Cancer-related risk indicators and preventive screening behaviors among lesbians and bisexual women
Cancer-related risk indicators and preventive screening behaviors among lesbians and bisexual women
复制标题
DOI：
10.2105/ajph.91.4.591
复制
发表时间：
2001-04-01
影响因子：
12.7
通讯作者：
White, J
中科院分区：
文献类型：
--
作者：
Cochran, SD;Mays, VM;White, J
目标.本研究探讨了女同性恋者是否由于行为风险因素的积累和获得医疗保健的困难而增加了某些癌症的风险。对来自7个独立调查的女同性恋/双性恋妇女（n = 11876）的行为危险因素（未生育、肥胖、吸烟和饮酒）、癌症筛查行为和自我报告的乳腺癌病史的患病率估计值与全国妇女的估计值进行比较。与美国女性人口的调整后估计值相比，女同性恋/双性恋女性的肥胖、饮酒和吸烟患病率更高，而产次和避孕药使用率更低。这些妇女也不太可能有医疗保险，或者最近进行了骨盆检查或乳房X光检查。然而，自我报告的乳腺癌病史与调整后的美国女性人群估计值没有差异。女同性恋者和双性恋妇女在健康风险模式方面与异性恋妇女不同。这些妇女预计患与吸烟和肥胖有关的慢性疾病的风险特别大。
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 = 11876) 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.