Women In Same-sex Relationships Research Articles

Same-Sex Relationships and Criminal Behavior: A Total Population Study in The Netherlands.

Sexual minority groups experience elevated risk across a range of adverse outcomes. Previous studies from the USA showed that these risks include contact with the criminal justice system for sexual minority females but not for males. This study examined whether this relationship between sexual minority status and criminal behavior was also found in a more secular country like the Netherlands with more progressive attitudes toward sexual minorities. Furthermore, the study aimed to examine whether this relationship applied to various types of crime and could be explained by unmeasured familial factors. Longitudinal data from the Dutch national population, including 75,362 individuals in a same-sex relationship and 3,464,906 individuals in opposite-sex relationships, were used to compare the risk of crime among males and females in same-sex and opposite-sex unions. Discordant sibling models were included to increase control over possible sources of confounding from shared familial factors. Analyses were repeated for six types of crime, including property offenses, violence, vandalism, and public order offenses, traffic offenses, drugs offenses, and other offenses. The results showed that the direction of the associations between same-sex relationships and offending differed for men and women. In general, men in same-sex relationships were less likely to be a suspect of crime compared to those in opposite-sex relationships [odds ratio (OR) = 0.685; p < .001]. Women in same-sex relationships exhibited higher risk than those in opposite-sex unions (OR = 1.560; p < .001). Similar patterns emerged for most crime types and the discordant sibling models yielded conclusions that were substantively similar to those among the total population.

Versorgung und Betreuung gleichgeschlechtlicher Frauenpaare während Schwangerschaft und Geburt

Versorgung und Betreuung gleichgeschlechtlicher Frauenpaare während Schwangerschaft und Geburt

A low total motile sperm count in donor sperm obtained from commercial banks does not affect pregnancy rates from intrauterine insemination

ObjectiveWomen are often concerned about the absolute quantity and quality of sperm in a thawed donor sample at the time of intrauterine insemination (IUI). The aim of this study was to determine how the total motile sperm count (TMSC) of donor sperm obtained from commercial sperm banks affects the pregnancy rate after IUI. Study designWe performed a retrospective cohort study including single women and women in same-sex relationships undergoing IUI at a single academic fertility center between January 2011 and March 2018. Our primary outcome was pregnancy rates per IUI cycle, stratified by post-washed TMSC. The data was analyzed according to TMSC and included three different groups: samples with a TMSC less than 5 million; TMSC of 5–10 million; and a TMSC greater than 10 million. Pregnancies were defined by a serum Beta-human chorionic gonadotropin (Beta-HCG) of greater than 5 mIU/mL. Chi-squared analyses and correlation coefficients were performed. ResultsOverall, 9341 IUIs were conducted during the study period. Of these, 1080 (11.56%) were performed for single women and women in a same-sex relationship using commercially available donor sperm. We found that there were no differences in the pregnancy rates per insemination based on TMSC. The pregnancy rates per cycle were 15/114 (13.3%) for the group with a TMSC of less than 5 million; 34/351(9.5%) with a TMSC of 5–10 million; and 61/609 (10.0%) for samples with a TMSC greater than 10 million (p = 0.52). We found an insignificant correlation (r = −0.072) between donor sperm TMSC and pregnancy after IUI (p = 0.46). Furthermore, a reassuring beta-HCG level (>100IU/L) drawn 16 days after IUI was unrelated to TMSC (r = 0.0071, p = 0.94). ConclusionThe pregnancy rate following IUI is unaffected by the TMSC of commercially available donor sperm. This result is useful in reassuring patients when freshly thawed donor sperm is found to have a lower TMSC. Frozen sperm samples from commercial banks typically represent just a portion of an ejaculate produced by a donor who meets the banks’ standards for age, health and sperm quality. As such, exaggerated sperm death caused by freezing does not result in worse outcomes with donor sperm.

Skin Cancer Behavioral Risk Factors and Screening Among U.S. Adults in Same-Sex Relationships: A Population-Based Study from 2000 to 2015.

