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Healthcare and the LGBTQ community

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191-768: Various issues in medicine relate to lesbian , gay , bisexual , transgender and queer (LGBTQ) people. According to the US Gay and Lesbian Medical Association (GLMA), besides HIV / AIDS , issues related to LGBTQ health include breast and cervical cancer , hepatitis , mental health , substance use disorders , alcohol use , tobacco use , depression , access to care for transgender persons, issues surrounding marriage and family recognition, conversion therapy , refusal clause legislation, and laws that are intended to "immunize health care professionals from liability for discriminating against persons of whom they disapprove." LGBTQ people may face barriers to accessing healthcare on

382-490: A school , family, or the workplace , the home, and within neighborhoods. When bullying occurs in college and university settings, the practice is known as ragging in certain countries, especially those of the Indian subcontinent. The main platform for bullying in contemporary culture involves the use of social media websites. In a 2012 study of male adolescent American football players, "the strongest predictor [of bullying]

573-663: A 'core' lesbian orientation." A 2001 article on differentiating lesbians for medical studies and health research suggested identifying lesbians using the three characteristics of identity only, sexual behavior only, or both combined. The article declined to include desire or attraction as it rarely has bearing on measurable health or psychosocial issues. Researchers state that there is no standard definition of lesbian because "The term has been used to describe women who have sex with women, either exclusively or in addition to sex with men (i.e., behavior ); women who self-identify as lesbian (i.e., identity ); and women whose sexual preference

764-555: A 2011 nationwide study in the United States, 46.1% of bisexual women reported having experienced rape, compared to 13.1% of lesbians and 17.4% of heterosexual women, a risk factor for HIV. Transgender individuals are often reluctant to seek medical care or are denied access by providers due to transphobia or a lack of knowledge or experience with transgender health. Additionally, in some jurisdictions, health care related to transgender issues, especially sex reassignment therapy ,

955-485: A 50% higher rate among sexual minority men, and another encountering no differences across sexual orientations. Typically, bisexual individuals and their health and well-being are not studied independently of lesbian and gay individuals. Thus, there is limited research on the health issues that affect bisexual individuals. However, the research that has been done has found striking disparities between bisexuals and heterosexuals, and even between bisexuals and homosexuals. It

1146-825: A GSA (GSA- youth). Amongst other competing variables that contributed to these outcomes, the vast majority of schools that had a GSA were located in urban and suburban areas that tend to be safer and more accepting of LGBT people in general. Family and social support networks also relate with mental health trajectories amongst LGBT youth. Family rejection upon a youth "coming out" sometimes results in adverse health outcomes. In fact, LGBT youth who experienced family rejection were 8.4 times more likely to attempt suicide, 5.9 times more likely to experience elevated levels of depression, and 3.4 times more likely to use illegal drugs than those LGBT youth who were accepted by family members. Family rejection sometimes leads youth to either run away from home or be kicked out of their home, which relates to

1337-622: A bully, others may find it very difficult and reach a breaking point. There have been cases of apparent bullying suicides that have been reported closely by the media. These include the deaths of Ryan Halligan , Phoebe Prince , Dawn-Marie Wesley , Nicola Ann Raphael , Megan Meier , Audrie Pott , Tyler Clementi , Jamey Rodemeyer , Kenneth Weishuhn , Jadin Bell , Kelly Yeomans , Rehtaeh Parsons , Amanda Todd , Brodie Panlock , Jessica Haffer, Hamed Nastoh , Sladjana Vidovic , April Himes, Cherice Moralez and Rebecca Ann Sedwick . According to

1528-504: A bully, were more likely to experience depression or serious suicidal ideation than the other roles, victims or bullies only, while girls who have any involvement in bullying have a higher level of risk for depression. In a study of high school students completed in Boston, students who self reported being victims of bullying were more likely to consider suicide when compared to youth who did not report being bullied. The same study also showed

1719-557: A children's magazine titled St. Nicholas , and a collection called Smith College Stories , without negative views. Enduring loyalty, devotion, and love were major components to these stories, and sexual acts beyond kissing were consistently absent. Women who had the option of a career instead of marriage labeled themselves New Women and took their new opportunities very seriously. Faderman calls this period "the last breath of innocence" before 1920 when characterizations of female affection were connected to sexuality, marking lesbians as

