{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,21]],"date-time":"2026-07-21T03:47:48Z","timestamp":1784605668375,"version":"3.55.0"},"reference-count":29,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2020,3,1]],"date-time":"2020-03-01T00:00:00Z","timestamp":1583020800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Women's Health"],"published-print":{"date-parts":[[2020,3]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>\n                      Women who occasionally or regularly have sex with other women (WSW) are rarely identified in primary care. Although we know about their specific health needs, health care professionals still find it difficult to ask questions about sexual orientation (SO) and behaviors, and sometimes, patients may find them difficult to answer. The\n                      <jats:italic toggle=\"yes\">presumption of heterosexuality<\/jats:italic>\n                      still remains a widespread attitude in health care. This study took place in a primary care setting, and aimed to identify differences in gynecological health care and clinical practice for women, according to what their presumed SO and behaviors were.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>We conducted a cross-sectional observational, descriptive, and comparative study from October 2018 to February 2019. Three hundred thirty-eight general practitioners (GPs) from Rh\u00f4ne-Alpes area (France) received an anonymous questionnaire with clinical case vignettes. The main outcome was the percentage of GPs who perform a different gynecological follow-up for WSW and non-WSW.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>In total, 165 questionnaires were analyzed. Ninety percent of respondents performed a different gynecological follow-up for WSW, compared with other women. They less often addressed topics such as contraception needs, use of barrier protections, and screening of sexually transmitted infections. Ninety-two percent of respondents were aware that they have WSW among their patients, but 2\/3 of them never or rarely asked about SO.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Most GPs know that they manage WSW but may misidentify these patients and their real care needs. Therefore, WSW receive a different and poorer follow-up than non-WSW. Clinical guidelines would be useful to improve and standardize quality and experience of health care for WSW.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1089\/jwh.2019.7926","type":"journal-article","created":{"date-parts":[[2020,1,2]],"date-time":"2020-01-02T14:10:26Z","timestamp":1577974226000},"page":"406-411","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":6,"title":["How Doctors' Beliefs Influence Gynecological Health Care for Women Who Have Sex with Other Women"],"prefix":"10.1177","volume":"29","author":[{"given":"Sabine","family":"Bayen","sequence":"first","affiliation":[{"name":"Department of General Practice, University of Lille, Lille, France."},{"name":"INSERM UMRS 1171, University of Lille, Lille, France."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pauline","family":"Ottavioli","sequence":"additional","affiliation":[{"name":"Department of General Practice, University of Grenoble Alpes, Grenoble, France."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marie Jeanne","family":"Martin","sequence":"additional","affiliation":[{"name":"Maison Dispers\u00e9e de Sante, University of Lille, Lille, France."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Olivier","family":"Cottencin","sequence":"additional","affiliation":[{"name":"Department of Psychiatry &amp; Addiction Medicine, University of Lille, Lille, France."},{"name":"SCALab CNRS UMR 9193, Lille, France."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marc","family":"Bayen","sequence":"additional","affiliation":[{"name":"Department of General Practice, University of Lille, Lille, France."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nassir","family":"Messaadi","sequence":"additional","affiliation":[{"name":"Department of General Practice, University of Lille, Lille, France."},{"name":"SCALab CNRS UMR 9193, Lille, France."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2020,3,17]]},"reference":[{"key":"e_1_3_5_2_2","doi-asserted-by":"crossref","unstructured":"Bajos N Bozon M Godelier M. Enqu\u00eate sur la sexualit\u00e9 en France. [Survey about Sexuality in France.] Practice gender and health. Paris: La D\u00e9couverte 2008:p.612.","DOI":"10.3917\/dec.bajos.2008.01.0579"},{"key":"e_1_3_5_3_2","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.91.4.591"},{"key":"e_1_3_5_4_2","doi-asserted-by":"publisher","DOI":"10.1177\/095646240101200108"},{"key":"e_1_3_5_5_2","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.91.8.1282"},{"key":"e_1_3_5_6_2","doi-asserted-by":"publisher","DOI":"10.3322\/caac.21288"},{"key":"e_1_3_5_7_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11920-017-0801-y"},{"key":"e_1_3_5_8_2","doi-asserted-by":"publisher","DOI":"10.1055\/s-0037-1604456"},{"key":"e_1_3_5_9_2","unstructured":"HAS 20. [High Authority of Health. Guidelines for cervix cancer screening]. 