Attitudes Toward Bisexual Men and Women in a University Context: Relations with Race, Gender, Knowing a Bisexual Man or Woman and Sexual Orientation

198 Background: Data on heterogeneity in cancer screening and diagnosis rates among sexual minorities (SMs) is lacking. Recent studies have shown SMs are more likely to engage in risky health behavior and have decreased healthcare utilization. However, few studies have examined how sexual orientation impacts cancer screening and prevalence. We therefore investigated whether sexual orientation affects prevalent gender-specific cancer including prostate (PCa), breast (BC), and cervical cancer (CC). Methods: This was a cross-sectional survey-based US study, including men and women aged 18+ from the Health Information National Trends Survey (HINTS) database (part of the National Cancer Institute’s division of cancer control and population sciences) between 2017-2019. The primary endpoint was individual-reported PCa, BC, and CC screening and prevalence rates among heterosexuals and homosexuals/bisexuals. Multivariable logistic regression analyses assessed association of various covariates with undergoing screening and diagnosis of these cancers. Results: Overall, 4,441 and 6,333 heterosexual men and women, respectively, were compared to 225 and 213 homosexual/bisexual men and women, respectively. Homosexuals/bisexuals were younger and less likely to be screened for PCa (34.7% vs 41.3%, p=0.013), BC (54.5% vs 80.7%, p=<0.001), and CC (88.3% vs 95.4%, p=<0.001). While rates of PCa and BC diagnosis were similar, more than twice as many homosexual/bisexual women were diagnosed with CC (4.2% vs 1.9%, p=0.023). Multivariable logistic regression models (Table) showed homosexuals/bisexuals were less likely to be screened for cancer with ORs of 0.61 (95% CI 0.39-0.95) for PCa, 0.52 (95% CI 0.30-0.92) for BC, and 0.21 (95% CI 0.09-0.46) for CC. Homosexuals/bisexuals were more likely to be diagnosed with any cancer with ORs of 1.64 (95% CI 1.06-2.54) in women only and 1.50 (95% CI 1.11-2.03) in men and women combined. Conclusions: Homosexuals/bisexuals in the US may be less likely to undergo screening of gender-specific prevalent malignancies, including PCa, BC, and CC. The implementation of cancer screening among SMs should be improved. [Table: see text]

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The association of sexual orientation with prostate, breast, and cervical cancer screening and diagnosis.

Journal of Clinical Oncology ◽

10.1200/jco.2020.39.28_suppl.129 ◽

2021 ◽

Vol 39 (28_suppl) ◽

pp. 129-129

Author(s):

Michael Joseph Herriges ◽

Ruben Pinkhasov ◽

Keren Lehavot ◽

Oleg Shapiro ◽

Joseph M Jacob ◽

...

Keyword(s):

Cervical Cancer ◽

Sexual Orientation ◽

Cancer Screening ◽

Gay And Bisexual Men ◽

Heterosexual Men ◽

Bisexual Men ◽

Men And Women ◽

Breast And Cervical Cancer ◽

And Bisexual ◽

Screening And Diagnosis

129 Background: Data on heterogeneity in cancer screening and diagnosis rates among lesbians/gays and bisexuals is lacking. Recent studies showed that lesbians/gays and bisexuals have decreased healthcare utilization compared to heterosexual counterparts and continue to experience discrimination in healthcare. Few studies have examined how sexual orientation impacts cancer screening and prevalence. We, therefore, investigated the association between sexual orientation and prevalent sex-specific cancer including prostate, breast, and cervical cancer. Methods: This was a cross-sectional survey-based US study, including men and women aged 18+ from the Health Information National Trends Survey (HINTS) database between 2017-2019. The primary endpoint was individual-reported prostate, breast, and cervical cancer screening and prevalence rates among heterosexual and LGB men and women. Multivariable logistic regression analyses assessed association of various covariates with undergoing screening and diagnosis of these cancers. Results: Overall, 4,441 and 6,333 heterosexual men and women, respectively, were compared to 225 and 213 lesbian/gay and bisexual men and women, respectively. Lesbians/gays and bisexuals were younger and less likely to be screened for prostate, breast, and cervical cancer than heterosexuals. A higher proportion of heterosexual women than lesbian and bisexual women were screened for cervical cancer with pap smears (95.36% vs. 90.48% and 86.11%, p = < 0.001) and breast cancer with mammograms (80.74% vs. 63.81% and 45.37%, p = < 0.001). Similarly, a higher proportion of heterosexual men than gay and bisexual men were screened for prostate cancer with PSA blood tests (41.27% vs. 30.53% and 27.58%, p = < 0.001). Conclusions: Lesbians/gays and bisexuals in the US may be less likely to undergo screening of sex-specific prevalent malignancies, including prostate, breast, and cervical cancer. Healthcare professionals should be encouraged to improve cancer screening among lesbians/gays and bisexuals.

