Papanicolaou Test Screening and Prevalence of Genital Human Papillomavirus Among Women Who Have Sex With Women

Marrazzo, JM; La, Koutsky; Kiviat, NB; Kuypers, J.M.; Stine, Kathleen

doi:10.1046/j.1526-0976.2002.61012_2.x

Cited by 53 publications

(94 citation statements)

References 16 publications

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“…. 9–11 15 Our HPV prevalence (6%) was lower than reported rates (13%) based on HPV DNA testing in US studies with WSW 14. This difference in self-reported versus DNA tested HPV prevalence highlights the possibility of low HPV testing rates among WSW in Toronto.…”

Section: Discussionmentioning

confidence: 61%

Correlates of a lifetime history of sexually transmitted infections among women who have sex with women in Toronto, Canada: results from a cross-sectional internet-based survey

2014

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This research is among the first to examine intrapersonal, interpersonal and structural factors correlated with an STI history among WSW. Findings highlight the importance of STI prevention strategies for WSW to be tailored to sexual identity, with particular attention to bisexual women's needs. Interventions should connect to sexual healthcare, address sexual stigma and train HCP to better meet the needs of WSW.

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Section: Discussionmentioning

confidence: 61%

Correlates of a lifetime history of sexually transmitted infections among women who have sex with women in Toronto, Canada: results from a cross-sectional internet-based survey

2014

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“…Case studies and clinic based surveys indicate that woman to woman transmission of infection is possible for trichomoniasis, 24 genital herpes, 25 vulval and cervical human papillomavirus, 26 hepatitis A, 27 syphilis, 28 and HIV, 29 as well as bacterial vaginosis. 30 Woman to woman transmission of chlamydia or gonorrhoea has not been documented.…”

Section: Discussion Of Resultsmentioning

confidence: 99%

Sexual behaviour of lesbians and bisexual women

Bailey

2003

Sexually Transmitted Infections

110

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Objectives: To provide data about the sexual histories of a large sample of lesbians and bisexual women, to inform those who provide health care or carry out research with women who may be sexually active with other women. Design: Cross sectional survey. Setting/subjects: 803 lesbians and bisexual women attending, as new patients, lesbian sexual health clinics, and 415 lesbians and bisexual women from a community sample. Main outcome measures: Self reported sexual history and sexual practice with both male and female partners. Results: 98% of the whole sample gave a history of sexual activity with women, 83% within the past year, with a median of one female partner in that year. 85% of the sample reported sexual activity with men; for most (70%) this was 4 or more years ago. First sexual experience tended to be with a man (median 18 years old), with first sexual experience with a woman a few years later (median 21 years). Oral sex, vaginal penetration with fingers, and mutual masturbation were the most commonly reported sexual practices between women. Vaginal penetration with penis or fingers and mutual masturbation were the most commonly reported sexual activities with men. Conclusions: These data from the largest UK survey of sexual behaviour between women to date demonstrate that lesbians and bisexual women may have varied sexual histories with both male and female partners. A non-judgmental manner and careful sexual history taking without making assumptions should help clinicians to avoid misunderstandings, and to offer appropriate sexual health advice to lesbians and bisexual women.

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“…This study adds to the growing body of literature on STIs among WSWM,1–3 6 8 10 26 with innovations in terms of both non-clinical sampling and self-collected specimens for STI testing. The majority of participants in the present study opted to provide oral and vaginal samples, a finding consistent with previous research suggesting that WSWM are motivated to seek preventative care 10.…”

Section: Discussionmentioning

confidence: 98%

“…Mercer and colleagues found that women with both male and female partners were nearly five times more likely than women with exclusively male or female partners to report an STI diagnosis within the past 5 years 4. Other studies with biomarkers show findings similar to those relying on self-reported STI diagnosis with a higher percentage of WSWM testing positive for chlamydia,6 7 gonorrhoeae,6 7 trichomoniasis7 and HPV8 than their counterparts. Taken together, these findings suggest that prevalence rates of STIs among WSWM are higher than those found in populations of WSM or WSW.…”

mentioning

confidence: 96%

A mixed methods approach to assess the likelihood of testing for STI using self-collected samples among behaviourally bisexual women

et al. 2015

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2015). A mixed methods approach to assess the likelihood of testing for STI using self-collected samples among behaviourally bisexual women. AbstractObjectives: Behaviourally bisexual women (women who have sex with women and men (WSWM)) are more likely to report a history of sexually transmitted infections (STI) than women who have sex exclusively with men or exclusively with women. Barriers to care may prohibit WSWM from seeking STI testing. The present study investigated participant willingness to self-collect oral, vaginal and anal samples for STI testing.Methods: Eighty WSWM were recruited from two midwestern locations. After completing an online questionnaire, a subset of the participants were interviewed (n=54) and provided the option to self-collect oral, vaginal and/or anal samples to screen for Chlamydia trachomatis, Neisseria gonorrhoeae and Trichomonas vaginalis.Results: Over two-thirds (67.5%, n=54) of the participants completed the baseline scheduled and attended the interview. The majority of these participants provided vaginal (87.0%, n=47), oral (85.2%, n=46) and/or anal (61.1%, n=33) samples. Participants with a history of anal play were significantly more likely to provide an anal sample. C. trachomatis infection was identified in the samples of 6.8% (n=3) of the participants including 4.5% (n=2) of the vaginal samples and 3.3% (n=1) of the anal samples. None of the samples were positive for N. gonorrhoeae or T. vaginalis. Participants who reported a recent history of anal sexual behaviour with a male partner were significantly more likely to self-collect an anal sample.Conclusions: Given the comparatively high STI rates among WSWM, self-sampling in non-traditional settings may present a unique opportunity to provide needed care to this underserved population of women. and, therefore, willing to collect and provide samples for STI testing. In order to explore this theory, we assessed the relationship between self-sampling uptake and history of sexual behaviour. Methods Participant recruitment and data collectionWomen living within driving distance of two metropolitan areas in midwestern USA were recruited during a period of approximately 6 months beginning in June 2012 to participate in the Women in Indiana: Sexual Health and Experience Study (WISHES). The two locations were within driving distance of one another and included one midsized city of over 75 000 residents (Bloomington, Indiana, USA) and one larger city of over 750 000 (Indianapolis, Indiana, USA).22 Participants were recruited via paper-based flyers (20.0%, n=16) and web-based postings (43.8%, n=35) in LGBT-friendly spaces, LISTSERVS/websites targeting women of diverse sexual backgrounds, and spaces unrelated to sex/sexuality (eg, bus stops, university online classified advertisements). Participants were also encouraged to refer other individuals who met the eligibility criteria into the study (18.8%, n=15). 4Cisgender women (individuals born female and living as a woman) aged 18 years or over, who reported genital contact with a...

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Papanicolaou Test Screening and Prevalence of Genital Human Papillomavirus Among Women Who Have Sex With Women

Cited by 53 publications

References 16 publications

Correlates of a lifetime history of sexually transmitted infections among women who have sex with women in Toronto, Canada: results from a cross-sectional internet-based survey

Correlates of a lifetime history of sexually transmitted infections among women who have sex with women in Toronto, Canada: results from a cross-sectional internet-based survey

Sexual behaviour of lesbians and bisexual women

A mixed methods approach to assess the likelihood of testing for STI using self-collected samples among behaviourally bisexual women

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