Prevalence of sexually transmitted infections and bacterial vaginosis among lesbian women: systematic review and recommendations to improve care

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dc.contributor.authorSoligo Takemoto, Maira Libertad
dc.contributor.authorMenezes, Mariane de Oliveira
dc.contributor.authorAndreucci Polido, Carla Betina
dc.contributor.authorSantos, Debora de Souza
dc.contributor.authorLeonello, Valeria Marli
dc.contributor.authorMagalhaes, Claudia Garcia [UNESP]
dc.contributor.authorCirelli, Jessica Fernandes
dc.contributor.authorKnobel, Roxana
dc.contributor.institutionLevatrice Cursos
dc.contributor.institutionUniversidade Federal de São Carlos (UFSCar)
dc.contributor.institutionUniversidade Estadual de Campinas (UNICAMP)
dc.contributor.institutionUniversidade de São Paulo (USP)
dc.contributor.institutionUniversidade Estadual Paulista (Unesp)
dc.contributor.institutionUniversidade Federal de Santa Catarina (UFSC)
dc.date.accessioned2019-10-04T12:42:52Z
dc.date.available2019-10-04T12:42:52Z
dc.date.issued2019-01-01
dc.description.abstractOur aim was to systematically review data about the risk of sexually transmitted infections (STI) and bacterial vaginosis among lesbian women and to suggest strategies to improve prevention, diagnosis and treatment. A search strategy for lesbian, STI and bacterial vaginosis was applied to PubMed, LILACS and BDENF databases. Of 387 unique references retrieved, 22 fulfilled the inclusion criteria (cross-sectional studies reporting prevalence for 8 STIs/bacterial vaginosis and history of a STI). The most frequent infection reported was bacterial vaginosis, and none study reported data on hepatitis B. A wide range of prevalence was observed for most infections. In terms of risk factors, the number of sexual partners, the past or current smoking, a history of forced sex and sexual stigma seem to increase the risk of STI and bacterial vaginosis. The findings of this review are discussed considering guidelines directly addressing the LGBT community's health and relevant studies investigating both safe sexual practices and the intricate relationship between LGBT people and their care providers. A set of recommendations to improve preventive care for lesbian women is proposed. Affirming that little is known about the extent of STIs and bacterial vaginosis transmission in female-to-female sexual activities or about the risk factors for STI and bacterial vaginosis among lesbian women is reasonable. In fact, the overall quality of the studies was low or very low with significant uncertainty around their findings. However, we consider that the available knowledge indicates some paths to be followed by care providers and policy decision-makers to improve their actions towards better sexual health of lesbian women.en
dc.description.affiliationLevatrice Cursos, Ave Rio Branco 257,Sala 901, BR-20040009 Rio De Janeiro, RJ, Brazil
dc.description.affiliationUniv Fed Sao Carlos, Dept Med, Sao Carlos, Brazil
dc.description.affiliationUniv Estadual Campinas, Fac Enfermagem, Campinas, SP, Brazil
dc.description.affiliationUniv Sao Paulo, Escola Enfermagem, Sao Paulo, Brazil
dc.description.affiliationUniv Estadual Julio de Mesquita Filho, Fac Med Botucatu, Botucatu, SP, Brazil
dc.description.affiliationUniv Sao Paulo, Escola Artes Ciencias & Humanidades, Sao Paulo, Brazil
dc.description.affiliationUniv Fed Santa Catarina, Dept Ginecol & Obstet, Florianopolis, SC, Brazil
dc.description.affiliationUnespUniv Estadual Julio de Mesquita Filho, Fac Med Botucatu, Botucatu, SP, Brazil
dc.format.extent17
dc.identifierhttp://dx.doi.org/10.1590/0102-311X00118118
dc.identifier.citationCadernos De Saude Publica. Rio De Janiero: Cadernos Saude Publica, v. 35, n. 3, 17 p., 2019.
dc.identifier.doi10.1590/0102-311X00118118
dc.identifier.fileS0102-311X2019000302001.pdf
dc.identifier.issn0102-311X
dc.identifier.scieloS0102-311X2019000302001
dc.identifier.urihttp://hdl.handle.net/11449/186216
dc.identifier.wosWOS:000462642800001
dc.language.isoeng
dc.publisherCadernos Saude Publica
dc.relation.ispartofCadernos De Saude Publica
dc.rights.accessRightsAcesso aberto
dc.sourceWeb of Science
dc.subjectSexually Transmitted Diseases
dc.subjectBacterial Vaginosis
dc.subjectFemale Homosexuality
dc.subjectHealth Policy
dc.titlePrevalence of sexually transmitted infections and bacterial vaginosis among lesbian women: systematic review and recommendations to improve careen
dc.typeResenha
dcterms.rightsHolderCadernos Saude Publica
unesp.author.orcid0000-0002-5590-108X[3]
unesp.author.orcid0000-0001-9180-4685[8]

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