{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,21]],"date-time":"2026-07-21T03:47:45Z","timestamp":1784605665999,"version":"3.55.0"},"reference-count":23,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2012,10,26]],"date-time":"2012-10-26T00:00:00Z","timestamp":1351209600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100007113","name":"Sexual Medicine Society of North America","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100007113","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Intl J Gynecology &amp; Obste"],"published-print":{"date-parts":[[2013,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To assess the frequency and associations of barrier protection use during sexual activity in a population of women who have sex with women (WSW).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>WSW were invited to participate in an international internet\u2010based survey. Information regarding ethnodemographics, sexual health, and barrier use during sexual activities was collected.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The study cohort comprised 1557 participants. Barrier use was least prevalent during digital genital stimulation (11.3% ever used barriers) and most prevalent during stimulation with a sex toy (34.4% ever used barriers). Univariate analysis revealed that women in non\u2010monogamous relationships were more likely than monogamous women to always use barrier protection for sexual activity (14.3% vs 3.5%). On multivariate analysis, there was no association between barrier use and frequency of casual sexual activity or history of sexually transmitted infection. Small associations were noted between barrier use and certain sexual activities, age, race, and number of partners.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Many WSW do not use barrier protection during sexual activity, even in the context of potentially risky sexual behaviors. Safer\u2010sex practices among WSW merit increased attention from healthcare providers and public health researchers.<\/jats:p><\/jats:sec>","DOI":"10.1016\/j.ijgo.2012.08.011","type":"journal-article","created":{"date-parts":[[2012,10,26]],"date-time":"2012-10-26T21:15:46Z","timestamp":1351286146000},"page":"42-45","source":"Crossref","is-referenced-by-count":35,"title":["Use of barrier protection for sexual activity among women who have sex with women"],"prefix":"10.1002","volume":"120","author":[{"given":"Tami S.","family":"Rowen","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Benjamin N.","family":"Breyer","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tzu\u2010Chin","family":"Lin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chin\u2010Shang","family":"Li","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Patricia A.","family":"Robertson","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alan W.","family":"Shindel","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2012,10,26]]},"reference":[{"key":"e_1_2_6_2_2","doi-asserted-by":"publisher","DOI":"10.1136\/jech.57.3.207"},{"key":"e_1_2_6_3_2","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2009.174169"},{"issue":"7","key":"e_1_2_6_4_2","doi-asserted-by":"crossref","first-page":"407","DOI":"10.1097\/OLQ.0b013e3181db2e18","article-title":"Women who have sex with women in the United States: prevalence, sexual behavior and prevalence of herpes simplex virus type 2 infection\u2010results from national health and nutrition examination survey 2001\u20132006","volume":"37","author":"Xu F.","year":"2010","journal-title":"Sex Transm Dis"},{"key":"e_1_2_6_5_2","doi-asserted-by":"publisher","DOI":"10.1001\/archfami.9.10.1043"},{"issue":"2","key":"e_1_2_6_6_2","first-page":"279","article-title":"Primary care for lesbians and bisexual women","volume":"74","author":"Mravcak S.A.","year":"2006","journal-title":"Am Fam Physician"},{"key":"e_1_2_6_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ypmed.2009.02.003"},{"key":"e_1_2_6_8_2","doi-asserted-by":"publisher","DOI":"10.1089\/jwh.2006.0308"},{"key":"e_1_2_6_9_2","doi-asserted-by":"publisher","DOI":"10.1136\/sti.76.5.345"},{"key":"e_1_2_6_10_2","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.91.8.1282"},{"key":"e_1_2_6_11_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.olq.0000175417.17078.21"},{"key":"e_1_2_6_12_2","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2009.169631"},{"issue":"5","key":"e_1_2_6_13_2","doi-asserted-by":"crossref","first-page":"335","DOI":"10.1097\/OLQ.0b013e3181ca3cac","article-title":"Prevalence and risks for bacterial vaginosis in women who have sex with women","volume":"37","author":"Marrazzo J.M.","year":"2010","journal-title":"Sex Transm Dis"},{"key":"e_1_2_6_14_2","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pmed.1000416"},{"key":"e_1_2_6_15_2","doi-asserted-by":"publisher","DOI":"10.1363\/370605"},{"issue":"6","key":"e_1_2_6_16_2","first-page":"514","article-title":"HIV\u2010risk behavior among lesbians and bisexual women","volume":"6","author":"Einhorn L.","year":"1994","journal-title":"AIDS Educ Prev"},{"issue":"4","key":"e_1_2_6_17_2","doi-asserted-by":"crossref","first-page":"37","DOI":"10.1080\/15574090802226592","article-title":"Present but not accounted for: exploring the sexual risk practices and intervention needs of nonheterosexually identified women in a prevention program for women with HIV\/AIDS","volume":"3","author":"Teti M.","year":"2007","journal-title":"J LGBT Health Res"},{"key":"e_1_2_6_18_2","doi-asserted-by":"publisher","DOI":"10.1071\/SH09072"},{"key":"e_1_2_6_19_2","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2006.086439"},{"issue":"3","key":"e_1_2_6_20_2","doi-asserted-by":"crossref","first-page":"41","DOI":"10.1080\/15574090802093323","article-title":"Sexual behaviors and sexually transmitted infections among self\u2010identified lesbian and bisexual college women","volume":"3","author":"Lindley L.L.","year":"2007","journal-title":"J LGBT Health Res"},{"key":"e_1_2_6_21_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1743-6109.2012.02659.x"},{"key":"e_1_2_6_22_2","doi-asserted-by":"publisher","DOI":"10.1136\/sti.74.1.6"},{"key":"e_1_2_6_23_2","doi-asserted-by":"publisher","DOI":"10.1097\/00007435-199911000-00008"},{"key":"e_1_2_6_24_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jclinepi.2008.10.015"}],"container-title":["International Journal of Gynecology &amp; 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