LondonвЂ™s two lesbian health that is sexual had been established by a health care provider employed in genitourinary solutions who’d observed that lesbians and bisexual ladies are not well offered by current solutions. The very first center, the Sandra Bernhard, had been 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 additional in 1993, the Audre Lorde during the Royal London Hospital in eastern London. These clinics had been occur genitourinary divisions with feminine staff, providing intimate wellness solutions to lesbians and bisexual females.
We current survey information from all of these two clinics along with from lesbian and bisexual womenвЂ™s community teams and snowball associates over the great britain. This step-by-step information on the intimate records and techniques of more than 1000 lesbians and bisexual ladies is supposed to tell those that offer healthcare or carry down research with ladies who might be intimately active along with other females.
Into the duration 1992вЂ“5 a numbered questionnaire for self conclusion ended up being agreed to brand new clients attending either the Bernhard or even 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 had been identified through listings within the lesbian and press that is homosexual participants had been recruited from across England and Scotland by dispersing a questionnaire after focus team sessions concerning basic or intimate health insurance and m.soulcams at conferences (n=415). 3 A snowballing technique 12 ended up being utilized to disseminate questionnaires that are further connections of this focus group attenders.
All feminine participants who reported previous or present activity that is sexual females had been included in addition to ladies who offered no reputation for exact exact same intercourse intercourse, but whom defined their intimate orientation as lesbian, bisexual, homosexual, dyke, khush, or zami. People who described on their own as heterosexual, without any past reputation for sexual intercourse with females, had been excluded through the research.
The questionnaire gathered demographic information, intimate history with both women and men, and intimate practice with feminine partners. In addition, all the grouped community test were expected questions regarding intimate training with males and safer intercourse (n=328).
Information were entered right into a analytical analysis package ( spss variation 10) and analysed utilizing easy proportions, correlation coefficients, and П‡ 2 tests of importance.
Precise reaction rates are as yet not known; questionnaires were agreed to about 1000 brand brand brand new attenders into the two London health that is sexual; 803 center reactions had been gotten and analysed. In most, 1136 questionnaires had been directed at community teams (a few of that might not need been distributed); 415 of those had been analysed and received.
Reaction prices to specific questions diverse; there was clearly a response that is good demographic questions (96.2вЂ“99.8%), with a poorer reaction to concerns handling rectal intercourse (77.2вЂ“79.7%). Where concerns had been expected just associated with grouped community subgroup, this will be suggested within the outcomes.
Description of test
Table 1 shows demographic top 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 colored 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 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 history of intercourse with guys, 5% in the previous 12 months. Almost all (98/101, 97%) bisexual females had a brief history of intercourse with males, 50% inside the year that is past. Females aged 30 and underneath had been more prone to explain on their own as bisexual (63/567, 11%) compared to those over 30 years old (39/625, 6%) (p treat this table: Lifetime intimate partnerships with men and women
How many feminine partners that are sexual perhaps perhaps not correlate with wide range of male intimate lovers (correlation coefficient 0.094); for instance, females with a brief history of bigger amounts of male lovers usually do not likewise have a brief reputation for larger amounts of feminine lovers, and the other way around.
Dining dining Table 3 shows the regularity of various intimate methods with gents and ladies.
Twenty six % reported a history of pregnancy; 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 difference between maternity rates by intimate identification; 26% (274/1069) of lesbians have been pregnant compared to 29% (29/99) of bisexual females (p=0.27).
Usage of obstacles in sex (safer sex)
3 hundred and twenty eight females had been expected questions regarding safer intercourse with people in past times decade.
Eighty six per cent of the who reported sex that is oral women (n=296) had never ever utilized dental dams; 13% utilized them occasionally or frequently and 1% constantly utilized them. Of those whom reported sharing adult toys with ladies (n=127), 22% never washed them before sharing, 31% washed them periodically 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 the who reported penetrative intercourse with guys (penis-vagina) (n=170), 32% had never ever utilized condoms or femidoms, 45% used them periodically or frequently, and 23% constantly did. Of the whom reported anal penetration with a penis (n=35), 42% had never ever utilized a condom or femidom, 29% utilized them occasionally or frequently, and 29% constantly did. For the 128 ladies who reported sex that is oral males, 80% never ever utilized condoms, 16% periodically or often, and 4% always utilized them.
Intimate orientation may be defined by intimate identification, intimate attraction, or behaviour that is sexual. 13 These definitions are certainly not congruent, and generally are more 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 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, therefore the study referred to as a study of lesbian intimate wellness, therefore bisexual ladies are 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 meant to express all lesbians and bisexual women, but rather to spell it out variety of intimate history and training in a big test of females who possess intercourse with females.