Purpose: Skin cancer is prevalent in sexual minority men but little is known about risk factors and screening specifically among couples in same-sex relationships (SSR). We aimed to compare sunburns, sun-protective behaviors, indoor tanning, and total body skin examinations (TBSEs) between people in SSR with those in opposite-sex relationships (OSR). Methods: We conducted a pooled cross-sectional analysis of 2000-2015 data from the National Health Interview Survey, a nationally representative survey of the United States civilian population. Results: Of 102,365 adults with a spouse or married partner, 448 (0.4%) were men in SSR, 48,312 (48.1%) men in OSR, 497 (0.5%) women in SSR, and 53,108 women in OSR (51.9%). Men in SSR were more likely than men in OSR to seek shade (adjusted odds ratio [aOR] = 1.41; 95% confidence interval [CI] = 1.07-1.85), tan indoors (aOR = 3.71; 95% CI = 2.38-5.78), and receive any TBSE (aOR = 2.45; 95% CI = 1.69-3.54) after adjusting for sociodemographic factors, health insurance status, and health behaviors. Men in SSR were less likely than men in OSR to wear long pants (aOR = 0.63; 95% CI = 0.46-0.85) and caps or visors (aOR = 0.50; 95% CI = 0.36-0.69). No differences in sunburns, sun-protective behaviors, indoor tanning, and TBSE between women in SSR and OSR were observed after multivariable adjustment. Conclusion: Patterns of sun-protective behaviors and indoor tanning among men in SSR, compared with men in OSR, demonstrate modifiable behaviors that may mitigate skin cancer risk. Dyadic counseling and public health interventions geared toward men in SSR may promote sun-protective behaviors and reduce indoor tanning.

Provision of fertility services to women in same-sex relationships at Catholic and non-Catholic clinics in the United States.

This study addressed deficient information on the provision of infertility care in obstetrics and gynecology clinics. We additionally evaluated the availability of these services based on clinic affiliations or stated sexual orientation. We performed a national cross-sectional "mystery caller" survey of 293 general obstetrics and gynecology clinics in 2017-2018. We matched clinics identified by web-based search engine in a 1:1 ratio by Catholic hospital affiliation, after determining number of clinics based on state-population densities. A standard call script included questions regarding provision of infertility services, ovulation induction methods, and information about the caller's sexual orientation. We performed descriptive frequencies and compared responses based on hospital affiliations. Of the 293 clinics included, 49% were affiliated with Catholic and 17% with academic hospitals. The majority offered infertility care (85%, 248/293), and of these 97% (240/248) offered ovulation induction. Only 3% (6/240) reported they would not provide to women in same-sex relationships. Most clinics not offering infertility evaluations (43/45, 96%) cited it was outside of their scope of care and of these 33% (15/45) did not provide information for self-referral. Clinics affiliated with academic (aOR 0.23) or Catholic (aOR 0.34) hospitals were less likely to provide evaluations. Those with academic affiliation were more likely to provide information for self-referral (aOR 19.2). Most general obstetrics and gynecology practices offered appointments for infertility evaluation and ovulation induction. Clinics rarely denied services to women reporting a same-sex partnership, regardless of hospital affiliation. These findings provide reassurance to same-sex couples seeking fertility care.

Reaching Back: Convict Leasing and the Trusty System in the Nineteenth Century

Reaching Back: Convict Leasing and the Trusty System in the Nineteenth Century

Contraception after in vitro fertilisation (IVF): a qualitative study of the views of women who have had spontaneous pregnancies after successful IVF

