title: Risk behaviors for reproductive tract infection in women who have sex with women in Beijing, China.
abstract: OBJECTIVE
  To assess risk behaviors for reproductive tract infections (RTI) including sexually transmitted infections (STI) among women who have sex with women (WSW) in Beijing, China.
  
  
  METHODS
  A cross-sectional study of women recruited from venues and internet outreach analyzed using interviews.
  
  
  RESULTS
  We recruited 224 WSW, among whom were 37 couples. The average age of participants was 25.6 years. Sex with men in the past year was reported by 10.7% of participants. During the past year, 34.3% (77/224) had had >1 sexual partner and 72.4% (162/224) had ever had >1 sexual partner. Condom use in the last sex with a man was reported by 54.2% (13/24) of women; 12.5% (3/24) reported never having used a condom with a man in the past year. In the past year, 13.4% (30/224) reported using sex toys with their female partners; of these, 43.3% (13/30) reported consistent condom use with the sex toys and 36.7% (11/30) had shared sex toys. Among participants 65.2% (120/184) reported that their "G-spot" had been stimulated during sex, 49.2% (59/120) of whom reported bleeding during or after sex. Only 12.5% (8/64) of those never reporting "G spot" stimulation reported bleeding during or after sex (P<0.001).
  
  
  CONCLUSIONS
  WSW in Beijing engaged in high-risk sexual behaviors that may carry a substantial risk of being infected with STI/RTI. To implement STI/RTI prevention and intervention among women, women-women sexual behavior should be considered when doing research and intervention programs.
authors: National Center for AIDS/STD Control and Prevention, Chinese Center for Disease Control and Prevention, Changping District, Beijing, People's Republic of China.
authors: Xiaofang
authors: X
authors: Wang
authors: Jessie L
authors: JL
authors: Norris
authors: Yingjie
authors: Y
authors: Liu
authors: Sten H
authors: SH
authors: Vermund
authors: Han-Zhu
authors: HZ
authors: Qian
authors: Ling
authors: L
authors: Han
authors: Ning
authors: N
authors: Wang
mesh_terms: D000328:Adult; D002681:China / Q000453:epidemiology; D005260:Female; D018452:Homosexuality, Female; D006801:Humans; D007407:Interviews as Topic; D008297:Male; D008875:Middle Aged; D060737:Reproductive Tract Infections / Q000453:epidemiology* / Q000209:etiology; D012309:Risk-Taking; D047568:Unsafe Sex