3199.0: Monday, November 13, 2000 - Board 7

Abstract #11718

Perceptions of risk for breast and cervical cancer among lesbians: The disparity of knowledge and health care

Sandra L. Lynne, CNM, MSN and Lisa Kane Low, CNM, PhD(c). Nurse-Midwifery Service, University of Michigan, F4835, 1500 East Medical Center Dr, Ann Arbor, MI 48109, 734-763-2311, sundance@umich.edu

Cervical cancer has the 9th highest mortality for US women. Breast cancer is the second most common cancer among women. Inconclusive data has shown that lesbians may have a higher rate of breast cancer. Previous findings suggest lesbians may have pap tests less frequently than recommended. Studies have been inconclusive regarding the causes of this disparity between heterosexual women and lesbians for routine health screening. Conditions that may contribute to less than recommended screening are low perceptions of risk, economic barriers and cultural incompetency of health care providers. A multiracial, socioeconomically, geographically diverse sample of 100 self identified lesbian and bisexual women were surveyed regarding their perceptions of risk for cervical and breast cancer. Data was collected at the Michigan Womyn's Music Festival. A one page survey was used to assess knowledge of risk factors, the use of health care providers, access to services and disclosure of their sexuality to their provider. The study found that 28% of women were unaware of risks for breast cancer and 53% were unaware of risks for cervical cancer. Furthermore, a number of women had misperceptions regarding risk factors they did identify. There was a mixed response to participants who had come out to their health care provider. A small majority had specifically sought services from a "gay friendly" health care provider. This study demonstrates the disparity between knowledge of risks and health seeking behavior. It further supports the need for restructuring the dissemination of health care information to lesbians and bisexual women.

Learning Objectives: The participant will be able to: Identify the perception of risks for cervical and breast cancers among self identified lesbian populations. List factors that contribute to less than recommended screening for breast and cervical cancer among lesbians

Keywords: Lesbian Health, Cancer Screening

Presenting author's disclosure statement:
Organization/institution whose products or services will be discussed: None
I do not have any significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.

The 128th Annual Meeting of APHA