BackgroundThe use of in vitro fertilisation (IVF) has increased rapidly since its inception in 1978. Women seeking IVF have a wide range of subfertility causes including unexplained subfertility. A growing subgroup of women seek treatment for other reasons than fertility problems, for example, women in same sex relationships and single women. This study aims to better understand the contraceptive needs of women after successful IVF pregnancy in order to improve service delivery and prevent unplanned and rapid-repeat pregnancies.MethodsA qualitative study of views of women who have had spontaneous pregnancies after successful IVF. Participants were recruited using purposive and snowballing sampling methods from social media and peer networks. The framework method was used for analysis using NVivo12.ResultsThe sample comprised 21 interviewees from the United Kingdom (UK), having a range of spontaneous pregnancy outcomes, including single and multiple livebirths, miscarriage, ectopic pregnancy and termination of pregnancy. Contraceptive choices were subject to a complex and dynamic interaction of influencing factors including beliefs regarding subfertility, desire for children and views on contraception. None of the women recalled receiving any information or useful counselling about contraception during fertility or maternity care. After IVF pregnancy, most women (n = 16) used no or ineffective contraception. Spontaneous pregnancy was not universally welcomed in this group and inter-pregnancy intervals were often short (n = 16, less than 18 months). Even after subsequent spontaneous pregnancy, use of contraception and the most effective methods remained low. Women held persistent beliefs regarding their subfertility despite subsequent spontaneous pregnancy. They associated aspects of the IVF process with a sense of personal failure, despite an ultimately “successful” outcome of livebirth. These aspects may reinforce their self-belief in subfertility. Other barriers to contraception use in women having IVF included: lack of knowledge of likelihood of spontaneous pregnancy, lack of contraceptive experience and inherent incentives towards shorter inter-pregnancy intervals.ConclusionsThe contraceptive needs of women having IVF pregnancies are real and are being overlooked. Fertility services should take responsibility for providing information on the risks of subsequent spontaneous pregnancy. Maternity and community healthcare professionals must address women’s perceptions of their fertility in order to engage them in contraception counselling.

A dyadic examination of alcohol use and intimate partner aggression among women in same-sex relationships

Despite considerable evidence linking alcohol use and intimate partner aggression among mixed-sex couples, scant research has examined this association in same-sex couples using a dyadic framework. The aim of the present study was to examine associations between one’s own and their partner’s alcohol use (i.e., drinks per week, hazardous alcohol use) and intimate partner aggression (physical, psychological) perpetration while accounting for the interdependence among partners in alcohol use. Participants were 326 women (Mage = 27.57, SD = 3.65) from 163 female-female couples who independently completed measures of drinks per week, hazardous alcohol use, psychological intimate partner aggression victimization and perpetration, and physical intimate partner aggression victimization and perpetration. Actor-partner interdependence structural equation models found that (1) actor drinks per week were positively associated with one’s own physical assault perpetration (2) actor hazardous alcohol use was positively associated with one’s own physical assault and psychological aggression perpetration and (3) partner drinks per week and hazardous alcohol use were positively associated with actor’s psychological aggression perpetration. No other significant effects were detected. Collectively, findings highlight the nuanced relationship between alcohol use and intimate partner aggression among same-sex female couples and suggest that one’s own alcohol use is associated with intimate partner psychological and physical aggression perpetration. In contrast, the only partner effect was partner’s alcohol use in association with actor’s psychological aggression perpetration. These findings differ from prior research with heterosexual couples and underscore the need for future research with same-sex couples rather than attempts to generalize findings across populations.

The feminine target: Gender expression in same-sex relationships as a predictor of experiences with public displays of affection

