Sexual practices of women who have sex with women and condom use

Keywords: Sexually Transmitted Diseases; Sex Education; Homosexuality, Female; Sexual and Gender Minorities; Health Vulnerability.

Abstract

Objective: to analyze the sexual practice of women who have sex with women and its association with condom use. Methods: correlational study involving 231 women who have sex with women, recruited through electronic application (Instagram and WhatsApp). A questionnaire was applied through Google Forms, containing sociodemographic data, sexual history, and the types of sexual practices. Results: most women performed oral sex (86.4%) and manual sex (86.9%) without using condoms. A large proportion (84.8%) reported the use of fomites in sexual practices without condoms. The inexistence of a fixed partnership (p=0.000) and the performance of sex with vaginal contact (p=0.013) were associated with sexual intercourse without condoms. Conclusion: the sexual practice of women who have sex with women points to greater vulnerability to sexually transmitted infections, by practicing oral and vaginal sex with manual practices without the use of barrier methods.


References

Cabral LS, Torres RAM, Silva LMS, Rodrigues ARM, Viana AB, Almeida PC. Feminine homosexualities in the context of health information systems. Rev Enferm UFPE on line. 2017; 11(Supl 4):1699-707. doi: https://doi.org/10.5205/reuol.10438-93070-1-RV.1104sup201712

Andrade J, Ignácio MAO, Freiras APF, Parada CMGL, Duarte MTC. Vulnerability to sexually transmitted infections of women who have sex with women. Ciênc Saúde Coletiva. 2020; 25(10):3809-19. doi: https://doi.org/10.1590/1413-812320202510.03522019

McCune KC, Imborek KL, Stockdale CK. Sexual preventative health in US sexual minority women: a review. Proc Obstet Gynecol. 2017; 7(1):1-16. doi: https://doi.org/10.17077/2154-4751.1329

Mendes SC, Mendes AWV, Silva AV, Souza CS, Araújo DCF, Silva JPX, et al. Homosexuality and female bisexuality in the SUS: Health actions carried out by primary care. Res Soc Dev. 2021; 10(7):e6710716326. doi: https://dx.doi.org/10.33448/rsd-v10i7.16326

Oliveira GS, Nogueira JA, Costa GPO, Silva FV, Almeida SA. Access by lesbians, gays, bisexuals and transvestites/transsexuals to the Basic Family Health Units. Rev Rene. 2018; 19:e3295. doi: https://doi.org/10.15253/2175-6783.2018193295

Lima DJM, Paula PF, Lessa PRA, Moraes MLC, Cunha DFF, Pinheiro AKB. Sexual behaviors and practices of men who have sex with men. Rev Bras Enferm. 2014; 67(6):886-90. doi: https://doi.org/10.1590/0034-7167.2014670604

Knight DA, Jarrett D. Preventive health care for women who have sex with women. Am Fam Physician [Internet]. 2017 [cited Oct 13, 2021]; 95(5):314-21. Available from: https://www.aafp.org/afp/2017/0301/p314.html

Rufino AC, Madeiro A, Trinidad A, Santos R, Freitas I. Sexual practices and health care of women who have sex with women: 2013-2014. Epidemiol Serv Saúde. 2018; 27(4):e2017499. doi: https://doi.org/10.5123/S1679-49742018000400005

Lúcio FPS, Zerbinati JP, Bruns MAT, Souza-Leite CRV. Sexual health of lesbian and/or bisexual woman: specificities for health care and sex education. Rev Ibero-Am Estud Educ. 2019; 14(esp.2):1465-79. doi: https://doi.org/10.21723/riaee.v14iesp.2.12611

Ignacio MAO, Andrade J, Freitas APF, Pinto GVS, Silva MG, Duarte MTC. Prevalence of bacterial vaginosis and factors associated among women who have sex with women. Rev Latino-am Enfermagem. 2018; 26:e3077. doi: https://doi.org/10.1590/1518-8345.2491.3077

Plummer EL, Vodstrcil LA, Fairley K, Tabrizi SN, Garland SM, Law MG, et al. Sexual practices have a significant impact on the vaginal microbiota of women who have sex with women. Sci Rep. 2019; 9(1):19749. doi: https://doi.org/10.1038/s41598-019-55929-7

Jacobs RJ, Sklar EM, Kane MN. Sexual behaviors and perceptions of HIV risk in a multiethnic U.S. sample of women who have sex with women. J Soc Serv Res. 2018; 44(5):614-23. doi: https://doi.org/10.1080/01488376.2018.1476293

Obón-Azuara B, Gasch-Gallén A, Gutiérrez-Cía I, Tomás-Aznar C. Women who have sex with women (WSW) and women who have sex with women and men (WSWM) in the HIV/AIDS prevention campaigns. J Allergy Infect Dis [Internet]. 2021 [cited Nov 10, 2021]; 2(2):39-41. Available from:https://probiologists.com/Uploads/Articles/11_637617630790501538.pdf

Braga IF, Oliveira WA, Silva JL, Mello FCM, Silva MAI. Family violence against gay and lesbian adolescents and young people: a qualitative study. Rev Bras Enferm. 2018; 71(Suppl 3):1220-7. doi: https://doi.org/10.1590/0034-7167-2017-0307

Pinto VM, Basso CR, Barros CRS, Gutierrez EB. Factors associated with sexually transmitted infections: a population based survey in the city of São Paulo, Brazil. Ciênc Saúde Coletiva. 2018; 23(7):2423-32. doi: https://doi.org/10.1590/1413-81232018237.20602016

Published
2022-01-05
How to Cite
Cavalcante, D. R., Ribeiro, S. G., Pinheiro, A. K. B., Soares, P. R. A. L., Aquino, P. de S., & Chaves, A. F. L. (2022). Sexual practices of women who have sex with women and condom use. Rev Rene, 23, e71297. https://doi.org/10.15253/2175-6783.20222371297
Section
Research Article