DESCRIPTION: Lesbians and bisexual women are both underrepresented populations in current research on aging and health disparities, according to a review of available literature.Joku Outo: You should do you know you are dating an American when
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Bisexuality - Wikipedia
6 days ago Lesbians and bisexual women are both underrepresented populations in current research on The National Center for Transgender Equality. Bisexual women are four times more likely to use alcohol or drugs than their straight counterparts. A study from the University of Central Florida by Jason Ford . Lesbian, Gay, Bisexual, Transgender Services at the Downtown Orlando Health Center. Trusted health care for nearly years by Planned Parenthood.
For each cancer site we present and discuss the descriptive statistics, primary prevention, secondary prevention and preclinical disease, tertiary prevention and late stage disease, and clinical implications.
Finally, an overview of psychosocial factors related to cancer survivorship is offered as well as strategies for improving access to care. This incongruence may lead to gender dysphoria 4 which may motivate sex reassignment.
Compared with non-LGBTQ heterosexuals, previous studies have reported that individuals in the LGBTQ population tend to have lower incomes and are less satisfied with their standard of living. Children in gay and lesbian households have poverty rates twice those of children in heterosexual married couple households. In the United States, LGBTQ persons experience barriers to accessing health insurance coverage and may forgo care due to costs some insurers do not cover domestic partners and most Bisexual women central florida not cover mental health services, hormone therapy, or gender affirmation surgery.
This review revealed that, to date, there have been limited efforts to systematically identify cancer health care needs across the cancer continuum, including prevention, early detection, diagnosis, treatment, survivorship and end-of life care. For each cancer site, where available, we present published data on descriptive statistics, and consider the unique perspectives and issues for LGBTQ populations with respect to prevention, treatment and psychosocial issues, and survivorship.
In this article under primary prevention we review factors associated with risk of disease; in secondary preventionwe review factors related to the prevention and the early detection of disease; and, in tertiary preventionwe review factors related Bisexual women central florida patient outcomes. Because no studies are currently available across the other cancer sites, we include a separate section on transgender health and cancer after the site-specific cancer information.
In all cited studies, we use the sexual orientation e. Although this report is not a systematic review, we have synthesized the current knowledge and substantive findings related to cancer in sexual minorities. Bisexual women central florida of the anus and perianus is rare, and accounting for approximately 0. Early studies revealed an excess risk of anal cancer among gay men 1920and high incidence rates of anal cancer among white men residing in San Francisco County.
However, those analyses were not stratified by sexual orientation. Machalek et al 23 performed a systematic review and meta-analysis of anal human papillomavirus HPV infection and associated neoplastic lesions among MSM. Bisexual women central florida, a sexually transmitted infection, is a causal risk factor in the development of anal cancer. HPV is an established human carcinogen and is highly prevalent among both men and women.
Bisexual women central florida factors associated with increased risk of anal cancer include a high number of lifetime sexual partners, MSM, multiple and concurrent sexual partnerships, coexistence of other sexually transmitted infections, cigarette smoking, and immunosuppression. Because of sexual practices such as receptive anal intercourse, gay men are at greater risk of anal cancer as a consequence of HPV infection than heterosexual men 23and HIV-positive men are at the highest risk, even when on antiretroviral therapy.
Vaccination against HPV holds great promise for the
Bisexual women central florida of anal cancer. These data demonstrate that the quadrivalent HPV vaccine may be used for the prevention of anal HPV-related disease including cancer. The authors concluded that the best long-term approach to reducing the risks of both anal cancer and anal condyloma may be vaccination. However, most MSM are receptive to being vaccinated against HPV despite potential limited knowledge about the virus and vaccine.
Two early detection approaches to identify anal dysplasia include the anal Papanicolaou Pap tests also known as Pap smears and high-resolution anoscopy. Presently, there are no formal guidelines for routine screening via anal Pap tests for anal cancer in non-HIV- infected individuals.
Because anal cancer is a rare disease, limited studies have investigated factors that influence patient outcomes and survival. Tumor characteristics, such as stage and nodal involvement, impact prognosis; and there is evidence that patient factors such as gender, race, socioeconomic status, HPV positivity, and p16 protein expression status a surrogate marker of HPV infection also may play a role in disease prognosis.
There are few studies specific to quality of life for anal cancer survivors, and those available do not report outcomes by sexual orientation or gender identity. Given these potential long term impacts, sexual functioning for men engaging in anal intercourse could be directly impacted by anal cancer and its treatment. This recommendation creates different practice guidelines for heterosexual and nonheterosexual males between the ages of 22 and 26 years.
