{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2023,9,27]],"date-time":"2023-09-27T08:55:44Z","timestamp":1695804944288},"reference-count":38,"publisher":"Guttmacher Institute","issue":"4","license":[{"start":{"date-parts":[[2017,11,9]],"date-time":"2017-11-09T00:00:00Z","timestamp":1510185600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100007305","name":"Maternal and Child Health Bureau","doi-asserted-by":"publisher","award":["R40MC28314\u201301\u201300"],"award-info":[{"award-number":["R40MC28314\u201301\u201300"]}],"id":[{"id":"10.13039\/100007305","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Perspect Sexual Reproductive"],"published-print":{"date-parts":[[2017,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>CONTEXT<\/jats:title><jats:p>A woman's happiness about a pregnancy and birth has implications for her child's health and her own well\u2010being. Sexual orientation and, particularly, the extent of concordance across its dimensions (sexual identity, behavior and attraction) may be related to happiness about these events, but research on this relationship has been lacking.<\/jats:p><\/jats:sec><jats:sec><jats:title>METHODS<\/jats:title><jats:p>Data on 5,744 pregnancies ending in births among women aged 15\u201344 in three waves of the National Survey of Family Growth (2006\u20132015) were examined. Weighted linear regression models examined the relationship between sexual orientation concordance and women's happiness about a birth. Analyses also explored whether birth intention and male partnership characteristics mediated the relationship, and whether it varied by intention status.<\/jats:p><\/jats:sec><jats:sec><jats:title>RESULTS<\/jats:title><jats:p>Women who identified as heterosexual but reported same\u2010sex attraction or behavior (categorized as \u201cheterosexual\u2010identified discordant\u201d) were less happy about their births than were women who were exclusively heterosexual (or \u201cheterosexual\u2010identified concordant\u201d). The difference was more than half a point on a scale of 0\u201310 (coefficient, \u20130.7). This association was partially explained by the fact that births were less likely to be intended, and that relationships with male partners were less favorable for births, among discordant than among concordant women. Moreover, the happiness gap between concordant and discordant women was larger when births were unwanted (predicted score, 4.9 vs. 4.1) than when they were intended (9.3 vs. 9.1).<\/jats:p><\/jats:sec><jats:sec><jats:title>CONCLUSIONS<\/jats:title><jats:p>To help ensure optimal reproductive health care for all women, research should explore whether providers take into account all dimensions of individuals\u2019 sexual orientation.<\/jats:p><\/jats:sec>","DOI":"10.1363\/psrh.12043","type":"journal-article","created":{"date-parts":[[2017,11,9]],"date-time":"2017-11-09T16:06:39Z","timestamp":1510243599000},"page":"213-221","source":"Crossref","is-referenced-by-count":3,"title":["Sexual Orientation Concordance And (Un)Happiness About Births"],"prefix":"10.1363","volume":"49","author":[{"given":"Caroline Sten","family":"Hartnett","sequence":"first","affiliation":[{"name":"assistant professor, Department of 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