Abstract
According to the Williams Institute, there are over 13 million individuals, age 13 and older, that identify as lesbian, gay, bisexual, or transgender. 1 There are 3.5% of adults or estimated 9 million adults, in the United States, identify as lesbian, gay, or bisexul.3 In the same survey, 1.8% of adults identified as bisexual and 1.7% of adults identify as gay or lesbian.3 In the United States, there is an estimated 646,500 same sex couples with 54% being female.2 There is an estimated 19 million Americans who have engaged in same-sex behavior.2 The number of women who have sex with women (WSW) is increasing due to the increase in individuals identifying as LGBTQ+.4
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