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Approximately three-quarters of lesbians whom responded to a mag study have experienced sexual activity with males, and almost two-thirds have experienced unprotected intercourse that is heterosexual. One-sixth of participants have ever endured rectal intercourse with a male partner, therefore the same percentage have ever endured a sexually transmitted disease (STD). Scientists analyzing the study outcomes mention that clinicians should become aware of the requirement to simply simply take a complete history that is sexual of lesbian clients, therefore possibilities to refer ladies for needed Pap smears or STD assessment will never be missed. 1
The data originate from reactions 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 homosexual, lesbian and bisexual gents and ladies. The test of 6,935 self-identified lesbians whom came back the questionnaire taken care of immediately things asking about their experience that is sexual with and about their reputation for STD evaluating and diagnosis. Participants were additionally expected to offer info on their social and demographic characteristics, including battle or ethnicity, age, yearly income, educational attainment and populace size 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 affected ladies’ probability of ever having had vaginal sex, of getting had sexual activity with out a condom and of having possessed a male intimate partner when you look at the past year.
Most of the ladies were white (88%), were aged 25-49 (85%) together with graduated from university (63%). 70 % reported a yearly earnings of more than $20,000, and 35% lived in metropolitan areas in excess of a million individuals.
Six per cent associated with sample had had sex with a male partner into the year that is past. Some 77% had ever endured a male partner that is sexual and 71% had had penile-vaginal intercourse; although the to begin these proportions diverse notably by the respondent’s battle, age, education and community size, the second diverse significantly by all five traits under research. The percentage ever having had sex without having a condom–64%–also varied dramatically by each characteristic, with the exception of community size. One-sixth associated with females (17%) had ever endured intercourse that is anal and an identical proportion (16%) had ever done this with no condom; the percentage ever having had rectal intercourse differed notably by the respondent’s age, training and community size, in addition to percentage ever having had unprotected anal sex diverse by these exact same three faculties, plus earnings.
Overall, 17% associated with the sample had had an STD; this percentage had been considerably greater among lesbians whom had ever endured heterosexual sex than those types of who had maybe perhaps not (21% vs. 7%). Likewise, the percentage evaluating positive for the STD was significantly greater those types of that has had rectal intercourse (31%) than the type of without such experience (14%).
As the general percentage who had ever endured an abnormal Pap smear ended up being 17%, it rose to 20% among lesbians whom had ever endured penile-vaginal sex and also to 26% those types of whom had ever endured anal sex. Once more, the proportions were considerably reduced among lesbians that has perhaps not took part in these tasks (10% and 16%, correspondingly).
Prices of HIV assessment had been higher within the subgroups of lesbians that has experienced anal (63%) or genital (58%) sex compared to the general test (53%). However, the type of who’d involved with 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 younger than 25 had been 6.7 times since likely as those over the age of 50 to have experienced a male partner in past times 12 months; lesbians with an annual earnings of significantly less than $20,000 were 1.5 times because likely as those that made a lot more than $50,000 to own 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 because likely as graduates of a specialist college to have experienced a male intimate partner when you look at the year that is past.
Advocate readers that has perhaps not finished from university had been much more likely than those having a degree that is postgraduate have ever endured heterosexual sex (chances ratio, 1.5). Lesbians more youthful than 50 had been notably less likely than older ladies to own done so (0.4-0.7); respondents who lived in a choice of rural areas or perhaps in towns of less than one million inhabitants also had a lower life expectancy odds of having had heterosexual sex (0.8).
Among participants with a brief history of genital sex, ladies more youthful than 25 had been significantly not as likely than those more than 50 to have ever had heterosexual sex without a condom (chances ratio, 0.2); those aged 25-50 additionally had paid down probability of having had unprotected genital sexual sexual intercourse (0.5). Participants who’d maybe not finished from university had somewhat elevated likelihood of having had intercourse that is penile-vaginal a condom (1.6). This analysis additionally took into consideration the sheer number of male lovers a lady had had, and also the email address details are dramaticpared with participants that has had sex with just one guy, people who had had 2-5 male partners were 2.3 times as most most likely, and the ones that has had six or maybe more male lovers were 11.2 times as most likely, to have experienced unprotected penile-vaginal intercourse.
The scientists affirm that because the research failed to utilize likelihood sampling, its generalizability to all or any U.S. Lesbians is bound. Just What is more, they acknowledge that participants to intercourse studies have a tendency to hold more liberal intimate attitudes and be much more intimately active compared to those whom choose to not ever react; this test of mag readers has also been reasonably affluent and well educated. In accordance with the scientists, nonetheless, the magazine-insert approach enhanced on previous efforts to see quantities of intercourse among U.S. Lesbians, because it had been a broad-based media solicitation that reached a lot of lesbians in every 50 states.
The data expose that substantial proportions of lesbians have actually involved with sexual intercourse with males, 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 intimate experience of guys, these medical researchers might miss possibilities to provide appropriate advice or tips to clients within their care. They conclude that « it is very important for the clinician to learn an individual’s complete medical and social history, including present and previous sexual intercourse, to produce appropriate choices about the supply of appropriate medical care. « –L. Remez
1. Diamant AL et al., Lesbians’ intimate history with males: implications when planning sexiere on taking a intimate history, Archives of Internal Medicine, 1999, 159(22): 2730-2736.