1910-558: A combination of antisocial traits and depression was found to be the best predictor of youth violence, whereas video game violence and television violence exposure were not predictive of these behaviors. Bullying may also result from a genetic predisposition or a brain abnormality in the bully. While parents can help a toddler develop emotional regulation and control to restrict aggressive behavior, some children fail to develop these skills due to insecure attachment with their families, ineffective discipline, and environmental factors such as

2101-542: A common understanding without asking or stating anything outright. Women who did not enter the military were aggressively called upon to take industrial jobs left by men, in order to continue national productivity. The increased mobility, sophistication, and independence of many women during and after the war made it possible for women to live without husbands, something that would not have been feasible under different economic and social circumstances, further shaping lesbian networks and environments. Bullying Bullying

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2292-410: A date with a lesbian female, "...she was very anti-bisexual. She said, 'You're sitting on the fence. Make a choice, either you're gay or straight'" (p. 498). Family members similarly questioned and criticized their identity. One participant recalled that his sister stated that she would prefer if her sibling were gay instead of "...this slutty person who just sleeps with everyone" (p. 498). At

2483-411: A desire for more education on how to provide healthcare to LGBTQ patients. Queer individuals may also face discrimination and bias in the health care setting (and in society more broadly), leading to lower quality health care or deterring individuals from seeking care at all. Given these factors, queer women have specific needs around reproductive and sexual health. A lack of screening for cervical cancer

2674-536: A devoted friendship to Honora Sneyd , who was the subject of many of Seward's sonnets and poems. When Sneyd married despite Seward's protest, Seward's poems became angry. Seward continued to write about Sneyd long after her death, extolling Sneyd's beauty and their affection and friendship. As a young woman, writer and philosopher Mary Wollstonecraft was attached to a woman named Fanny Blood . Writing to another woman by whom she had recently felt betrayed, Wollstonecraft declared, "The roses will bloom when there's peace in

2865-541: A frequent antecedent of bullying victimization. Victims of traditional bullying tend to have lower global, social, body-related, and emotional self-esteem compared to uninvolved students. Victims of cyberbullying, on the other hand, may not have lower self-esteem scores than uninvolved students but might have higher body-related self-esteem than both victims of traditional bullying and bullies. It has also been shown that victims are more likely to employ self-defeating or self-deprecating humor intended to entertain others at

3056-425: A greater risk of HIV and other STIs than white gay men. However, their reported rates of unprotected anal intercourse are similar to those of men who have sex with men (MSM) of other ethnicities. Men who have sex with men are at an increased risk for hepatitis, and immunization for Hepatitis A and Hepatitis B is recommended for all men who have sex with men. Safer sex is currently the only means of prevention for

3247-497: A group of people based on whom they had physical relations with. As women have generally been political minorities in Western cultures, the added medical designation of homosexuality has been cause for the development of a subcultural identity. The notion that sexual activity between women is necessary to define a lesbian or lesbian relationship continues to be debated. According to feminist writer Naomi McCormick , women's sexuality

3438-459: A group, typically referred to as mobbing , in which the bully may have one or more followers who are willing to assist the primary bully or who reinforce the bully's behavior by providing positive feedback such as laughing. Bullying in school and in the workplace is also referred to as "peer abuse" . Robert W. Fuller has analyzed bullying in the context of rankism . The Swedish-Norwegian researcher Dan Olweus stated that bullying occurs when

3629-682: A growing homosexual community; both Harlem and Greenwich Village provided furnished rooms for single men and women, which was a major factor in their development as centers for homosexual communities. The tenor was different in Greenwich Village than Harlem. Bohemians —intellectuals who rejected Victorian ideals—gathered in the Village. Homosexuals were predominantly male, although figures such as poet Edna St. Vincent Millay and social host Mabel Dodge were known for their affairs with women and promotion of tolerance of homosexuality. Women in

3820-629: A heated controversy called the feminist sex wars . Butch and femme roles returned, although not as strictly followed as they were in the 1950s. They became a mode of chosen sexual self-expression for some women in the 1990s. Once again, women felt safer claiming to be more sexually adventurous, and sexual flexibility became more accepted. The focus of the debate often centers on a phenomenon named by sexologist Pepper Schwartz in 1983. Schwartz found that long-term lesbian couples report having less sexual contact than heterosexual or homosexual male couples, calling this lesbian bed death . Some lesbians dispute