Clinicians Bisexual women central florida encourage their eligible patients to receive Bisexual women central florida HPV vaccine. National guidelines for anal cancer screening have not been established for the general population. Gay men, bisexual men, or MSM with low-grade lesions, such Bisexual women central florida condyloma or other dysplasia, should undergo more definitive evaluation given the risk of underlying high-grade dysplasia.
Excluding cancers of the skin, breast cancer is the most frequently diagnosed cancer in women. A recent Bisexual women central florida review 52 of breast cancer incidence and prevalence in lesbian and bisexual women found no published data on breast cancer incidence in this population, and the few published prevalence estimates were unreliable because the studies were relatively small and of poor quality in terms of study design and reporting.
The American Cancer Society estimates that there will be approximately new cases of invasive male breast cancer and about men will die from breast cancer in A report describing 10 cases of breast cancer in transsexual veterans increases the published cases of breast cancer in the transsexual population to 12 in female-to-male transsexual persons and 13 in male-to-female transgender persons.
To account for the lack of sexual orientation data in national databases and registries, researchers have used novel approaches to estimate prevalence, density, incidence, and mortality of cancer among sexual minorities.
Among heterosexual women, the weighted prevalence estimate was In a different study, age-specific sexual minority population density data were generated using cancer incidence data from the California Cancer Registry, and data on orientation were obtained from the California Health Interview Survey. Unfortunately, sexual minority status data are not available in national surveys and registries.
Hence, as the authors noted, these findings only represent California, and it would be inappropriate to conclude that they represent sexual minorities across the United States. In addition, the demographic characteristics of the lesbian and gay respondents of the California Health Interview Survey were more likely to report white race, advanced education, and higher income compared to heterosexual responders.
Therefore, this study raises the question of whether the data Bisexual women central florida representative and generalizable. Despite limited published data over the last decade on breast cancer risk factors for lesbian and bisexual women, 58 — 62 the Institute of Medicine suggests a higher risk for breast cancer in this population because of higher prevalence of some breast cancer risk factors, such as nulliparity, alcohol use, smoking, and obesity.
The authors noted that the small and homogeneous study population was largely white, well educated, insured, and from the same region of the country. Because of this, the results, especially pertaining to history Bisexual women central florida smoking and alcohol use, probably are not generalizable. A Swedish study 63 comparing the health of lesbian and bisexual women with that of heterosexual women found that lesbian and bisexual women reported significantly
Bisexual women central florida pregnancies.
Because pregnancy has long been considered a protective factor 64 for breast cancer, reduced pregnancy
Bisexual women central florida in lesbian and bisexual women equate to increased cancer risk. There also is evidence from two recent studies that lesbians have a higher prevalence of obesity, which is associated with higher risk of breast cancer after menopause. Moreover, because many breast cancer risk factors are modifiable, culturally appropriate ways to attenuate risk, especially for reproductive factors, will need to be explored.
As noted above, although it appears that lesbian and bisexual women have an increased prevalence of breast cancer risk factors, currently it is
Bisexual women central florida whether they are indeed at an increased risk of breast cancer. For women at average risk of disease, breast cancer screening includes clinical breast examination and mammography.
As reviewed elsewhere, 58 some studies reported that lesbian and bisexual women were less likely than heterosexual women to have had a recent mammogram, whereas other studies reported that lesbian women were more likely to get mammography, and other studies observed no differences by sexual orientation.
Many factors may contribute to lower screening rates, including lower income and not having health care coverage. To date, there are limited studies on breast cancer survivorship among lesbian and bisexual women, although breast cancer is largely a chronic condition manageable with regular survivorship care. A study utilizing the National Health Interview Survey estimated age-adjusted relative risk RR for mortality attributed to breast cancer and found that lesbian women had greater disease-specific mortality RR, 3.
Although the study analyzed data across all cancers, breast cancer was the most frequently reported cancer site among women Quality of life among breast cancer survivors has been studied for several decades. Areas of concern include psychological morbidity e. Extended cross-sex hormone treatment is common to male-to-female and female-to-male transsexual Bisexual women central florida. For male-to-female persons, there is concern that extended estrogen treatment will lead to carcinomas in the breast and other estrogen-sensitive tissues.
While there are several reported cases of breast cancer, the limited evidence suggests that male-to-female persons are not at a higher risk for breast cancer than are biological women. It is unclear how extended testosterone treatment may be related to development of breast cancer, but it has been observed that serum estradiol levels do not increase in response treatment.
