title: Pap smear rates among Australian community-attached lesbian and bisexual women: some good news but disparities persist.
abstract: Background Research in the US and UK shows that lesbian women are less likely than their heterosexual peers to attend for routine Pap smear tests. This study examined Pap smear test rates among community-attached lesbian, bisexual and queer (LBQ) women in New South Wales (NSW), to investigate if rates had changed between 2002 and 2012, compare rates to the general NSW population and identify predictive factors for Pap smear test attendance.
  
  
  METHODS
  Data was taken from the Sydney Women and Sexual Health (SWASH) survey, a self-completed biennial questionnaire of LBQ women's health and wellbeing.
  
  
  RESULTS
  Of the 4083 respondents, 83% had ever had a Pap smear test. Recent attendance rates were similar to the general NSW population. Significant predictors for ever having attended for a Pap smear test were older age, post Year 12 education, ever having had a sexually transmissible infection test, being out about sexuality to a regular doctor and ever having had sex with men.
  
  
  CONCLUSIONS
  Pap smear rates for LBQ women are encouraging when compared with rates from countries such as the US or UK. A significant proportion of LBQ women are never receiving Pap smear tests. Predictive factors suggest a continued perception that women who have not had sex with men are not at risk of human papillomavirus, and highlight the importance of health providers providing a safe and welcoming environment for LBQ women to openly discuss their health.
authors.affiliation: The School of Medicine and Dentistry, University of Aberdeen, Polwarth Building, Foresterhill, Aberdeen, AB25 2ZD, UK.
authors.forename: Catriona
authors.initials: C
authors.lastname: Douglas
authors.affiliation: Discipline of Addiction Medicine, University of Sydney, KGV Building, Royal Prince Alfred Hospital, Missenden Road, Camperdown, NSW 2050, Australia.
authors.forename: Rachel
authors.initials: R
authors.lastname: Deacon
authors.affiliation: Centre for Values, Ethics and the Law in Medicine, University of Sydney, Medical Foundation Building, Camperdown, NSW 2006, Australia.
authors.forename: Julie
authors.initials: J
authors.lastname: Mooney-Somers