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Views on Sexual and Reproductive Wellness
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Approximately three-quarters of lesbians whom taken care of immediately a mag study have experienced sexual intercourse with men, and nearly two-thirds have experienced unprotected intercourse that is heterosexual. One-sixth of participants have ever endured anal sex with a male partner, therefore the exact exact same proportion have ever had a sexually transmitted disease (STD). Scientists analyzing the survey results mention that clinicians should know the requirement to just take the full history that is sexual of lesbian clients, therefore possibilities to refer females for needed Pap smears or STD assessment will never be missed. 1
The data originate from reactions up to a 186-item questionnaire that ended up being included as an insert when you look at the March 1995 problem of The Advocate, a nationwide newsmagazine for gay, lesbian and bisexual both women and men. The sample of 6,935 self-identified lesbians whom came back the questionnaire taken care of immediately products asking about their intimate knowledge about guys and about their reputation for STD assessment and diagnosis. Respondents had been additionally asked to give informative data on their social and demographic faculties, including battle or ethnicity, age, annual earnings, academic attainment and population measurements of their community. Researchers performed multivariate logistic regression analyses (because of the variables that proved significant in bivariate analyses) to find out which facets individually impacted women’s possibility of ever having had genital sex, of experiencing had sexual intercourse without having a condom and of having possessed a male sexual partner when you look at the past 12 months.
Most of the ladies were white (88%), were aged 25-49 (85%) along with finished from university (63%). 70 % reported a yearly earnings of more than $20,000, and 35% lived in metropolitan areas greater than a million individuals.
Six % associated with the 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; even though the to begin these proportions varied notably because of the respondent’s competition, age, education and community size, the second diverse significantly by all five characteristics under research. The percentage ever having had intercourse without having a condom–64%–also varied somewhat by each characteristic, with the exception of community size. One-sixth for the ladies (17%) had ever endured rectal intercourse, and an identical proportion (16%) had ever done this with no condom; the percentage ever having had anal sex differed dramatically because of the respondent’s age, training and community size, adult live video chat additionally the proportion ever having had unprotected rectal intercourse diverse by these exact same three faculties, plus earnings.
Overall, 17% of this sample had had an STD; this percentage had been considerably greater among lesbians whom had ever endured intercourse that is heterosexual those types of that has maybe perhaps not (21% vs. 7%). Similarly, the percentage evaluating positive for an STD had been considerably greater those types of that has had intercourse that is anal31%) than the type of without such experience (14%).
Whilst the general percentage who had ever endured an abnormal Pap smear had been 17%, it rose to 20% among lesbians who had ever endured penile-vaginal sex and also to 26% the type of who had ever endured intercourse that is anal. Once more, the proportions were dramatically reduced among lesbians that has perhaps perhaps not took part in these tasks (10% and 16%, respectively).
Prices of HIV evaluation were greater within the subgroups of lesbians that has experienced anal (63%) or vaginal (58%) sexual intercourse compared to the general test (53%). However, the type of that has engaged in unprotected anal or sex that is vaginal two-fifths had never really had an HIV test.
The variables that independently raised lesbians’ likelihood of having had a male sexual partner within the past year were young age, low income, nonwhite race and not having graduated from college in the multivariate analyses. As an example, participants more youthful than 25 had been 6.7 times because likely as those avove the age of 50 to experienced a male partner in past times 12 months; lesbians with a yearly earnings of lower than $20,000 had been 1.5 times since likely as people who made significantly more than $50,000 to possess done this; nonwhites had been 1.4 times since 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 a specialist college to have experienced a male sexual partner into the previous year.
Advocate visitors that has perhaps not graduated from university had been a lot more likely compared to those having a postgraduate level to have ever had heterosexual sex (chances ratio, 1.5). Lesbians more youthful than 50 had been notably less likely than older females to possess done so (0.4-0.7); participants whom lived in a choice of rural areas or in towns of less than one million inhabitants also had a low probability of having had heterosexual intercourse (0.8).
Among participants with a brief history of genital sexual intercourse, ladies more youthful than 25 had been considerably not as likely than those more than 50 to have ever endured intercourse that is heterosexual a condom (chances ratio, 0.2); those aged 25-50 additionally had paid down likelihood of having had unprotected vaginal sexual intercourse (0.5). Participants that has perhaps maybe not graduated from university had somewhat elevated likelihood of having had penile-vaginal sex without a condom (1.6). This analysis additionally took under consideration how many male lovers a female had had, together with answers are dramaticpared with respondents that has had sex with just one guy, people who had had 2-5 male lovers were 2.3 times as most likely, and people who had had six or maybe more male lovers had been 11.2 times as most most likely, to have experienced unprotected penile-vaginal intercourse.
The scientists affirm that because the scholarly research would not make use of likelihood sampling, its generalizability to all or any U.S. Lesbians is bound. Just just What is much more, they acknowledge that respondents to intercourse studies have a tendency to hold more liberal attitudes that are sexual be much more intimately active than those who choose to not respond; this test of magazine visitors has also been fairly affluent and well educated. In line with the scientists, but, the approach that is magazine-insert on previous efforts to determine quantities of sexual intercourse among U.S. Lesbians, as it had been a broad-based media solicitation that reached a lot of lesbians in most 50 states.
The data reveal that significant proportions of lesbians have involved with intercourse with guys, which puts them in danger for a selection of STDs as well as for cervical cancer. Consequently, the scientists assert that when clinicians immediately assume that lesbians have experienced no contact that is sexual guys, these health care professionals might miss possibilities to give appropriate advice or tips to patients inside their care. They conclude that “it is very important for the clinician to understand an individual’s complete medical and social history, including present and previous sexual intercourse, to produce appropriate choices in connection with provision of appropriate medical care. “–L. Remez
1. Diamant AL et al., Lesbians’ sexual history with guys: implications to take a intimate history, Archives of Internal Medicine, 1999, 159(22): 2730-2736.