LondonвЂ™s two lesbian intimate wellness clinics were founded by a health care provider involved in genitourinary solutions that has seen that lesbians and bisexual females are not well offered by current solutions. The very first center, 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 a moment in 1993, the Audre Lorde in the Royal London Hospital in eastern London. These clinics had been occur genitourinary divisions with female staff, providing health that is sexual to lesbians and bisexual ladies.
We current study information from all of these two clinics in addition to from lesbian and bisexual womenвЂ™s community teams and snowball associates over the great britain. This step-by-step details about the intimate records and techniques of more than 1000 lesbians and bisexual ladies is supposed to tell those that provide medical care or carry down research with ladies who can be intimately active along with other ladies.
Within the duration 1992вЂ“5 a numbered questionnaire for self conclusion ended up being wanted to brand new clients attending either the Bernhard or the Audre Lorde lesbian intimate wellness clinics in London (clinic sample n=803). A community sample was purposively selected 12 to include those who were diverse in terms of geography, race, class, and disability in addition to the clinic sample. Groups or organisations were identified through listings within the lesbian and press that is homosexual participants had been recruited from across England and Scotland by circulating a questionnaire after focus team sessions concerning basic or sexual health insurance and at conferences (n=415). 3 A snowballing technique 12 ended up being utilized to disseminate questionnaires that are further associates for the focus team attenders.
All feminine participants who reported previous or present activity that is sexual ladies had been included along with ladies who gave no reputation for exact exact same intercourse sex, but whom defined their intimate orientation as lesbian, bisexual, homosexual, dyke, khush, or zami. People who described by themselves as heterosexual, without any reputation for intercourse with ladies, were excluded through the study.
The questionnaire gathered demographic information, intimate history with men and women, and intimate practice with feminine lovers. In addition, almost all of the grouped community test had been expected questions regarding sexual training with guys and safer intercourse (n=328).
Information had been entered in to an analysis that is statistical ( spss Version 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 provided to more or less 1000 brand brand new attenders towards the two London health that is sexual; 803 hospital reactions had been gotten and analysed. In most, 1136 questionnaires had been directed at community teams (a few of that may n’t have been distributed); 415 of those had been analysed and received.
Reaction prices to specific concerns diverse; there was clearly a good a reaction to demographic questions (96.2вЂ“99.8%), with a poorer a reaction to concerns handling rectal intercourse (77.2вЂ“79.7%). Where concerns had been expected only for the grouped community subgroup, this might be suggested within the outcomes.
Description of test
dining dining Table 1 shows demographic options that come with the test.
Eighty eight per cent of participants categorised by themselves as white (white British, Irish, European, white other), 4% black colored (black colored Caribbean, black African, black colored Uk, black colored other), 2% Asian (Indian, Pakistani, Chinese, Asian British), and 5% вЂњother.вЂќ
Ninety percent of this entire test described 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 males, 5% in the year that is past. Practically all (98/101, 97%) bisexual ladies had a brief history of intercourse with males, 50% inside the previous 12 months. Females aged 30 and underneath had been more prone to explain by themselves as bisexual (63/567, 11%) compared to those over three decades old (39/625, 6%) (p treat this table: life partnerships that are sexual gents and ladies
The amount of feminine partners that are sexual maybe maybe not correlate with amount of male sexual lovers (correlation coefficient 0.094); as an example, ladies with a brief history of bigger variety of male lovers don’t likewise have a brief reputation for bigger variety of feminine lovers, and the other way around.
dining Table 3 shows the regularity of various practices that are sexual men and women.
Twenty six % reported a history of being pregnant; 13.5percent reported a number of real time births, 0.3% reported stillbirths, 5.8% had miscarried, and 13.5% had termination that is undergone of. There was clearly no distinction in maternity rates by sexual identification; 26% (274/1069) of lesbians was indeed expecting in contrast to 29% (29/99) of bisexual females (p=0.27).
Usage of barriers in sex (safer sex)
3 hundred and twenty eight women had been expected questions regarding safer intercourse with men and women in past times decade.
Eighty six per cent of the whom reported sex that is oral women (n=296) had never ever utilized dental dams; 13% utilized them occasionally or usually and 1% constantly utilized them. Of these whom reported sex that is sharing with females (n=127), 22% never washed them before sharing, 31% washed them sometimes or often, with 47% always washing them. In addition, 22% of the sharing adult sex toys utilized condoms sometimes or usually whenever sharing, and 26% constantly did.
Of the whom reported sex that is penetrative males (penis-vagina) (n=170), 32% had never ever used condoms or femidoms, 45% utilized them sporadically or frequently, and 23% constantly did. Of these whom reported anal penetration with a penis (n=35), 42% had never ever utilized a condom or femidom, 29% utilized them periodically or usually, and 29% constantly did. For the 128 women who reported sex that is oral males, 80% never ever utilized condoms, 16% sporadically or frequently, and 4% constantly utilized them.
Intimate orientation could be defined by intimate identification, intimate attraction, or intimate behavior. 13 These definitions are certainly not congruent, and therefore are very likely to vary in level and as time passes. We selected topics on such basis as both intimate identification and behaviour that is sexual. We used convenience sampling (chosen by virtue of attendance at lesbian clinics or through lesbian and bisexual womenвЂ™s community teams) since lesbian and bisexual sexual 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, so bisexual ladies are apt to be under-represented. Although the community test had been purposively chosen to mirror demographic variety, the outcome presented may possibly not be straight generalisable to lesbians and bisexual feamales in other settings. These information are not meant to express all lesbians and bisexual ladies, but alternatively to spell it out variety of sexual history and training in a sample that is large of who’ve sex with females.