Transgender Youth’s Perspectives on Factors Influencing Intended and Unintended Pregnancies

A. J. Lowik, Shams M.F. Al-Anzi, Anurada Amarasekera, Ace Chan, Monica Rana, Allison Salter, Ronita Nath, Michele L. Ybarra, Elizabeth M. Saewyc

Research output: Contribution to journalArticlepeer-review

Abstract

Drawing on data from focus groups with 152 trans youth aged 14 to 18 years in the United States, this article explores the factors that the participants understood as contributing to adolescent pregnancy among trans youth. Youth posited that unintended pregnancies occur due to barriers to contraceptives; a lack of gender-affirming sexual health education; sexual assault and dating violence; and mental health–influenced sexual risk-taking. Participants suggested that intended pregnancies may be a self-development strategy; a self-directed effort to repress/change gender modality or identity; and due to the perceived incompatibility between pregnancy and transition, where pregnancy must occur prior to transitioning.

Original languageEnglish (US)
Pages (from-to)572-590
Number of pages19
JournalWomen's Reproductive Health
Volume10
Issue number4
DOIs
StatePublished - 2023
Externally publishedYes

Keywords

  • Transgender
  • focus groups
  • pregnancy
  • youth

ASJC Scopus subject areas

  • Reproductive Medicine
  • Obstetrics and Gynecology
  • Maternity and Midwifery

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