Cervical Cancer Risks Among
Women in same sex relationships
An Interview with Dr. Jeanne Marrazzo
(originally published in HPV News)
Firm answers are often hard to come by with common questions about HPV, and the confusion can be especially keen for women in same-sex relationships. For example, research by Jeanne Marrazzo, MD, MPH, of the University of Washington’s Harborview Medical Center demonstrates that women, along with their healthcare providers, often fail to perceive that lesbians are at risk for HPV and cervical cancer. Coupled with the reality that most cervical cancer screening guidelines don’t specifically address lesbian and bisexual women, a fair amount of “catch up” among both patients and providers seems indicated. HPV News recently chatted with Dr. Marrazzo to learn more about addressing HPV and cervical cancer knowledge gaps among lesbians and their medical providers.
HPV News: In general, are there health disparity issues with lesbians? Jeanne Marrazzo: I think that there are, although the data are not as good as with other minority groups. The concerns are primarily that there is a lack of targeted education to providers to develop skills and sensitivity to deal with sexual minorities in general, and a lack of educational materials aimed at giving this group information that is specific to their situation and needs.
Also, when adding gender to the component of being a sexual minority, you’re talking about women having fewer financial resources and less insurance coverage than men. So there’s a mix that includes issues around financial access and coverage for some of the preventive services they need. Added to this, it can be challenging for lesbians to find providers who are comfortable or familiar with the population. Healthcare providers often make assumptions about these women regarding their prior sexual history with men, contraceptive health needs, sexual behaviors, and even their reproductive health needs in terms of intention for pregnancy.
keep reading>
|
|
 |

|
Disclosing genital warts to partners
Learning that a sexual partner has been diagnosed with genital warts may not prompt the negative reaction many fear, according to a British study published in Sexually Transmitted Infections. To better understand what factors are important in disclosing a genital warts diagnosis to a partner, Dr. Louise Scrivener, with the Department of Psychology at the University of London, and colleagues recruited 54 patients with a history of genital warts who have had a sexual relationship since their diagnosis. The participants, all of whom were patients at a London medical clinic, completed questionnaires that assessed anxiety, perceptions of stigma around STIs, and relationship variables. 57% of participants identified as white, 30% as black and 13% as Asian. 67% of the subjects reported having informed their partner of the diagnosis, with the main reasons for dong so including honesty, the partner having a right to know, desire to prevent transmission, and stress related to not disclosing. Disclosers had lower overall anxiety levels and were more likely to describe their relationships as long-term and close. Non-disclosers, who most often cited embarrassment and fear of a negative reaction as prime reasons for not telling a partner, were more likely to express regret over their decision than were disclosers. Such fears may have been unfounded, though, as those who disclosed said the partner’s response was much better than expected. ASHA’s HPV message board forum offers a free, anonymous venue for support and information, and site users often have discussions around HPV in relationships. Log on to the ASHA HPV Message board to read more.
Reference: L Scrivener et al. Disclosure of anogenital wars to sexual partners. Sexually Transmitted Infections. 2008; 84(3): 179-182.
|
|
| |
|
 |
|