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Cancer-related risk indicators and preventive screening behaviors among lesbians and bisexual women

Author

Listed:
  • Cochran, S.D.
  • Mays, V.M.
  • Bowen, D.
  • Gage, S.
  • Bybee, D.
  • Roberts, S.J.
  • Goldstein, R.S.
  • Robison, A.
  • Rankow, E.J.
  • White, J.

Abstract

Objectives. This study examined whether lesbians are at increased risk for certain cancers as a result of an accumulation of behavioral risk factors and difficulties in accessing health care. Methods. Prevalence estimates of behavioral risk factors (nulliparity, obesity, smoking, and alcohol use), cancer screening behaviors, and self-reported breast cancer histories derived from 7 independently conducted surveys of lesbians/bisexual women (n = 11 876) were compared with national estimates for women. Results. In comparison with adjusted estimates for the US female population, lesbians/bisexual women exhibited greater prevalence rates of obesity, alcohol use, and tobacco use and lower rates of parity and birth control pill use. These women were also less likely to have health insurance coverage or to have had a recent pelvic examination or mammogram. Self-reported histories of breast cancer, however, did not differ from adjusted US female population estimates. Conclusions. Lesbians and bisexual women differ from heterosexual women in patterns of health risk. These women would be expected to be at especially greater risk for chronic diseases linked to smoking and obesity.

Suggested Citation

  • Cochran, S.D. & Mays, V.M. & Bowen, D. & Gage, S. & Bybee, D. & Roberts, S.J. & Goldstein, R.S. & Robison, A. & Rankow, E.J. & White, J., 2001. "Cancer-related risk indicators and preventive screening behaviors among lesbians and bisexual women," American Journal of Public Health, American Public Health Association, vol. 91(4), pages 591-597.
  • Handle: RePEc:aph:ajpbhl:2001:91:4:591-597_4
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    Cited by:

    1. Everett, Bethany G. & Wall, Melanie & Shea, Eileen & Hughes, Tonda L., 2021. "Mortality risk among a sample of sexual minority women: A focus on the role of sexual identity disclosure," Social Science & Medicine, Elsevier, vol. 272(C).
    2. Alexa L. Solazzo & Bridget K. Gorman & Justin T. Denney, 2017. "Cancer Screening Utilization Among U.S. Women: How Mammogram and Pap Test Use Varies Among Heterosexual, Lesbian, and Bisexual Women," Population Research and Policy Review, Springer;Southern Demographic Association (SDA), vol. 36(3), pages 357-377, June.
    3. Bridget Gorman & Justin Denney & Hilary Dowdy & Rose Medeiros, 2015. "A New Piece of the Puzzle: Sexual Orientation, Gender, and Physical Health Status," Demography, Springer;Population Association of America (PAA), vol. 52(4), pages 1357-1382, August.
    4. Michael A. Ash & M.V. Lee Badgett, 2004. "Separate and Unequal: The Effect of Unequal Access to Employment-Based Health Insurance on Gay, Lesbian, and Bisexual People," UMASS Amherst Economics Working Papers 2004-13, University of Massachusetts Amherst, Department of Economics.
    5. Hughes, Tonda & Szalacha, Laura A. & McNair, Ruth, 2010. "Substance abuse and mental health disparities: Comparisons across sexual identity groups in a national sample of young Australian women," Social Science & Medicine, Elsevier, vol. 71(4), pages 824-831, August.
    6. Bethany G. Everett & Jarron Saint Onge & Stefanie Mollborn, 2016. "Effects of Minority Status and Perceived Discrimination on Mental Health," Population Research and Policy Review, Springer;Southern Demographic Association (SDA), vol. 35(4), pages 445-469, August.
    7. Agénor, Madina & Krieger, Nancy & Austin, S. Bryn & Haneuse, Sebastien & Gottlieb, Barbara R., 2014. "At the intersection of sexual orientation, race/ethnicity, and cervical cancer screening: Assessing Pap test use disparities by sex of sexual partners among black, Latina, and white U.S. women," Social Science & Medicine, Elsevier, vol. 116(C), pages 110-118.

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