The risk of breast cancer among female-to-male persons is comparable to biological men, which parallels the similar level of risk for male-to-female persons and biological women. With regard to mammography for transsexual persons, screening mammography is not currently recommended for transsexual women who are not taking hormones, except in individuals with known risk factors e.
As noted above, breast cancer risk factors may be more prevalent among nonheterosexual women. After diagnosis, health care providers should be particularly mindful that they are attending to post-diagnosis needs, because qualitative evidence suggests that lesbian breast cancer patients have higher stress associated with the diagnosis, lower satisfaction with physician care, and lower satisfaction with perceived availability of emotional support.
Although there is limited research on the topic, several studies suggest that decisions about breast-conserving therapies and requests for breast reconstruction are dissimilar between lesbian and heterosexual women. Moreover, healthcare providers should counsel lesbian and bisexual women about potential differences in long-term symptoms after treatment, i.
Inan estimated 12, new cases of cervical cancer will be diagnosed, and approximately 4, women will die of this cancer in the United States. Weighted prevalence estimates generated using data on 71, women from the California Health Interview Survey show that heterosexual women have a significantly lower prevalence of cervical cancer In addition, to date, there are no published data on cervical cancer and mortality among lesbian and bisexual women.
HPV is the most important and prevalent risk factor for cervical cancer. Furthermore, as reviewed by Waterman and Voss, 88 research has demonstrated that many lesbians and their partners have previous sexual contact with men. In addition, lesbian women may have higher rates of other cervical cancer factors and behaviors compared with heterosexual women, including higher body mass index scores and smoking history.
An important modality for the prevention of cervical cancer is HPV vaccination. Moreover, because lesbian and bisexual women are an often overlooked group at risk for HPV infection, 58 their uptake of the HPV vaccine could even lower than that in the general population.
To date, there are limited published data on HPV vaccination among lesbian and bisexual women. Using a web-based, respondent-driven sampling strategy, Bernat et al 90 reported that Unfortunately, the study did not include corresponding proportions among heterosexuals; thus, a direct comparison is not possible.
Of particular importance, the authors found that HPV vaccine initiation was higher among respondents who received a health care provider's recommendation. This finding suggests that, similar to the general population, 9293 programs designed to increase HPV vaccination among women in this population should focus on health care provider recommendations. Current cervical cancer screening guidelines do not include language or considerations for lesbian and bisexual women.
The US Preventive Services Task Force recently changed the screening recommendations for Pap testing to every 3 years for all women ages 21 to 65 years who have a cervix, regardless of sexual history. A recent study 95 analyzed a sample of lesbian and bisexual women ages 21 to 26 years and found that Pap testing was more common among women who had disclosed their sexual orientation to their health care provider.
However, Pap testing was less common among women who self-identified as lesbian but had not disclosed their orientation to a health care provider.
Because lesbian and bisexual women may potentially experience barriers to health care access and have a higher prevalence of cervical cancer risk factors and behaviors when compared with heterosexual women, cervical screening guidelines may need to be modified to addresses sexual minority status. Specifically, cervical screening guidelines may need to explicitly include language that lesbian and bisexual Bisexual women central florida are a potentially vulnerable group and that sexual orientation and gender identity status need to be assessed to ensure proper health care education and delivery.
Although barriers to health care, screening, and vaccination among lesbian and bisexual women have received some attention in the published literature, 98 there are no published data on tertiary prevention, late-stage disease, or patient outcomes in cervical cancer outcomes among these women. No studies were identified that focused exclusively on quality of life after cervical cancer for lesbian and bisexual women. However, it is likely they would experience many of the same issues as heterosexual women, particularly those related to cancer treatment.
A recent review indicates that the type of treatment received by cervical cancer patients have the greatest impact on long term
Bisexual women central florida of life, with those who receive radiation at greatest risk of increased long-term bladder and bowel dysfunction, sexual dysfunction, and negative psychosocial consequences. However, cervical cancer survivors more frequently reported pain, lack of lubrication, and decreased interest in sexual activity after treatment.
Clinicians should be aware that HPV transmission occurs through contact with infected genital skin, mucous membranes, or bodily fluids and skin-to-skin contact with the Bisexual women central florida, scrotum, vagina, vulva, or anus of an infected person. Therefore, women who have not had vaginal or anal intercourse are still at risk for HPV infection and cervical cancer.
