Risk Factors for Ovarian Cancer: Lesbian and Heterosexual Women

Dibble, Suzanne L.; Roberts, Stephanie; Robertson, Patricia A.; Paul, Steven M.

doi:10.1188/02.onf.e1-e7

Cited by 62 publications

(52 citation statements)

References 20 publications

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“…However, researchers are increasingly recognizing that breast cancer affects all women, regardless of sexual orientation or marital or partnership status. Compared to heterosexual women, sexual minority women, defined as self-identified lesbian and bisexual women and those who prefer female partners [16], may have greater breast cancer risk factors [17][18][19][20][21][22][23][24][25][26][27][28][29][30][31], incidence [32], and mortality [33]. Thus, the exclusive focus of most breast cancer survivorship and caregiving research on heterosexual women and dyads carries important implications for the generalizability and translational utility of research findings.…”

Section: Discussionmentioning

confidence: 99%

Recruitment of breast cancer survivors and their caregivers: implications for dyad research and practice

Bazzi

Clark

Winter

et al. 2016

Translational Behavioral Medicine

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Breast cancer survivors' informal caregivers experience adverse health outcomes and could benefit from interventions. Studies of caregivers' participation in research, to date, have assumed heterosexuality. The aim of this study is to identify factors associated with caregiver participation among survivors with diversity in sexual orientation. We recruited breast cancer survivors into a telephone survey and asked them to invite a caregiver. Logistic regression identified factors associated with caregivers' participation. Among 297 survivors, 12 (4 %) had no caregivers, 82 (28 %) refused to provide caregiver information, 203 (68 %) provided caregiver contact, and 167 (56 %) had caregivers participate. Caregiver participation was more likely among sexual minority than heterosexual survivors (aOR: 1.89; 95 % CI: 1.08, 3.32), dyads with higher cohesion, and among caregivers who were partners. Caregiver participation was less likely among survivors with lower education and higher comorbidity. Findings provide insight into recruitment of diverse dyads into cancer survivorship research that will ultimately inform intervention design.

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Section: Discussionmentioning

confidence: 99%

Recruitment of breast cancer survivors and their caregivers: implications for dyad research and practice

Bazzi

Clark

Winter

et al. 2016

Translational Behavioral Medicine

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“…These include increased tobacco and alcohol use,2, 3 higher body mass index (BMI),4, 5, 6 and reduced uptake of cervical cytology screening 7, 8, 9. Lesbians are also said to have fewer reproductive behaviours that are associated with protection from various reproductive system cancers than heterosexual women, including use of oral contraceptives, childbirth and breastfeeding 10, 11. Furthermore, there is a theory that lesbians have higher levels of testosterone, which could contribute to higher rates of polycystic ovary syndrome (PCOS) 12, 13, 14.…”

Section: Introductionmentioning

confidence: 99%

Lesbian and bisexual women's gynaecological conditions: a systematic review and exploratory meta‐analysis

Robinson

Galloway

Bewley

et al. 2016

BJOG

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BackgroundLittle is known about the gynaecological health of lesbian and bisexual (LB) women.ObjectivesTo examine differences in incidence and/or prevalence of gynaecological conditions in LB compared with heterosexual women.Search strategyThe systematic review protocol was prospectively registered (PROSPERO‐CRD42015027091) and searches conducted in seven databases.Selection criteriaComparative studies published 2000–2015, reporting any benign (non‐infectious) and/or malignant gynaecological conditions with no language or setting restrictions.Data collection and analysisInclusions, data extraction and quality assessment were conducted in duplicate. Meta‐analyses of condition prevalence rates were conducted where ≥3 studies reported results.Main resultsFrom 567 records, 47 full papers were examined and 11 studies of mixed designs included. No studies directly addressing the question were found. Two chronic pelvic pain studies reported higher rates in bisexual compared with heterosexual women (38.5 versus 28.2% and 18.6 versus 6.4%). Meta‐analyses showed no statistically significant differences in polycystic ovarian syndrome, endometriosis and fibroids. There was a higher rate of cervical cancer in bisexual than heterosexual women [odds ratio (OR) = 1.94; 95% CI 1.46–2.59] but no difference overall (OR = 0.76; 95% CI 0.15–3.92). There was a lower rate of uterine cancer in lesbian than heterosexual women (OR = 0.28; 95% CI 0.11–0.73) and overall (OR = 0.36; 95% CI 0.13–0.97), but no difference in bisexual women (OR = 0.43; 95% CI 0.06–3.07).ConclusionsMore bisexual women may experience chronic pelvic pain and cervical cancer than heterosexual women. There is no information on potential confounders. Better evidence is required, preferably monitoring sexual orientation in research using the existing validated measure and fully reporting results.Tweetable abstractLesbians have less uterine cancer than heterosexual women; bisexuals have more pelvic pain and cervical cancer.

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“…[4][5][6][7][8] The reasons for lesbians' overweight and obesity have not been thoroughly explored. 9 Studies suggest that differences in obesity rates by sexual orientation may be because of the variance in social, behavioral, and cultural norms by sexual orientation groups.…”

Section: Methods Datamentioning

confidence: 99%

Overweight and Obesity in Sexual-Minority Women: Evidence From Population-Based Data

2007

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Objective. We sought to determine whether lesbians have higher rates of overweight and obesity than women of other sexual orientations.Methods. We compared population estimates of overweight and obesity across sexual orientation groups, using data from the 2002 National Survey of Family Growth.Results. Adjusted multinomial logistic regression analyses showed lesbians have more than twice the odds of overweight (odds ratio [OR] = 2.69; 95% confidence interval [CI] = 1.40, 5.18) and obesity (OR = 2.47; 95% CI = 1.19, 5.09) as heterosexual women. Bisexuals and women who reported their sexual orientation as "something else" (besides heterosexual, lesbian, or bisexual) showed no such increase in the odds of overweight and obesity.Conclusions. Lesbian women have a higher prevalence of overweight and obesity than all other female sexual orientation groups. This finding suggests that lesbians are at greater risk for morbidity and mortality linked to overweight and obesity. This finding also highlights the need for interventions within this popu- For women in the US general population, the correlates of obesity are increasing age, low education, or low economic status. 2,19-21Black and Hispanic women have higher rates of overweight and obesity than do White women.2,22-24 Among White, Black, and Hispanic women, childbearing has been linked to weight gain. [25][26][27][28][29] Nativity has also been identified as a correlate of excess body fat: immigrants tend to have a lower BMI; however, this health advantage disappears as the length of residence in the United States increases. 30-36Existing treatments and interventions focus on reducing energy intake by changing nutritional habits and increasing physical activity. 37Because obesity is particularly prevalent in Black and Hispanic women, several interventions have targeted these specific groups. [38][39][40] By comparison, there are no interventions that target sexual-minority women. Whether a need for interventions that specifically target sexual-minority women exists depends on the confirmation that lesbians have a higher prevalence of overweight and obesity compared with other sexual orientation groups.We used population-based data to test the hypothesis that lesbians have higher rates of overweight and obesity compared with

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Risk Factors for Ovarian Cancer: Lesbian and Heterosexual Women

Abstract: Differences in risk levels may exist for lesbians; therefore, healthcare providers must become comfortable asking questions about sexual orientation and behavior.

Cited by 62 publications

References 20 publications

Recruitment of breast cancer survivors and their caregivers: implications for dyad research and practice

Recruitment of breast cancer survivors and their caregivers: implications for dyad research and practice

Lesbian and bisexual women's gynaecological conditions: a systematic review and exploratory meta‐analysis

Overweight and Obesity in Sexual-Minority Women: Evidence From Population-Based Data

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