Patient satisfaction among lesbians and bisexual and heterosexual women and their risks for developing breast and cervical cancer.

摘要

The purpose of this study was to investigate and compare patient satisfaction and the related risk for developing breast and/or cervical cancer among lesbians, bisexual, and heterosexual women. Past research has indicated that some lesbians do not undergo necessary and vital preventive cancer screenings (e.g., Pap test, clinical breast examination, mammogram, self-breast examination) and thus increase their risk for developing breast and cervical cancer.; One hundred and fifty-two women were surveyed using the Personal Summary and Preventive Care Profile and the Patient Satisfaction Evaluation Scale (PSES). From the subscales of the Patient Satisfaction Questionnaire III (PSQ-III), the researcher developed the PSES for this survey.; Results indicated that lesbians do not have lower patient satisfaction levels compared to heterosexual women. However, the interaction of race and sexual orientation are associated with patient satisfaction. The findings also indicated that health insurance, race, and sexual orientation are associated with the recentness of obtaining preventive health care services. Although lesbians were indicated as the majority with health insurance, they underutilize health services. Lesbians also use more tobacco in comparison to the other categories of women. The findings suggest that lower involvement in preventive health care services and higher rates of behavioral risks can increase the probability of developing breast and cervical cancer. Recommendations for addressing the health care needs of lesbians are presented.