       Document 0020
 DOCN  M9590020
 TI    Lesbian health care. What a primary care physician needs to know.
 DT    9509
 AU    White JC; Levinson W; Residency Training Program, Oregon Health Sciences
       University; School of Medicine, Portland, USA.
 SO    West J Med. 1995 May;162(5):463-6. Unique Identifier : AIDSLINE
       MED/95304778
 AB    Many primary care physicians take care of lesbians and women sexually
       active with women without being aware of their patients' sexual
       orientation. These women have unique medical and psychosocial needs that
       each physician must consider. Lesbian identity or being sexually active
       exclusively with women influences care in areas such as sexually
       transmitted diseases, risk of human immunodeficiency virus infection,
       counseling, cancer risk, screening, parenting, depression, alcohol use,
       and violence. We review an approach to taking a history with all women
       that facilitates open, comfortable communication with lesbians. We also
       review specific medical and psychosocial areas of primary care in which
       caring for lesbians is different from caring for other women. Further
       research is needed on lesbian health issues to provide appropriate
       guidelines to clinicians.
 DE    Adolescence  Female  *Homosexuality, Female  Human  HIV
       Infections/TRANSMISSION  Medical History Taking  Neoplasms/DIAGNOSIS
       *Primary Health Care  Sexually Transmitted Diseases/TRANSMISSION  Social
       Problems  JOURNAL ARTICLE  REVIEW  REVIEW, TUTORIAL

       SOURCE: National Library of Medicine.  NOTICE: This material may be
       protected by Copyright Law (Title 17, U.S.Code).

