Factors influencing lesbian gynecologic care: A preliminary study

Johnson, Susan R.; Guenther, Susan M.; Laube, Douglas W.; Keettel, William C.

doi:10.1016/0002-9378(81)90252-0

Cited by 68 publications

(29 citation statements)

References 5 publications

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“…3,4,6,9,20 It is unclear whether the difference between this and earlier studies of patterns of sexual behavior is caused by sampling differences or demographic differences (women in the healthcare setting compared with women attending lesbian community events) or actual changes in the sexual practices of lesbians as the gay and lesbian liberation movement has developed.…”

Section: Original Researchmentioning

confidence: 80%

“…6,10,11,20 This is the first comparative study to evaluate the sex of current sexual partners and the sex of those in the participant's lifetime: 23% of the bisexual women and 3% of the lesbians reported having had sex with both men and women in the preceding 12 months. Surveys without control groups done in the late 1980s found that 8% (141 of 1,681) of lesbians who were surveyed in Michigan, most of whom were white, and 17% (101 of 605) of African American lesbians recruited nationally had had sex with men in the preceding 12 months.…”

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confidence: 99%

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Use of preventive health behaviors by lesbian, bisexual, and heterosexual women: questionnaire survey

Koh¹

2000

Western Journal of Medicine

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ⅷ Objectives To determine whether lesbians and bisexual women are less likely than heterosexual women to use preventive health measures. ⅷ Design Written, anonymous, self-administered questionnaire. ⅷ Setting 33 physicians' offices and community clinics mainly in urban areas of 13 states. ⅷ Participants 524 lesbians, 143 bisexual women, and 637 heterosexual women. ⅷ Results Bisexual women were less likely than heterosexual women to have had appropriate cholesterol screening (odds ratio 0.29, 95% confidence interval 0.11 to 0.73) or appropriate mammography (0.33, 0.13 to 0.84). Human immunodeficiency virus testing was more common in lesbians (2.38, 1.51 to 3.74) and bisexual women (1.99, 1.17 to 3.38) than in heterosexual women. Illicit drug use was higher in lesbians (2.04, 1.14 to 3.70) and bisexual women (1.96, 1.07 to 3.57) than in heterosexual women. Lesbians were more likely than heterosexual women to practice safer sex (2.60, 1.23 to 5.49) and less likely to have ever been infected with human papillomavirus (0.48, 0.25 to 0.89). ⅷ Conclusion There were important differences in the preventive health measures taken by lesbians and bisexual women and those taken by heterosexual women. All patients should receive standard health tests, such as cholesterol screening and mammography, regardless of their sexual orientation. Lesbians and bisexual women who report illicit drug use should receive counseling, as appropriate.

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Section: Original Researchmentioning

confidence: 80%

mentioning

confidence: 99%

Use of preventive health behaviors by lesbian, bisexual, and heterosexual women: questionnaire survey

Koh¹

2000

Western Journal of Medicine

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“…However, findings reviewed here were mixed regarding HCP gender, sexual orientation, and disclosure. Similarly, although just under one-half of the studies considered the significance of HCP sexual orientation, five studies in particular (Johnson, Guenther, Laube, & Keettel, 1981;Lehmann et al, 1998;Mathieson, 1998;Seaver, Freund, Wright, Tjia, & Frayne, 2008;White & Dull, 1998) suggested that other factors, such as HCP sensitivity toward lesbians, and ease of communication, were more important considerations for women before they chose a healthcare provider and/or disclosed. Although not discussed by Hitchcock and Wilson, HCP race was especially important for women of color in one of the studies reviewed (Stevens, 1994).…”

Section: Downloaded By [North Dakotamentioning

confidence: 94%

Under What Conditions do Lesbians Disclose Their Sexual Orientation to Primary Healthcare Providers? A Review of the Literature

Pierre

2012

Journal of Lesbian Studies

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Under what conditions do lesbians disclose their sexual orientation to primary healthcare providers? A review of the literature was undertaken to answer this question and to provide insight into the ways healthcare professionals can play an active role assisting their lesbian patients in "coming out." Thirty empirical studies met the inclusion criteria and were reviewed. Collectively, these separate studies have found that a myriad of internal (patient attributes) and external (healthcare context, patient-provider relationship) factors influence disclosure. The discussion highlights the critical role of healthcare professionals in supporting disclosure.

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“…7 Often marginalized and subjected to social stigma, 15 lesbians recruited in other settings may hesitate to disclose their sexual orientation to investigators. 12,16 Healthcare settings, which are usually an excellent site for research participant recruitment, may be less helpful for the recruitment of lesbians because healthcare providers typically are unaware of their patients' sexual orientations. 17 Thus, for various reasons, subgroups of lesbians may not enroll in studies recruiting from healthcare settings, potentially introducing bias.…”

Section: Introduction Lmentioning

confidence: 99%

Healthcare Preferences Among Lesbians: A Focus Group Analysis

Seaver

Freund

Wright

et al. 2008

Journal of Women's Health

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Objective: The healthcare needs of lesbians are not well understood. We sought to characterize lesbians' experiences with, and preferences for, women's healthcare.Methods: We conducted three age-stratified focus groups (18-29, 30-50, and Ͼ50 years) with a total of 22 participants using a semistructured interview guide to elicit lesbians' experiences and preferences. We analyzed transcripts of these audiotaped sessions using the constant comparative method of grounded theory. Community-dwelling women who self-identified as lesbian and responded to advertisements were selected on first-come basis.Results: Participants voiced experiences and preferences for healthcare that emerged into three themes: desired models of care, desired processes of care, and desired patient-provider relationship. Each theme was further developed into multiple subthemes. Within the subthemes we identified issues that were specific to lesbians and those that were general women's health issues. Participants preferred, but did not always receive, care that is comprehensive in scope, person centered, nondiscriminatory, and inclusive of them as lesbians.Conclusions: Healthcare providers, institutions, and society should adopt an inviting, personcentered approach toward lesbians seeking healthcare, assure them access to healthcare information, and establish healthcare delivery systems that take all aspects of health into account. 215

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Factors influencing lesbian gynecologic care: A preliminary study

Cited by 68 publications

References 5 publications

Use of preventive health behaviors by lesbian, bisexual, and heterosexual women: questionnaire survey

Use of preventive health behaviors by lesbian, bisexual, and heterosexual women: questionnaire survey

Under What Conditions do Lesbians Disclose Their Sexual Orientation to Primary Healthcare Providers? A Review of the Literature

Healthcare Preferences Among Lesbians: A Focus Group Analysis

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