Explaining lesbians' practice of breast self-examination: Results from a UK survey of lesbian health

Abstract

Objective To explore the reasons for lesbians' practice of breast self-examination (BSE). Previous research in the USA has suggested that lesbians are less likely than heterosexual women to practise BSE on a Design A combined quantitative and qualitative research instrument was designed to map patterns of breast health behaviour and to elicit qualitative explanations for those behaviours. Setting The study used a multiple sampling frame in order to achieve a socially and geographically diverse sample of participants living throughout the UK from Cornwall to the Outer Hebrides. Results Thirteen per cent ( n=137) of lesbians in the sample report monthly practice of BSE. Their stated reasons for regular BSE fall into five main categories: (i) 'Experiences of problems'; (ii) Awareness of particular risks'; (iii) 'Established routine'; (iv) 'Knowledge about BSE'; (v) 'Other'. Conclusion Lesbians' explanations for their regular practice of BSE may offer valuable insights into their decision making and help to inform the decisions of others to practise monthly BSE. The paper concludes by suggesting ways in which lesbians' explanations may be used to develop lesbian-specific health education and promotion.