6. Tobacco Research also indicates that lesbians use tobacco and smoking products more often than heterosexual women use them. Whether smoking is used as a tension reducer or for social interactions, addiction frequently follows and is associated with higher rates of cancers, heart disease, and emphysema — the causes of death among all women. 7. Alcohol Alcohol use and be higher among lesbians. While one drink daily be good for the heart, more than that can be a risk factor for cancer or osteoporosis. 8. Substance Use Research indicates that lesbians use illicit more often than heterosexual women. This be due to added stressors in lesbian lives from discrimination. Lesbians need support from each other and from health care providers to find releases, quality recreation, stress reduction, and coping techniques. 9. Domestic Violence Domestic violence is reported to occur in about 11 percent of lesbian homes, about half the rate of 20 percent reported by heterosexual women. But the question is where do lesbians go when they are battered? Shelters need to welcome and include battered lesbians, and offer counseling to the offending partners. 10. Osteoporosis The rates and risks of osteoporosis among lesbians have not been well characterized yet. Calcium and weight-bearing exercise as well as the avoidance of tobacco and alcohol are the mainstays of prevention. It is also important to get bone density tests every few years to if medication is needed to prevent fracture. Author: A. O’Hanlan, MD, Former President, GLMA, Co-Founder, Lesbian Health Fund, Gynecologist, Portola Valley, CA
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