2013. 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Presentation to inaugural Meeting of European Society of General Practice\/Family Medecine.\u201d Strasbourg 1995."},{"key":"e_1_3_5_14_2","first-page":"4","article-title":"Introduction aux fonctions du m\u00e9decin g\u00e9n\u00e9raliste","volume":"16","author":"Wainsten JP","year":"1992","unstructured":"Wainsten JP, , Bros B, , Dufour C, , Huas D. Introduction aux fonctions du m\u00e9decin g\u00e9n\u00e9raliste. [Introduction to the functions of the general practitioner.] Exercer March April, 1992; 16:4\u20136.","journal-title":"[Introduction to the functions of the general practitioner.] Exercer March April"},{"key":"e_1_3_5_15_2","unstructured":"Mola E Eiksson T Ortiz Bueon MJ et al. The European definition of general practice\/Family medicine. Short version 2011. Available at: www.woncaeurope.org Accessed August21 2019."},{"key":"e_1_3_5_16_2","first-page":"165","article-title":"The big families of clinical situations","volume":"108","author":"Attali C","year":"2013","unstructured":"Attali C, , Huez JF, , Valette T, , Lehr-Drylewicz AM. The big families of clinical situations. Exercer, 2013; 108:165\u2013169.","journal-title":"Exercer"},{"key":"e_1_3_5_17_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijchp.2014.12.001"},{"key":"e_1_3_5_18_2","unstructured":"Devillard S. Women having sex with other women facing HIV and other STI. Available at: https:\/\/solidarites-sante.gouv.fr Accessed August3 2019."},{"key":"e_1_3_5_19_2","unstructured":"Eguavoen S. Woman and lesbian: What are the challenges? Towards an inclusive practice in gynecological consultation. University of Versailles Department of Midwifery. 2015. Available at: https:\/\/dumas.ccsd.cnrs.fr\/ Accessed August21 2019."},{"key":"e_1_3_5_20_2","unstructured":"Les Klamydia's. Memo for Gynecologists concerning health of women who love women. Available at: https:\/\/www.klamydias.ch\/ Accessed August21 2019."},{"key":"e_1_3_5_21_2","unstructured":"Diamond LM. Sexual fluidity: Understanding women's love and desire. Cambridge Mass: Harvard University Press 2009:352 p."},{"key":"e_1_3_5_22_2","doi-asserted-by":"publisher","DOI":"10.1080\/028134302321004845"},{"key":"e_1_3_5_23_2","unstructured":"SOS Homophobia. Enqu\u00eate sur la visibilit\u00e9 des lesbiennes et la lesbophobie. [Survey about the visibility of Lesbians and lesbophobia.] 2015. Available at: www.soshomophobie.org\/ Accessed March6 2017."},{"key":"e_1_3_5_24_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12875-016-0562-4"},{"key":"e_1_3_5_25_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.AOG.0000515007.86714.5b"},{"key":"e_1_3_5_26_2","unstructured":"High Authority of Health 2010. State of play and guidelines for cervix cancer screening. Guidelines in Public Health. Available at: www.hassante.fr\/ Accessed August21 2019."},{"key":"e_1_3_5_27_2","first-page":"314","article-title":"Preventive health care for women who have sex with women","volume":"95","author":"Knight DA","year":"2017","unstructured":"Knight DA, , Jarrett D. Preventive health care for women who have sex with women. AFP, 2017; 95:314\u2013321.","journal-title":"AFP"},{"key":"e_1_3_5_28_2","unstructured":"Royal College of General Practitioners Northern Ireland. Guidelines for the care of lesbian gay and bisexual patients in primary care. Belfast: RCGPNI. 2015. Available at: www.rcgp.org.uk\/ Accessed August21 2019."},{"key":"e_1_3_5_29_2","first-page":"10","article-title":"Risks, benefits, and importance of collecting sexual orientation and gender identity data in healthcare settings: A multi-method analysis of patient and provider perspectives","volume":"4","author":"Maragh-Bass AC","year":"2017","unstructured":"Maragh-Bass AC, , Torain M, , Adler R, et al. Risks, benefits, and importance of collecting sexual orientation and gender identity data in healthcare settings: A multi-method analysis of patient and provider perspectives. LGBT Health, 2017; 4. DOI: 10.1089\/lgbt.2016.0107.","journal-title":"LGBT Health"},{"key":"e_1_3_5_30_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.283.13.1715"}],"container-title":["Journal of Women's Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1089\/jwh.2019.7926","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1089\/jwh.2019.7926","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1089\/jwh.2019.7926","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T17:51:25Z","timestamp":1777657885000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1089\/jwh.2019.7926"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,3]]},"references-count":29,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2020,3]]}},"alternative-id":["10.1089\/jwh.2019.7926"],"URL":"https:\/\/doi.org\/10.1089\/jwh.2019.7926","relation":{},"ISSN":["1540-9996","1931-843X"],"issn-type":[{"value":"1540-9996","type":"print"},{"value":"1931-843X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,3]]}}}