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Perspectives on Sexual and Reproductive Health
A journal of peer-reviewed research
Approximately three-quarters of lesbians whom taken care of immediately a mag study have experienced sexual activity with guys, and almost two-thirds have experienced unprotected intercourse that is heterosexual. One-sixth of respondents have ever endured anal sex by having a male partner, in addition to exact exact same percentage have ever endured a std (STD). Researchers analyzing the study outcomes explain that clinicians should become aware of the necessity to simply simply take a complete intimate reputation for their lesbian clients, therefore possibilities to refer ladies for needed Pap smears or STD testing will never be missed. 1
The data originate from responses to a 186-item questionnaire that had been included as an insert within the March 1995 dilemma of The Advocate, a national newsmagazine for homosexual, lesbian and bisexual women and men. The test of 6,935 self-identified lesbians whom came back the questionnaire taken care of immediately things asking about their intimate knowledge about males and about their reputation for STD screening and diagnosis. Respondents were additionally asked to offer all about their social and demographic faculties, including battle or ethnicity, age, annual earnings, academic attainment and populace size of their community. Researchers performed multivariate logistic regression analyses (because of the factors that proved significant in bivariate analyses) to ascertain which facets individually impacted ladies’ probability of ever having had genital sex, of experiencing had sexual activity with out a condom as well as having had a male intimate partner when you look at the previous 12 months.
Most of the females had been white (88%), were aged 25-49 (85%) and had finished from university (63%). 70 % reported an income that is annual of than $20,000, and 35% lived in metropolitan areas greater than a million individuals.
Six per cent associated with sample had had sex with a male partner into the previous 12 months. Some 77% had ever endured a male partner that is sexual and 71% had had penile-vaginal sexual intercourse; although the to begin these proportions varied notably because of the respondent’s race, age, training and community size, the second diverse significantly by all five traits under research. The proportion ever having had intercourse with no condom–64%–also varied dramatically by each characteristic, with the exception of community size. One-sixth of this ladies (17%) had ever endured anal sex, and the same percentage (16%) had ever done this with out a condom; the proportion ever having had rectal intercourse differed significantly because of the respondent’s age, training and community size, plus the percentage ever having had unprotected rectal intercourse varied by these exact same three characteristics, plus earnings.
Overall, 17% for the test had had an STD; this percentage ended up being somewhat greater among lesbians whom had ever endured heterosexual sexual intercourse than the type of that has perhaps perhaps not (21% vs. 7%). Likewise, the percentage screening positive for the STD ended up being considerably greater the type of that has had rectal intercourse (31%) than those types of without such experience (14%).
Even though the general percentage whom had ever endured an abnormal Pap smear ended up being 17%, it rose to 20% among lesbians who had ever endured penile-vaginal sexual intercourse also to 26% those types of whom had ever endured rectal intercourse. Once again, the proportions were somewhat reduced among lesbians that has perhaps perhaps not took part in these tasks (10% and 16%, correspondingly).
Prices of HIV assessment had been greater within the subgroups of lesbians that has experienced anal (63%) or genital (58%) sexual intercourse compared to the sample that is overall53%). However, the type of who had involved with unprotected anal or sex that is vaginal two-fifths had never ever had an HIV test.
When you look at the multivariate analyses, the factors that separately raised lesbians’ possibility of having possessed a male intimate partner in the previous year had been early age, low income, nonwhite competition and never having finished from university. For instance, participants younger than 25 had been 6.7 times because likely as those over the age of 50 to have experienced a male partner in past times 12 months; lesbians with a yearly earnings of not as much as $20,000 were 1.5 times because likely as those sexier.com that made significantly more than $50,000 to own done this; nonwhites had been 1.4 times because likely as whites to have experienced a recent male partner; and non-college graduates had been additionally 1.4 times since likely as graduates of an expert college to have experienced a male intimate partner when you look at the year that is past.
Advocate readers who’d maybe not finished from university had been a lot more likely compared to those by having a degree that is postgraduate have ever endured heterosexual sex (chances ratio, 1.5). Lesbians more youthful than 50 had been considerably less likely than older females to have done so (0.4-0.7); participants whom lived in a choice of rural areas or perhaps in cities of less than one million inhabitants additionally had a diminished probability of having had heterosexual intercourse (0.8).
Among respondents with a brief history of genital sex, ladies more youthful than 25 had been significantly not as likely than those avove the age of 50 to possess ever endured intercourse that is heterosexual a condom (chances ratio, 0.2); those aged 25-50 additionally had paid down probability of having had unprotected genital sexual intercourse (0.5). Participants who had maybe not finished from university had slightly elevated likelihood of having had penile-vaginal sex without a condom (1.6). This analysis additionally took under consideration the sheer number of male lovers a lady had had, in addition to answers are dramaticpared with participants that has had sex with only 1 guy, those who had had 2-5 male lovers had been 2.3 times as most most likely, and the ones that has had six or even more male lovers had been 11.2 times as most likely, to have experienced unprotected penile-vaginal sex.
The scientists affirm that because the research would not use likelihood sampling, its generalizability to any or all U.S. Lesbians is bound. Just What is more, they acknowledge that respondents to intercourse studies tend to hold more liberal intimate attitudes and be much more intimately active compared to those who choose not to ever react; this test of mag readers has also been reasonably affluent and well educated. Based on the researchers, but, the approach that is magazine-insert on previous efforts to determine degrees of intercourse among U.S. Lesbians, as it ended up being a broad-based media solicitation that reached a lot of lesbians in every 50 states.
The data expose that substantial proportions of lesbians have involved with sexual intercourse with guys, which puts them at an increased risk for a variety of STDs as well as for cervical cancer tumors. Therefore, the scientists assert that when clinicians immediately assume that lesbians have experienced no contact that is sexual males, these health care professionals might miss possibilities to provide appropriate advice or suggestions to patients within their care. They conclude that “it is very important for the clinician to learn a client’s complete medical and social history, including current and past sexual intercourse, to help make appropriate decisions concerning the supply of appropriate medical care. “–L. Remez
1. Diamant AL et al., Lesbians’ intimate history with males: implications to take a history that is sexual Archives of Internal Medicine, 1999, 159(22): 2730-2736.