The extent to which sexual minority individuals present publicly as masculine, feminine, or both has been associated with their perceptions of threat and safety in public spaces. The current study investigates the role of gender expression in men and women’s experiences of public displays of affection (PDAs) in same-sex relationships. Participants (N = 528) reported their own gender expression as well as that of their partner, perceptions of support for PDAs, PDA-related vigilance, general vigilance and overall PDA frequency. Men in same-sex relationships reported less frequent PDAs and greater PDA-related vigilance than women, while women reported greater overall variability in their gender expression than men. Multiple regression analyses show femininity within the participant (for men) or their partner (for both men and women) was associated with greater general and PDA-related vigilance. These findings align with previous research on femmephobia, in which femininity is described as making individuals feel ‘targeted’ for other forms of oppression (e.g., homophobia, sexism, transphobia; Hoskin, 2019 ). Although femininity was associated with greater vigilance, the association between masculinity within a same-sex relationship and vigilance was more tenuous, demonstrating evidence of masculinity serving as both a potential target for homophobic violence as well as a source of protection. The dual nature of masculinity was particularly salient among women in same-sex relationships, where masculinity tempered by femininity was associated with greater perceived support for PDAs but for women with partners low in femininity, the more masculine their partner, the greater their reported levels of vigilance.

Do adult men and women in same-sex relationships have weaker ties to their parents?

Using a national sample of people in same-sex relationships (N = 843) and different-sex relationships (N = 510) in the Netherlands, we examine the frequently discussed but infrequently tested hypothesis of weaker intergenerational ties between parents and their adult daughters and sons in same-sex relationships. We also test hypotheses linking the strength of these ties to gender differences and the liberal or traditional views held by the parents when the child was growing up (reported retrospectively). Overall, we find few differences in the strength of the current parent-child relationship but clear differences in the process of leaving home. Our findings show that people who are in same-sex relationships in adulthood left home earlier and moved further away from their parents than those in different-sex relationships. In addition, they left more often due to conflicts at home and due to an unpleasant atmosphere in the community of origin, and less often to move in directly with a partner. In adulthood, people in same-sex relationships show many commonalities with people in different-sex relationships and only a few differences. Men in same-sex relationships have more ambivalent relationships with their mothers and weaker relationships with their fathers than men partnered with women. When the parental home was more traditional in terms of gendered role division in parenting, the current relationship of women in same-sex relationships with their father is on average weaker in adulthood. Women in same-sex relationships also have less frequent contact with both parents compared to women in different-sex relationships. (PsycInfo Database Record (c) 2021 APA, all rights reserved).

Our Grandmothers' Legacy: Challenges Faced by Female Ancestors Leave Traces in Modern Women's Same-Sex Relationships.

Investigations of women's same-sex relationships present a paradoxical pattern, with women generally disliking competition, yet also exhibiting signs of intrasexual rivalry. The current article leverages the historical challenges faced by female ancestors to understand modern women's same-sex relationships. Across history, women were largely denied independent access to resources, often depending on male partners' provisioning to support themselves and their children. Same-sex peers thus became women's primary romantic rivals in competing to attract and retain relationships with the limited partners able and willing to invest. Modern women show signs of this competition, disliking and aggressing against those who threaten their romantic prospects, targeting especially physically attractive and sexually uninhibited peers. However, women also rely on one another for aid, information, and support. As most social groups were patrilocal across history, upon marriage, women left their families to reside with their husbands. Female ancestors likely used reciprocal altruism or mutualism to facilitate cooperative relationships with nearby unrelated women. To sustain these mutually beneficial cooperative exchange relationships, women may avoid competitive and status-striving peers, instead preferring kind, humble, and loyal allies. Ancestral women who managed to simultaneously compete for romantic partners while forming cooperative female friendships would have been especially successful. Women may therefore have developed strategies to achieve both competitive and cooperative goals, such as guising their intrasexual competition as prosociality or vulnerability. These historical challenges make sense of the seemingly paradoxical pattern of female aversion to competition, relational aggression, and valuation of loyal friends, offering insight into possible opportunities for intervention.

LGBTQ cultural competence for pharmacists

LGBTQ cultural competence for pharmacists

Same-Sex Couples' Shared Time in the United States.

