title: Relationship between sexual orientation and quality of life in female breast cancer survivors.
abstract: BACKGROUND
  Some groups of breast cancer survivors bear a greater burden of diminished quality of life than others. Self-identified lesbians, or women who partner with other women in romantic and spousal relationships, are one group of women that has been hypothesized to experience and report poorer quality of life compared with heterosexual breast cancer survivors.
  
  
  METHODS
  A convenience sample of 204 breast cancer survivors (143 heterosexual and 61 self-identified lesbians) participated in this cross-sectional, online study by completing electronic surveys regarding their quality of life.
  
  
  RESULTS
  Multivariate linear regression indicated that quality of life was not related to sexual orientation (β=0.13, p=0.30). Quality of life scores were similar between heterosexual and self-identified lesbian breast cancer survivors.
  
  
  CONCLUSIONS
  Quality of life scores were similar between heterosexual and lesbian breast cancer survivors. Future survivorship research should include population-based sampling of lesbian breast cancer survivors for testing quality of life and reducing the healthy volunteer effect, and population-based methodologies should be made available to enhance researcher ability to study this rare population.
authors: Boston University School of Public Health, Department of Community Health Sciences, Boston, Massachusetts 02118, USA. jjabson@bu.edu
authors: Jennifer M
authors: JM
authors: Jabson
authors: Rebecca J
authors: RJ
authors: Donatelle
authors: Deborah J
authors: DJ
authors: Bowen
mesh_terms: D000223:Adaptation, Psychological; D000328:Adult; D001943:Breast Neoplasms / Q000523:psychology* / Q000601:surgery; D003430:Cross-Sectional Studies; D005260:Female; D020010:Heterosexuality / Q000523:psychology*; D018452:Homosexuality, Female / Q000523:psychology*; D006801:Humans; D007398:Interpersonal Relations; D008019:Life Style; D016014:Linear Models; D008297:Male; D008875:Middle Aged; D011788:Quality of Life / Q000523:psychology*; D012650:Self Disclosure; D012747:Sexual Partners / Q000523:psychology; D012944:Social Support; D011795:Surveys and Questionnaires; D017741:Survivors / Q000523:psychology*