled-content>\u200940\u2009kg\/m<jats:sup>2<\/jats:sup>) compared to those of healthy weight (HW).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This multi\u2010site study\u2014an ancillary to a prospective longitudinal observational study documenting health in adolescents having WLS\u2014presents pre\u2010operative\/baseline data from 108 females undergoing WLS, 68 severely obese seeking lifestyle intervention and 118 of HW. Romantic and sexual risk behaviour and birth control information sources were assessed using the Sexual Activities and Attitudes Questionnaire (SAAQ).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Severely obese females reported engaging in fewer romantic and sexual behaviours compared to HW. Similar to HW, a subgroup (25%) of severely females were engaging in higher rates of sexual risk behaviours and reported pregnancies and sexually transmitted infections (STIs). A considerable number (28\u201344%) reported receiving no birth control information from physicians.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Discussion topics with the adolescent patient should extend beyond reproductive health needs (e.g. contraception, unintended pregnancies) to include guidance around navigating romantic and sexual health behaviours that are precursors to these outcomes.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ijpo.12155","type":"journal-article","created":{"date-parts":[[2016,5,30]],"date-time":"2016-05-30T06:56:44Z","timestamp":1464591404000},"page":"388-397","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":17,"title":["Romantic, sexual, and sexual risk behaviours of adolescent females with severe obesity"],"prefix":"10.1111","volume":"12","author":[{"given":"J. N.","family":"Becnel","sequence":"first","affiliation":[{"name":"University of Arkansas School of Human Environmental Sciences, Human Development and Family Science  Fayetteville USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M. H.","family":"Zeller","sequence":"additional","affiliation":[{"name":"Cincinnati Children's Hospital Medical Center Division of Behavioral Medicine and Clinical Psychology  Cincinnati USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J. G.","family":"Noll","sequence":"additional","affiliation":[{"name":"Department of Human Development and Family Studies Pennsylvania State University  University Park USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"D. B.","family":"Sarwer","sequence":"additional","affiliation":[{"name":"University of Pennsylvania Perelman School of Medicine Center for Weight and Eating Disorders  Philadelphia USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J.","family":"Reiter\u2010Purtill","sequence":"additional","affiliation":[{"name":"Cincinnati Children's Hospital Medical Center Division of Behavioral Medicine and Clinical Psychology  Cincinnati USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M.","family":"Michalsky","sequence":"additional","affiliation":[{"name":"Nationwide Children's Hospital, Department of Pediatric Surgery  Columbus USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J.","family":"Peugh","sequence":"additional","affiliation":[{"name":"Cincinnati Children's Hospital Medical Center Division of Behavioral Medicine and Clinical Psychology  Cincinnati USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"F. 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