This study examines and compares shared time for same-sex and different-sex coresident couples using large, nationally representative data from the 2003-2016 American Time Use Survey (ATUS). We compare the total time that same-sex couples and different-sex couples spend together; for parents, the time they spend together with children; and for both parents and nonparents, the time they spend together with no one else present and the time they spend with others (excluding children). After we control for demographic and socioeconomic characteristics of the couples, women in same-sex couples spend more time together, both alone and in total, than individuals in different-sex arrangements and men in same-sex couples, regardless of parenthood status. Women in same-sex relationships also spend a larger percentage of their total available time together than other couples, and the difference in time is not limited to any specific activity.

Coming out when a partner dies? Challenges faced by older women who grieve a same-sex partner

ABSTRACTIn a constructivist framework, bereavement experiences are seen as following individualised trajectories. Older individuals who lose a same-sex partner often face additional layers of complexity. At times, they must contend with disenfranchised grief, when, for example, their loss is not recognised.From an intersectional perspective, older women grieving a same-sex partner are thought to face specific challenges, but research about their experience is scarce. To explore the particularities of their social location, we held 18 semi-directive interviews with 10 women over the age of 65 from the Greater Montreal area, in the province of Quebec, Canada. A thematic analysis of the data was conducted.Our results show that older women in same-sex relationships can face difficulties related to the need to name their sexual identity when their partner dies. Following their loss, they may struggle to be and remain visible as a widow. They may also face obstacles, both external and internal, in securing the support they need. We contextualise our results with descriptions of our participant’s varied narratives. The diversity of trajectories is considered in light of the complex interactions between age, sex, sexual identity, and their impact on our participants’ visibility.

Mothers in same-sex relationships-Striving for equal parenthood: A grounded theory study.

Aims and objectivesTo get a deeper understanding of how mothers in same‐sex relationships think and reason about their parenthood in terms of gender equality, and how they experience early parental support from child healthcare professionals.BackgroundThere is an increasing amount of research on how women in same‐sex relationships experience healthcare services when forming a family. Yet there is limited knowledge of what kind of early parental support these women may request.DesignGrounded theory. Follows guidelines for qualitative research (COREQ).MethodTwenty women ranging from 25 to 42 years of age participated in semi‐structured interviews. Data collection and analysis took place in parallel, as recommended in grounded theory methodology.ResultsThe results are described by the core category Same‐sex mothers request professional support to achieve equal parenthood, which includes five categories: (a) equality in everyday life, (b) diversity in mother and child attachment, (c) justification of the family structure, (d) ambivalent thoughts about their child's future and (e) a special need for networking and request for professional support. These findings provide a deeper understanding of how same‐sex mothers experience their parenthood and the parental support that is offered.ConclusionChild healthcare professionals need to be sensitive and recognise both mothers as equal parents and offer early parenting groups where two‐mother families feel included and supported.Relevance to clinical practiceHealthcare professionals need to be aware of diverse family formations and meet each parent as a unique individual without heteronormative assumptions. Same‐sex mothers must be treated as equal parents and acknowledged as mothers. Healthcare professionals should offer inclusive and supportive parental groups to same‐sex families. They should also inform and support nonbirth mothers about the possibility to breastfeed.

UK criteria for uterus transplantation: a review.

Absolute uterine factor infertility is the final hurdle for assisted reproductive treatments. Uterus transplant trials are happening worldwide; to advance the debate around uterine transplantation (UTx), this article considers selection criteria for clinical trials from a UK perspective and makes recommendations for future selection criteria for UTx treatment. Recommendations advanced include the use of donor eggs, access for single women and women in same-sex relationships, prohibiting participation of women who are already mothers, and a preference for deceased donors and bioengineered uteri. With UTx treatment on the horizon, it is important to proactively consider future selection criteria. TWEETABLE ABSTRACT: Review of UK selection criteria for clinical trials for uterus transplantation; recommendations for the future.

