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Approximately three-quarters of lesbians whom taken care of immediately a mag study have experienced sexual activity with males, and almost two-thirds have experienced unprotected heterosexual sexual intercourse. One-sixth of participants have ever endured rectal intercourse by having a male partner, plus the exact same percentage have ever had a std (STD). Scientists analyzing the study outcomes explain that clinicians should know the requirement to take a complete sexual reputation for their lesbian clients, therefore possibilities to refer females for needed Pap smears or STD assessment will never be missed. 1
The data originate from reactions to a 186-item questionnaire that had been included being an insert into the March 1995 dilemma of The Advocate, a nationwide newsmagazine for homosexual, lesbian and bisexual both women and men. The test of 6,935 self-identified lesbians who returned the questionnaire taken care of immediately products asking about their experience that is sexual with and about their reputation for STD screening and diagnosis. Respondents had been additionally expected to present home elevators their social and demographic traits, including battle or ethnicity, age, annual earnings, academic attainment and populace measurements of their community. Scientists performed multivariate logistic regression analyses (with all the variables that proved significant in bivariate analyses) to find out which facets separately impacted ladies’ possibility of ever having had genital intercourse, of getting had sexual activity without having a condom as well as having had a male intimate partner within the past 12 months.
A lot of the ladies had been white (88%), had been aged 25-49 (85%) together with graduated from college (63%). Seventy percent reported a yearly earnings of more than $20,000, and 35% lived in metropolitan areas of greater than a million individuals.
Six per cent associated with the sample had had sex with a male partner when you look at the year that is past. Some 77% had ever endured a male intimate partner, and 71% had had penile-vaginal sexual intercourse; although the to begin these proportions diverse notably because of the respondent’s battle, age, education and community size, the second diverse significantly by all five traits under research. The proportion ever having had sex without having a condom–64%–also varied notably by each characteristic, with the exception of community size. One-sixth associated with ladies (17%) had ever endured intercourse that is anal and an equivalent percentage (16%) had ever done this with no condom; the percentage ever having had anal sex differed notably by the respondent’s age, education and community size, plus the proportion ever having had unprotected rectal intercourse diverse by these exact same three characteristics, plus earnings.
Overall, 17% regarding the test had had an STD; this proportion ended up being considerably higher among lesbians whom had ever endured intercourse that is heterosexual those types of that has not (21% vs. 7%). Likewise, the percentage screening positive for the STD had been considerably greater those types of that has had intercourse that is anal31%) than the type of without such experience (14%).
Even though the general percentage whom had ever endured an abnormal Pap smear was 17%, it rose to 20% among lesbians whom had ever had penile-vaginal sex and also to 26% those types of whom had ever endured rectal intercourse. Once more, the proportions had been somewhat reduced among lesbians that has maybe perhaps not took part in these tasks (10% and 16%, correspondingly).
Prices of HIV evaluating had been higher within the subgroups of lesbians that has experienced anal (63%) or genital (58%) intercourse compared to the general sample (53%). Nonetheless, those types of that has engaged in unprotected anal or vaginal intercourse, two-fifths had never ever 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 as likely as those more than 50 to have 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 those that made a lot 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 were additionally 1.4 times since likely as graduates of an expert college to have had a male intimate partner when you look at the year that is past.
Advocate visitors that has perhaps maybe not finished from university had been much more likely compared to those by having a postgraduate degree to have ever endured heterosexual intercourse (chances ratio, 1.5). Lesbians younger than 50 had been considerably less likely than older females to possess done so (0.4-0.7); respondents whom lived either in rural areas or perhaps in metropolitan areas of less than one million inhabitants additionally had a low probability of having had sex that is heterosexual0.8).
Among participants with a brief history of genital sex, women more youthful than 25 were considerably not as likely than those more than 50 to possess ever endured intercourse that is heterosexual a condom (chances ratio, 0.2); those aged 25-50 also had reduced probability of having had unprotected genital sexual sexual intercourse (0.5). Participants that has maybe maybe not finished from university had somewhat elevated likelihood of having had penile-vaginal intercourse without a condom (1.6). This analysis also took under consideration how many male lovers a lady had had, additionally the email address details are dramaticpared with participants that has had sex with only one man, those that had had 2-5 male lovers had been 2.3 times as most likely, and people that has had six or maybe more male partners had been 11.2 times as most likely, to have experienced unprotected sex that is penile-vaginal.
The scientists affirm that because the research would not utilize likelihood sampling, its generalizability to any or all U.S. Lesbians is bound. Just What is much more, they acknowledge that participants to intercourse surveys have a tendency to hold more liberal attitudes that are sexual be much more intimately active compared to those who choose never to react; this test of mag visitors had been additionally relatively affluent and well educated. Based on the researchers, nonetheless, the approach that is magazine-insert on previous efforts to see amounts of sexual intercourse among U.S. Lesbians, as it had been a broad-based media solicitation that reached a lot of lesbians in every 50 states.
The data reveal that significant proportions of lesbians have actually involved with sexual activity with males, which puts them at an increased risk for a selection of STDs as well as for cervical cancer tumors. Therefore, the researchers assert that when clinicians immediately assume that lesbians have experienced no contact that is sexual guys, these health care professionals might miss possibilities to provide appropriate advice or guidelines to clients inside their care. They conclude that “it is important for the clinician to understand an individual’s complete medical and history that is social including present and past sex, which will make appropriate choices about the provision of appropriate medical care. “–L. Remez
1. Diamant AL et al., Lesbians’ intimate history with guys: implications when planning on taking a history that is sexual Archives of Internal Medicine, 1999, 159(22): 2730-2736.