LondonвЂ™s two lesbian health that is sexual had been founded by a health care provider employed in genitourinary solutions who’d seen that lesbians and bisexual females are not well served by current solutions. The clinic that is first the Sandra Bernhard, ended up being created in 1992 at Charing Cross Hospital in west London. 3 The interest in appointments only at that hospital resulted in the opening of an extra in 1993, the Audre Lorde in the Royal London Hospital in eastern London. These clinics had been occur genitourinary divisions with feminine staff, providing health that is sexual to lesbians and bisexual ladies.
We current study information from all of these two clinics along with from lesbian and bisexual womenвЂ™s community teams and snowball connections throughout the great britain. This step-by-step information on the sexual records and methods of more than 1000 lesbians and bisexual females is supposed to see people who offer medical care or carry down research with ladies who can be intimately active with other ladies.
Into the duration 1992вЂ“5 a numbered questionnaire for self conclusion had been provided to brand new patients attending either the Bernhard or even the Audre Lorde lesbian intimate wellness clinics in London (clinic sample n=803). Aside from the hospital test, a residential district test had been purposively chosen 12 to add people who had been diverse when it comes to geography, battle, course, and impairment. Groups or organisations had been identified through listings when you look at the lesbian and press that is gay respondents had been recruited from across England and Scotland by dispersing a questionnaire after focus team sessions concerning basic or intimate health insurance and at conferences (n=415). 3 A snowballing technique 12 ended up being used to disseminate further questionnaires to contacts associated with the focus team attenders.
All feminine respondents who reported previous or present activity that is sexual ladies had been included along with ladies who provided no reputation for exact exact same intercourse intercourse, but who defined their intimate orientation as lesbian, bisexual, homosexual, dyke, khush, or zami. Those that described by themselves as heterosexual, without any past history of intercourse with ladies, had been excluded through the research.
The questionnaire collected demographic information, intimate history with both women and men, and intimate practice with feminine partners. In addition, all of the community test had been expected questions regarding intimate training with males and safer intercourse (n=328).
Information were entered as a analytical analysis package ( spss variation 10) and analysed utilizing easy proportions, correlation coefficients, and П‡ 2 tests of importance.
Precise reaction prices are as yet not known; questionnaires had been wanted to more or less 1000 brand brand brand new attenders towards the two London intimate wellness clinics; 803 center reactions had been gotten and analysed. In every, 1136 questionnaires had been given to community teams (a number of which might n’t have been distributed); 415 of those were analysed and received.
Reaction prices to individual concerns diverse; there clearly was a good reaction to demographic questions (96.2вЂ“99.8%), with a poorer a reaction to concerns handling anal intercourse (77.2вЂ“79.7%). Where concerns had been expected only associated with the grouped community subgroup, it is suggested within the outcomes.
Description of sample
Table 1 shows demographic popular features of the test.
Eighty eight per cent of participants categorised by themselves as white (white British, Irish, European, white other), 4% black colored (black Caribbean, black colored African, black colored Uk, black colored other), 2% Asian (Indian, Pakistani, Chinese, Asian British), and 5% вЂњother.вЂќ
Ninety percent of this sample that is whole on their own in the next terms: lesbian, homosexual, dyke, khush, or zami. Eight per cent identified on their own as bisexual and 2% вЂњotherвЂќ sexual orientation.
Eighty two percent (887/1085) of lesbians had a brief history of intercourse with guys, 5% in the past 12 months. Almost all (98/101, 97%) bisexual ladies had a brief history of intercourse with males, 50% inside the year that is past. Ladies aged 30 and underneath had been more prone to explain by themselves as bisexual (63/567, 11%) compared to those over 30 years old (39/625, 6%) (p treat this table: life intimate partnerships with men and women
The amount of feminine partners that are sexual perhaps perhaps perhaps not correlate with range male sexual partners (correlation coefficient 0.094); as an example, females with a brief history of bigger amounts of male lovers usually do not also provide a history of bigger variety of feminine lovers, and vice versa.
dining dining Table 3 shows the regularity of various practices that are sexual men and women.
Twenty six % reported a history of pregnancy; 13.5percent reported more than one real time births, 0.3% reported stillbirths, 5.8% had miscarried, and 13.5% had undergone termination of being pregnant. There was clearly no difference between maternity prices by intimate identification; 26% (274/1069) of lesbians was in fact expecting compared to 29% (29/99) of bisexual females (p=0.27).
Usage of barriers in sex (safer sex)
3 hundred and twenty eight ladies had been expected questions regarding safer intercourse with gents and ladies in the previous decade.
Eighty six per cent of these whom reported sex that is oral women (n=296) had never ever utilized dental dams; 13% utilized them occasionally or frequently and 1% always utilized them. Of the whom reported sharing adult sex toys with ladies (n=127), 22% never washed them before sharing, 31% washed them sporadically or usually, with 47% constantly washing them. In addition, 22% of these sharing adult sex toys utilized condoms sometimes or usually whenever sharing, and 26% constantly did.
Of these who reported penetrative sex with males (penis-vagina) (n=170), 32% had never ever utilized condoms or femidoms, 45% used them sporadically or usually, and 23% constantly did. Of these whom reported penetration that is anal a penis (n=35), 42% had never ever used a condom or femidom, 29% utilized them periodically or frequently, and 29% constantly did. Regarding the 128 ladies who reported sex that is oral males, 80% never utilized condoms, 16% periodically or frequently, and 4% constantly used them.
Sexual orientation may be defined by intimate identification, intimate attraction, or sexual behavior. 13 These definitions are certainly not congruent, and tend to be expected to vary in level and as time passes. We selected topics on such basis as both intimate identification and behaviour that is sexual. We utilized convenience sampling (selected by virtue of attendance at lesbian clinics or through lesbian and bisexual womenвЂ™s community teams) since lesbian and bisexual intimate orientation is stigmatised and topics difficult to take research. 14 The clinics had been advertised as lesbian health that is sexual, as well as the study referred to as a study of lesbian intimate wellness, therefore bisexual women can be apt to be under-represented. The results presented may not be directly generalisable to lesbians and bisexual women in other settings while the community sample was purposively selected to reflect demographic diversity. These information aren’t designed to represent all lesbians and bisexual ladies, but alternatively to explain variety of intimate history and training in a sample that is large of who possess intercourse with females.