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Smoking and Quitting Behavior by Sexual Orientation: A Cross-Sectional Survey of Adults in England

Nicotine & Tobacco Research ◽

10.1093/ntr/ntaa042 ◽

2020 ◽

Cited By ~ 1

Author(s):

Sarah E Jackson ◽

Jamie Brown ◽

Igor Grabovac ◽

Hazel Cheeseman ◽

Ciaran Osborne ◽

...

Keyword(s):

Sexual Orientation ◽

Smoking Prevalence ◽

Minority Groups ◽

Bisexual Men ◽

Bisexual Women ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Men And Women ◽

Quit Attempts ◽

And Bisexual

Abstract Objective To assess associations between sexual orientation and smoking and quitting behavior among adults in England. Methods Data were collected from 112 537 adults (≥16 years) participating in a nationally representative monthly cross-sectional survey between July 2013 and February 2019. Sexual orientation was self-reported as heterosexual, bisexual, lesbian/gay, or prefer-not-to-say. Main outcomes were smoking status, e-cigarette use, cigarettes per day, time to first cigarette, motivation to stop smoking, motives for quitting, use of cessation support, and past-year quit attempts. Associations were analyzed separately for men and women using multivariable regression models adjusted for relevant covariates. Results Smoking prevalence is now similar between gay (21.6%), prefer-not-to-say (20.5%) and heterosexual men (20.0%), and lesbian (18.3%) and heterosexual women (16.9%), but remains higher among bisexual men (28.2%, adjusted odds ratio [ORadj] = 1.41, 95% confidence interval [CI] = 1.11 to 1.79) and bisexual women (29.8%, ORadj = 1.64, 95% CI = 1.33 to 2.03) and lower among prefer-not-to-say women (14.5%, ORadj = 0.85, 95% CI = 0.72 to 0.99). Among smokers, bisexuals were less addicted than heterosexuals, with bisexual men smoking fewer cigarettes per day (Badj = −2.41, 95% CI = −4.06 to −0.75) and bisexual women less likely to start smoking within 30 min of waking (ORadj = 0.66, 95% CI = 0.45 to 0.95) than heterosexuals. However, motivation to stop smoking and quit attempts did not differ significantly. Conclusions In England, differences in smoking prevalence among people with different sexual orientations have narrowed, primarily driven by a larger decline in smoking rates among sexual minority groups than heterosexuals. Bisexual men and women remain more likely to smoke but have lower levels of addiction while being no less likely to try to quit. Implications This population-based study provides an up-to-date picture of smoking and quitting behavior in relation to sexual orientation among adults in England. Findings suggest that widely documented disparities in smoking prevalence have narrowed over recent years, with gay men and lesbian women no longer significantly more likely to smoke than heterosexuals, although smoking remains more common among bisexual men and women. Insights into differences in level of addiction, use of cessation support, and motives for quitting may help inform the development of targeted interventions to further reduce smoking among sexual minority groups.

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Sexual Fantasies Across Gender and Sexual Orientation in a Large Sample of Italian Young Adults: A Multiple Correspondence Analysis

10.21203/rs.3.rs-168907/v1 ◽

2021 ◽

Author(s):

MATTIA NESE ◽

Greta Riboli ◽

Gianni Brighetti ◽

Raffaele Visciano ◽

Daniel Giunti ◽

...

