January 19, 2010
"A growing body of research documents mental health disparities among women who have sex with women (WSW) compared with women who have sex with men only (WSM)," the authors wrote. However, there is limited research on these indicators in conjunction with STDs and WSW sexual health.
From July to December 2007, a retrospective chart review was performed on all female patients (n=368) screened for STDs at an urban community health center in Boston. De-identified electronic medical record data (e.g., demographics, psychosocial, sexual health) were analyzed and linked to STD positivity. The analysis excluded women whose medical chart did not document sexual behavior (n=58). Sexual and psychosocial health indicators, including sexual preference, were examined via bivariate and multivariate logistic regression.
Of participants, 27 percent were WSW (17 percent WSW only and 10 percent WSW/M). Five percent of WSW were diagnosed with a new STD (HPV, anogenital warts, genital herpes, pelvic inflammatory disease) and 17 percent had a past history of STD diagnosis. In multivariable, demographics-adjusted models, WSW were disproportionately more likely to have medical records noting mental health and psychosocial issues, including: "a clinical diagnosis of depression, anxiety, and post-traumatic stress disorder, history of suicide attempts, and inpatient psychiatric/mental health treatment."
Sexually Transmitted Diseases
01.2010; Vol. 37; No. 1: P. 5-12; Sari L. Reisner; Matthew J. Mimiaga; Patricia Case; Chris Grasso; Casey T. O'Brien; Padmini Harigopal; Margie Skeer; Kenneth H. Mayer