‘We are not infertile’: challenges and limitations faced by women in same-sex relationships when seeking conception services in São Paulo, Brazil

The use of reproductive technologies has expanded beyond cases of infertility, and opportunities for individuals of different sexual orientations to use such technologies for conception have increased. The authors examined the challenges and limitations faced by women in same-sex relationships seeking conception services in São Paulo, Brazil. They interviewed 16 women in same-sex relationships who conceived children using reproductive technologies. Access to public health services for conception remains limited and exclusive to infertile heterosexual couples. Women in same-sex relationships are forced to select between costly medical treatments in the private sector, or self-insemination with sperm from a known donor. In this study, individuals reported that they experienced adverse effects of treatments; were treated with technologies for infertility when they were, in fact, fertile; and were exposed to unnecessary and invasive interventions. Growing political conservatism and the reduction of investment in public health services are factors that can directly affect sexual and reproductive health, including that of lesbians. Public policies that enable same-sex couples to conceive have yet to be developed in many countries, and a clearer articulation of the right to evidence-informed, rights-based care, consistent with national and international guidelines is a much-needed next step.

The effects of parental divorce on individuals’ commitment to same-sex relationships

Research on the intergenerational transmission of divorce has demonstrated that individuals who come from divorced families have reduced commitment to the institution of marriage, which may translate to reduced commitment to one’s current relationship. We tested the association between two components of relationship commitment (dedication and constraint) and parental divorce in a sample of 251 adults in same-sex relationships. Results demonstrated that parental divorce was significantly associated with lower dedication commitment among women, but not men. Parental divorce was not associated with constraint commitment for either gender. These findings suggest that, consistent with research on individuals in different-sex relationships, women in same-sex relationships who come from divorced families may feel less dedicated to their own relationships, putting them at greater risk for relationship instability and divorce.

Women’s Sexual Initiation in Same- and Mixed-Sex Relationships: How Often and How?

Past research has demonstrated that women initiate sex less frequently than men in mixed-sex relationships, perhaps due to traditional sexual scripts that promote rigid gender roles in sexual interactions. However, there is no existing research on sexual initiation among women in same-sex relationships. This study investigated women’s frequency and proportion of sexual initiation behaviors within mixed-sex and same-sex relationships, as well as the strategies women commonly used for initiating sex. Data were collected through retrospective reports (N = 351; 242 women with male partners and 109 with female partners) and two-week daily diaries (N = 60; 29 women with male partners and 31 with female partners). Results indicated that, across relationship type, women reported fairly balanced sexual initiation with their partners, with women in same-sex relationships reporting higher rates of initiation than women in mixed-sex relationships based on retrospective reports but not based on daily diaries. Women in mixed-sex relationships reported using a higher proportion of direct initiation strategies than women in same-sex relationships in the retrospective portion but not the daily diary portion of the project. These results challenge a number of gender and sexuality-related stereotypes about women in general and women in same-sex relationships specifically.

Mothers in Same-Sex Relationships Describe the Process of Forming a Family as a Stressful Journey in a Heteronormative World: A Swedish Grounded Theory Study

Objectives The aim of this study was to gain insight into how women in same-sex relationships experience the process of forming a family through the use of assisted reproduction technique (ART), from planning the pregnancy to parenthood, and their experience of parental support from healthcare professionals. Methods The participants were 20 women in a same-sex relationship who had conceived through ART at a Swedish clinic. Semi-structured interviews including open questions about pregnancy, parenthood and support from healthcare professionals were conducted. The interviews were tape-recorded and transcribed verbatim. The data were analysed according to grounded theory. Results The core category, A stressful journey through a heteronormative world, emerged from the analysis, as did three subcategories: A journey fraught with difficulties and decisions; The nuclear family as the norm; and A need for psychological support. Same-sex parents expressed a need for more information about how to access ART in Sweden. Both the healthcare organization and treatment were perceived as heteronormative. In particular, these women lacked psychological support during the demanding process of utilizing a sperm donor to conceive. Conclusions for Practice Professionals in antenatal care should undergo mandatory cultural competency training to ensure cultural sensitivity and the provision of updated information, tailored brochures and early parental support for families with same-sex parents. All parents need guidance and support from competent, caring personnel throughout the entire process of forming a family.