Approximately three-quarters of lesbians who taken care of immediately a magazine 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 anal sex by having a male partner, therefore the exact same percentage have ever endured a std (STD). Scientists analyzing the survey outcomes explain that clinicians should become aware of the necessity to simply just take a full sexual reputation for their lesbian patients, so possibilities to refer ladies for needed Pap smears or STD assessment will never be missed. 1
The data result from reactions up to a questionnaire that is 186-item was included being an insert into the March 1995 problem of The Advocate, a nationwide newsmagazine for homosexual, lesbian and bisexual both women and men. The test of 6,935 self-identified lesbians whom came back the questionnaire taken care of immediately items asking about their experience that is sexual with and about their reputation for STD testing and diagnosis. Respondents had been additionally expected to present info on their social and demographic traits, including competition or ethnicity, age, yearly earnings, educational attainment and populace size of their community. Scientists performed multivariate logistic regression analyses (because of the factors that proved significant in bivariate analyses) to ascertain which facets individually affected ladies’ probability of ever having had genital sex, of experiencing had sexual activity with no condom and of having possessed a male intimate partner within the year that is previous.
A lot of the ladies were white (88%), had been aged 25-49 (85%) together with finished from university (63%). 70 % reported a annual earnings of more than $20,000, and 35% lived in metropolitan areas of greater than a million individuals.
Six % for the sample had had sex with a male partner into the past year. Some 77% had ever endured a male partner that is sexual and 71% had had penile-vaginal sex; although the to begin these proportions varied notably by the respondent’s competition, age, training and community size, the second varied significantly by all five characteristics under research. The proportion ever having had sex with out a condom–64%–also varied notably by each characteristic, with the exception of community size. One-sixth associated with the females (17%) had ever endured rectal intercourse, and the same percentage (16%) had ever done this without having a condom; the percentage ever having had rectal intercourse differed considerably because of the respondent’s age, training and community size, therefore the proportion ever having had unprotected anal sex diverse by these same three traits, plus income.
Overall, 17% for the test had had an STD; this percentage had been somewhat greater among lesbians whom had ever endured intercourse that is heterosexual those types of that has perhaps perhaps not (21% vs. 7%). Likewise, the proportion evaluating positive for an STD ended up being considerably greater the type of that has had anal sex (31%) than those types of without such experience (14%).
As the general percentage who had ever endured an abnormal Pap smear had been 17%, it rose to 20% among lesbians who had ever endured penile-vaginal sex and also to 26% the type of whom had ever endured intercourse that is anal. Once more, the proportions had been dramatically reduced among lesbians that has perhaps perhaps not took part in these tasks (10% and 16%, correspondingly).
Prices of HIV assessment had been greater within the subgroups of lesbians that has experienced anal (63%) or genital (58%) sexual intercourse compared to the sample that is overall53%). Nonetheless, those types of that has involved in unprotected anal or genital intercourse, two-fifths had never ever had an HIV test.
When you look at the multivariate analyses, the factors that individually raised lesbians’ probability of having possessed a male sexual partner in the previous 12 months had been early age, low earnings, nonwhite competition rather than having finished from university. As an example, respondents more youthful than 25 had been 6.7 times because likely as those over the age of 50 to have experienced a male partner within the previous 12 months; lesbians with a yearly earnings of lower than $20,000 were 1.5 times since likely as people who made significantly more than $50,000 to possess done so; nonwhites had been 1.4 times since likely as whites to have experienced a recent male partner; and non-college graduates had been also 1.4 times because likely as graduates of an expert college to have experienced a male sexual partner into the year that is past.
Advocate visitors who’d perhaps maybe not graduated from university had been far more likely compared to those with a degree that is postgraduate have ever endured heterosexual sex (odds ratio, 1.5). Lesbians more youthful than 50 had been much less likely than older ladies to own done so (0.4-0.7); participants whom lived in a choice of rural areas or in towns of less than one million inhabitants additionally had a lowered probability of having had sex that is heterosexual0.8).
Among participants with a brief history of genital sexual intercourse, sexier. com females more youthful than 25 had been significantly more unlikely than those avove the age of 50 to possess ever endured heterosexual intercourse without a condom (chances ratio, 0.2); those aged 25-50 also had paid off likelihood of having had unprotected vaginal intercourse (0.5). Respondents that has not finished from university had somewhat elevated likelihood of having had intercourse that is penile-vaginal a condom (1.6). This analysis also took under consideration the sheer number of male partners a lady had had, plus the email address details are dramaticpared with participants that has had sex with just one guy, people who had had 2-5 male lovers had been 2.3 times as likely, and the ones that has had six or even more male lovers had been 11.2 times as likely, to have experienced unprotected sex that is penile-vaginal.
The scientists affirm that because the study would not make use of likelihood sampling, its generalizability to all or any U.S. Lesbians is bound. Just What is much more, they acknowledge that respondents to intercourse studies have a tendency to hold more liberal sexual attitudes and become more intimately active compared to those whom choose to not ever respond; this test of mag readers ended up being additionally fairly affluent and well educated. In accordance with the scientists, 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 expose that significant proportions of lesbians have actually involved with sexual intercourse with males, which puts them at an increased risk for a variety of STDs as well as cervical cancer tumors. Therefore, the scientists assert that when clinicians immediately assume that lesbians experienced no intimate connection with males, these medical researchers might miss possibilities to provide appropriate advice or tips to patients inside their care. They conclude that “it is very important for the clinician to understand an individual’s complete medical and history that is social including present and past sexual intercourse, in order to make appropriate decisions in connection with supply of appropriate medical care. “–L. Remez
1. Diamant AL et al., Lesbians’ intimate history with guys: implications when planning on taking a intimate history, Archives of Internal Medicine, 1999, 159(22): 2730-2736.