4011-623: A higher body mass index than heterosexual women. Lesbians often have high rates of substance use, including recreational drugs, alcohol and tobacco. Studies have shown that lesbian and bisexual women are 200% more likely to smoke tobacco than other women. Lesbian, bisexual, and queer women have many of the same reproductive and sexual health needs as heterosexual women. However, queer women face disparities when it comes to reproductive and sexual health. This may be in part due to lower socioeconomic status and lower rates of insurance, particularly for bisexual individuals. Additionally, sex education (in

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4202-412: A higher level of depression than victims experiencing other forms of bullying. This can be related to the anonymity behind social media. If a teen is being bullied and is displaying symptoms of depression it should be questioned and interventions should be implemented. The Danish study showed that kids who are bullied talked to their parents and teachers about it and some reported a decrease in bullying or

4393-555: A higher risk of suicidal consideration in youth who report being a perpetrator, victim, or victim-perpetrator. Victims and victim-bullies are associated with a higher risk of suicide attempts. The place where youth live also appears to differentiate their bullying experiences such that those living in more urban areas who reported both being bullied and bullying others appear to show higher risk of suicidal ideation and suicide attempts. A national survey given to American 6th through 10th grade students found that cyberbullying victims experience

4584-426: A large group of relatively uninvolved bystanders. In many cases, it is the bully's ability to create the illusion they have the support of the majority present that instills the fear of "speaking out" in protestation of the bullying activities being observed by the group. Unless the "bully mentality" is effectively challenged in any given group in its early stages, it often becomes an accepted, or supported, norm within

4775-496: A lesbian identity share experiences that form an outlook similar to an ethnic identity: as homosexuals, they are unified by the heterosexist discrimination and potential rejection they face from their families, friends, and others as a result of homophobia . As women, they face concerns separate from men. Lesbians may encounter distinct physical or mental health concerns arising from discrimination, prejudice , and minority stress . Political conditions and social attitudes also affect

4966-625: A lesbian. Researchers, including social scientists , state that often behavior and identity do not match: women may label themselves heterosexual but have sexual relations with women, self-identified lesbians may have sex with men, or women may find that what they considered an immutable sexual identity has changed over time. Research by Lisa M. Diamond et al. reported that "lesbian and fluid women were more exclusive than bisexual women in their sexual behaviors" and that "lesbian women appeared to lean toward exclusively same-sex attractions and behaviors." It reported that lesbians "appeared to demonstrate

5157-929: A lesbian. ... But this sort of evidence is not 'proof'. What our critics want is incontrovertible evidence of sexual activity between women. This is almost impossible to find. Female sexuality is often not adequately represented in texts and documents. Until very recently, much of what has been documented about women's sexuality has been written by men, in the context of male understanding, and relevant to women's associations to men—as their wives, daughters, or mothers, for example. Often artistic representations of female sexuality suggest trends or ideas on broad scales, giving historians clues as to how widespread or accepted erotic relationships between women were. Women in ancient Greece were sequestered with one another, and men were segregated likewise. In this homosocial environment, erotic and sexual relationships between males were common and recorded in literature, art, and philosophy. Very little

5348-605: A long time without being noticed. Cyberbullying involves the use of technology (typically the internet ) in order to harass, threaten, embarrass, or target another person. When an adult is involved, it may meet the definition of cyber-harassment or cyberstalking , a crime that can have legal consequences and possibly involve penalties such as jail time when cases are reported and the perpetrators are legally prosecuted. This includes bullying by use of email, instant messaging, social media websites (such as Facebook ), text messages, and phone calls from cell phones or mobile devices. It

5539-709: A loss of appetite, a lack of interest in school activities, or in spending time with friends or family, reluctance to go out in public for fear they may encounter their bullies in public places other than school, and having an overall sense of sadness. Mona O'Moore of the Anti-Bullying Centre at Trinity College in Dublin, has written, "There is a growing body of research which indicates that individuals, whether child or adult, who are persistently subjected to abusive behavior are at risk of stress related illness which can sometimes lead to suicide ." Those who have been

5730-547: A negative family, school and community environments and be noticeably rejected and isolated by peers." Victims often have characteristics such as being physically and mentally weak, as well as being easily distraught emotionally. They may also have physical characteristics that make them easier targets for bullies such as being overweight or having some type of physical deformity. Boys are more likely to be victims of physical bullying while girls are more likely to be bullied indirectly. Low levels of self-esteem has been identified as