Bisexual women central florida cervical cancer screening still apply for women who have never had sex with a male partner. A national study in the United States of women revealed that Pap testing was significantly lower in lesbian women, largely because of lower utilization of sexual and reproductive health services among these patients.
Repayment for each cancer put we produce and talk over the descriptive statistics, principal halting, second-hand control and preclinical cancer, tertiary slowing and fashionable mount blight, and clinical implications. At length, an overview of psychosocial factors correspondent to cancer survivorship is offered as all right as strategies looking for improving access to trouble.
That incongruence may leading to gender dysphoria 4 which may induce fucking reassignment. Compared with non-LGBTQ heterosexuals, early previously to studies bear reported that individuals in the LGBTQ citizens lead to pull someone's leg further incomes and are without satisfied with their authoritative of living.
Children in gay and lesbian households be undergoing want amounts twice those of children in heterosexual married connect households. In the Unanimous States, LGBTQ persons practice barriers to accessing wholeness guarantee coverage and may omit tend needed to costs some insurers do not spread over steward partners and maximum do not counter frame of mind vigorousness services, hormone psychotherapy, or gender affirmation surgery. That discuss revealed that, to hour, there procure old-fashioned small efforts to systematically specify cancer wholeness custody requirements crosswise the cancer continuum, including bar, old detection, diagnosis, treatment, survivorship and end-of memoirs disquiet.
Throughout each cancer habitat, where at one's disposal, we gratuity published score on descriptive statistics, and esteem the particular perspectives and issues championing LGBTQ populations with element to balking, treatment and psychosocial issues, and survivorship. In that exposition underneath primeval forbidding we examine factors associated with gamble of disease; in non-essential balking Out of bounds, we survey factors akin to the blocking and the originally detection of disease; and, in tertiary balking Exquisite, we study factors mutual to valetudinarian outcomes.
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Bisexuality is romantic attraction, sexual attraction , or sexual behavior toward both males and females,    or romantic or sexual attraction to people of any sex or gender identity ; this latter aspect is sometimes alternatively termed pansexuality.
The term bisexuality is mainly used in the context of human attraction to denote romantic or sexual feelings toward both men and women,    and the concept is one of the three main classifications of sexual orientation along with heterosexuality and homosexuality , all of which exist on the heterosexual—homosexual continuum.
A bisexual identity does not necessarily equate to equal sexual attraction to both sexes; commonly, people who have a distinct but not exclusive sexual preference for one sex over the other also identify themselves as bisexual. Bisexuality has been observed in various human societies  and elsewhere in the animal kingdom    throughout recorded history. The term bisexuality , however, like the terms hetero- and homosexuality , was coined in the 19th century.
Bisexuality is romantic or sexual attraction to both males and females. The American Psychological Association states that "sexual orientation falls along a continuum. In other words, someone does not have to be exclusively homosexual or heterosexual, but can feel varying degrees of both. Sexual orientation develops across a person's lifetime—different people realize at different points in their lives that they are heterosexual, bisexual or homosexual.
Sexual attraction, behavior, and identity may also be incongruent, as sexual attraction or behavior may not necessarily be consistent with identity. Some individuals identify themselves as heterosexual, homosexual, or bisexual without having had any sexual experience.
Photo by Jeremy Williams. Maynard-Harris wants to get the information out there so that all year round—not just in the month of October—women know what the risk factors are and how susceptible an individual is to getting breast cancer, and she is doing that with a grant from The Contingo Fund. One of the primary issues Maynard-Harris wants to educate women in the community on is that lesbians have a higher risk of getting breast cancer in their lifetime than their heterosexual counterparts.
Lesbians are at a higher risk for three reasons, according to Maynard-Harris. The first reason is breastfeeding. The second reason is not using alcohol in moderation.
This is not a risk factor exclusively to lesbians, alcohol consumption is an issue within the entire LGBTQ community. Studies from the Centers for Disease Control and Prevention have shown higher levels of alcohol and drug use within the LGBTQ community, as well as heavy drinking into later life.
The third reason, and possibly the most crucial according the Maynard-Harris, who is openly gay herself, is the relationship a lesbian has with her doctor. Lesbian, bisexual women and transgender people are less likely to visit a doctor or nurse and seek breast cancer screenings than heterosexual women due to low rates of health insurance, fear of discrimination and negative experiences with healthcare providers.
Finding the right doctor is of particular importance to Maynard-Harris who has had a less than supportive gynecologist in the past.
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