Keyword(s):

Young Adults ◽

Sexual Orientation ◽

Correspondence Analysis ◽

Multiple Correspondence Analysis ◽

Bisexual Men ◽

Sexual Fantasies ◽

Online Questionnaire ◽

Men And Women ◽

And Bisexual

Abstract Differences in the content of sexual fantasies across gender have been widely documented, while less attention was given to the role of sexual orientation. Furthermore, previous studies focused on statistical differences in the prevalence of broad themes, neglecting the role of single fantasies. The current study aimed to increase the knowledge about sexual fantasies in heterosexual, homosexual, and bisexual men and women. A descriptive approach that allows representing the patterns of fantasies reported by different groups using Multiple Correspondence Analysis (MCA) is presented. A sample of 3,136 of young adults, 1,754 women (Mage = 22.50, SD = 1.72, range 18-25) and 1,382 men (Mage = 22.50, SD = 1.70, range 18-25), completed an online questionnaire assessing the presence of 29 different sexual fantasies. The prevalence of each fantasy among each group is shown. Also, relationships between fantasies and the distribution of groups along the two principal dimensions highlighted by MCA are represented. Heterosexuals women reported fewer fantasies and showed opposite patterns of response compared to heterosexual men. There was a substantial overlapping in the fantasies reported by gay and bisexual men, while responses of lesbian and bisexual women were relatively more differentiated. These results indicate that sexual orientation has a different impact on the sexual fantasies of men and women.

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Pharyngeal Flora in a Sexually Active Population

International Journal of STD & AIDS ◽

10.1177/095646249500600314 ◽

1995 ◽

Vol 6 (3) ◽

pp. 211-215 ◽

Cited By ~ 11

Author(s):

J M Russell ◽

B S Azadian ◽

A P Roberts ◽

C A Talboys

Keyword(s):

Sexual Orientation ◽

Heterosexual Men ◽

Sexually Active ◽

Bisexual Men ◽

Carriage Rate ◽

Men And Women ◽

Charing Cross Hospital ◽

Active Population ◽

Heterosexual Women ◽

Yeast Isolation

During a 7-week period 1141 patients attending the Genitourinary Clinic at Charing Cross Hospital completed a brief questionnaire and had pharyngeal swabs cultured for Neisseria spp, β-haemolytic streptococci, corynebacterium and yeasts. The study included 397 heterosexual men, 492 heterosexual women, 189 homosexuals, 41 lesbians and 22 bisexual men and women. Four hundred and sixty patients (40%) admitted oro-genital contact in the preceding 2 weeks. The meningococcal carriage rate was 11.6%. Homosexuals had the highest carriage 23.8% and heterosexual females the lowest 5.9%. Significant differences in carriage rates were found between homosexual and heterosexual men ( P<0.0001), heterosexual men and women ( P<0.005) and between lesbian and heterosexual women ( P< 0.025). Recent oro-anal contact significantly increased meningococcal isolation ( P<0.001). A significant association between β-haemolytic streptococci and concomitant meningococcal carriage was also found ( P<0.01). Sexual orientation and oro-genital contact influences both meningococcal and pharyngeal yeast isolation and should be considered when interpreting pharyngeal culture results.

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How Gender Identity and Transgender Status Affect Perceptions of Attractiveness

Social Psychological and Personality Science ◽

10.1177/1948550618783716 ◽

2018 ◽

Vol 10 (6) ◽

pp. 811-822 ◽

Cited By ~ 2

Author(s):

Jessica M. Mao ◽

M. L. Haupert ◽

Eliot R. Smith

Keyword(s):

Sexual Orientation ◽

Gender Identity ◽

Theoretical Models ◽

Gender Attitudes ◽

Heterosexual Men ◽

Transgender People ◽

Men And Women ◽

Gender Nonconforming ◽

Romantic Attraction ◽

Identity Labels

Can a perceiver’s belief about a target’s transgender status (distinct from gender nonconforming appearance) affect perceptions of the target’s attractiveness? Cisgender, heterosexual men and women ( N = 319) received randomly assigned labels (cisgender cross-gender, transgender man, transgender woman, or nonbinary) paired with 48 cross-sex targets represented by photos and rated the attractiveness and related characteristics of those targets. The gender identity labels had a strong, pervasive effect on ratings of attraction. Nonbinary and especially transgender targets were perceived as less attractive than cisgender targets. The effect was particularly strong for male perceivers, and for women with traditional gender attitudes. Sexual and romantic attraction are not driven solely by sexed appearance; information about gender identity and transgender status also influences these assessments. These results have important implications for theoretical models of sexual orientation and for the dating lives of transgender people.

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