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INTRODUCTION


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A growing body of research documents multiple health disparities by sexual orientation among women, yet little is known about the possible causes of these disparities. One underlying factor may be heightened risk for abuse victimization in childhood in lesbian and bisexual women. Multivariable log-binomial and linear regression models were used to examine orientation group differences in prevalence and severity of abuse, with heterosexual as the referent and controlling for sociodemographics. Results showed strong evidence of elevated frequency, severity, and persistence of abuse experienced by lesbian and bisexual women. This study documents prevalent and persistent abuse disproportionately experienced by lesbian and bisexual women. A growing body of research documents multiple health disparities adversely affecting lesbian and bisexual women. Compared to heterosexual women, lesbians have been found to have higher body mass index BMI 1 — 6 and greater alcohol use, 3 — 5 , 7 — 10 smoking, 1 , 3 — 5 , 8 , 11 , 12 and depressive symptoms.
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NCBI Bookshelf. To understand the context of a person's life course, it is critical to understand the age cohort to which that individual belongs. Youth growing up today will see changes that earlier generations of lesbians and gay men would never have expected in their lifetimes, including politicians, business leaders, and educators who are openly gay; marriage between same-sex couples; and an evolving popular and artistic culture that provides many positive portrayals of lesbian and gay characters in movies and plays, on television, and in literature. Today's youth are able to use the Internet to retrieve online information about LGBT issues, providing social networking opportunities and access to knowledge in a way that was not available to older cohorts. At the same time, young LGBT people searching the Internet and interacting with their peers will be aware of the pervasive negative views of sexual and gender minorities. Likewise, many transgender elders did not even know as children that other transgender people existed, and certainly received little acknowledgment of their transgender feelings. By contrast, many transgender children and adolescents today have role models either in the media or in real life , and their gender-variant expression is often sufficient for parents to obtain more information and access existing networks of families with gender-variant children. Moreover, transgender youth today have access to early medical intervention to alleviate any gender dysphoria defined as discomfort with one's sex assigned at birth they might experience. In this report, childhood and adolescence encompasses the life course through the emergence of adulthood, generally understood by the committee to occur in the early 20s.
Alaina was 18 in March of , a college freshman in the middle of spring break. She was visiting her friend at an Ivy League school for the weekend, bag packed with her favorite dress: a cotton rainbow halter that she had helped design. The following night, Alaina's friend hosted a party in her dorm. Other freshmen arrived early to get ready and put on makeup—"nerdy outcast" types, Alaina remembers of the tightknit group who were all acquainted with her host. Alcohol and Coca-Cola had been bought for mixing, but Alaina opted just for the Coke; she didn't feel like drinking that night.