title: The Social and Cultural Significance of Women's Sexual Identities Should Guide Health Promotion.
abstract: OBJECTIVE
  Our analysis aimed to identify the major risk behaviors and health issues for young lesbian, bisexual and queer women, and combine this with lifestyle and community engagement data to guide targeted health promotion for these groups.
  
  
  METHODS
  We conducted statistical analysis of 379 self-complete surveys from women aged 17-30 years attending lesbian, gay, bisexual, trans, and queer (LGBTQ) community events during the Sydney Gay and Lesbian Mardi Gras Festival period in February 2010 and 2012.
  
  
  RESULTS
  We found concerning rates of tobacco, alcohol, and illicit drug use across all groups; a mental illness diagnosis and formal psychological support access were common. Queer women had the highest rates of illicit drug use, experiences of sexual coercion, and anti-LGBTQ discrimination. They were also the most proactive with their health. Bisexual women had low STI testing despite having high rates of sexual activity with both men and women. Lesbian women had the poorest uptake of Pap smears and STI testing.
  
  
  CONCLUSIONS
  Findings demonstrate that meaningful sexual behavior is irrelevant for the majority of health disparities affecting sexual minority women. Meaningful engagement with contemporary sexual identities and their local social and cultural significance is essential for the development of appropriate and effective targeted public health interventions.
authors.affiliation: 1 Sydney School of Medicine, University of Sydney , Sydney, NSW, Australia .
authors.forename: Rada
authors.initials: R
authors.lastname: Germanos
authors.affiliation: 2 Discipline of Addiction Medicine, University of Sydney , Sydney, NSW, Australia .|3 South Eastern Sydney Local Health District , Sydney, NSW, Australia .
authors.forename: Rachel
authors.initials: R
authors.lastname: Deacon
authors.affiliation: 4 Centre for Values, Ethics and the Law in Medicine, University of Sydney , Sydney, NSW, Australia .
authors.forename: Julie
authors.initials: J
authors.lastname: Mooney-Somers
mesh_terms: D000293:Adolescent; D000328:Adult; D001727:Bisexuality / Q000523:psychology / Q000706:statistics & numerical data*; D003469:Culture; D005260:Female; D006293:Health Promotion; D018452:Homosexuality, Female / Q000523:psychology / Q000706:statistics & numerical data*; D006801:Humans; D008019:Life Style; D001523:Mental Disorders / Q000453:epidemiology; D011634:Public Health; D012309:Risk-Taking; D012919:Social Behavior; D063508:Social Discrimination / Q000706:statistics & numerical data; D019966:Substance-Related Disorders / Q000453:epidemiology; D014481:United States / Q000453:epidemiology; D055815:Young Adult
keywords: bisexual; health promotion; lesbian; queer; sexual identity; sexual minority