5921-473: A neurological disease, and Ellis, who was influenced by Krafft-Ebing's writings, disagreed about whether sexual inversion was generally a lifelong condition. Ellis believed that many women who professed love for other women changed their feelings about such relationships after they had experienced marriage and a "practical life". Ellis conceded that there were "true inverts" who would spend their lives pursuing erotic relationships with women. These were members of

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6112-1146: A patient's sexuality can take over an appointment, sometimes placing the patient into a situation where they end up educating the provider. To be inclusive, Singer recommended that healthcare providers should be more inclusive in their opening discussions by saying "So tell me the story of how you became pregnant". Healthcare providers should, according to Singer, use inclusive language that can be used for all types of patients. Healthcare providers were also not aware of how much reproductive health care cost for lesbian couples and they should openly recognize this issue with their lesbian patients. Pharris, Bucchio, Dotson, and Davidson also provided suggestions on how to support lesbian couples during pregnancy. Childbirth educators should avoid assuming that parents are heterosexual or straight couples. They recommend using neutral language when discussing parent preferences. Forms, applications, and other distributed information should be inclusive of lesbian parents. They suggest using terms such as "non-biological mother, co-parent, social mother, other mother and second female parent" are good examples. Asking parents

6303-406: A penis in some women. These sex changes were later thought to be cases of hermaphrodites , and hermaphroditism became synonymous with female same-sex desire. Medical consideration of hermaphroditism depended upon measurements of the clitoris ; a longer, engorged clitoris was thought to be used by women to penetrate other women. Penetration was the focus of concern in all sexual acts, and a woman who

6494-668: A person is "exposed, repeatedly and over time, to negative actions on the part of one or more other persons", and that negative actions occur "when a person intentionally inflicts injury or discomfort upon another person, through physical contact, through words or in other ways". Individual bullying is usually characterized by a person using coercive, intimidating, or hurtful words or comments, exerting threatening or intimidating behavior, or using harmful physical force in order to gain power over another person. A bullying culture can develop in any context in which humans regularly interact with one another. This may include settings such as within

6685-503: A pregnancy. There have been several studies that discuss healthcare experiences of pregnant lesbian women. Larsson and Dykes conducted a study in 2009 about lesbian mothers in Sweden. The participants wanted their healthcare providers to confirm and recognize both parents, not just the biological mother. They also wanted their healthcare providers to ask questions about their "life styles" to demonstrate their openness about sexuality. Most of

6876-400: A recent study, bullies showed lower school performance-related self-esteem than non-involved students. They also showed higher social self-esteem than victims of traditional bullying. Brain studies have shown that the section of the brain associated with reward becomes active when bullies are shown a video of someone inflicting pain on another. Often, bullying takes place in the presence of

7067-710: A result. A review of studies in North America found that LGB individuals generally reported poorer self-rated health, more physical health symptoms, and higher rates of certain health conditions, including diabetes, asthma and high blood pressure, compared to heterosexuals. These disparities were most pronounced among adolescents and young adults, with smaller differences among older age groups. Factors such as health behaviors and experiences of discrimination, victimization, and violence among sexual minorities were found to contribute to these disparities in physical health. Mental health appears worse among LGBT people than among

7258-518: A scandal in New Zealand in 1909 when she was found to be Amy Bock , who had married a woman from Port Molyneaux; newspapers argued whether it was a sign of insanity or an inherent character flaw. During the 17th through 19th centuries, a woman expressing passionate love for another woman was fashionable, accepted, and encouraged. These relationships were termed romantic friendships , Boston marriages , or "sentimental friends", and were common in

7449-545: A shared history and subculture, and similar experiences with discrimination which has caused many lesbians to reject heterosexual principles. This identity is unique from gay men and heterosexual women, and often creates tension with bisexual women. One point of contention are lesbians who have had sex with men, while lesbians who have never had sex with men may be referred to as " gold star lesbians ". Those who have had sex with men may face ridicule from other lesbians or identity challenges with regard to defining what it means to be

7640-412: A significant problem. In some cases, it was not acknowledged to exist. Sexologists Richard von Krafft-Ebing from Germany and Britain's Havelock Ellis wrote some of the earliest and more enduring categorizations of female same-sex attraction , approaching it as a form of insanity (Ellis' categorization of "lesbianism" as a medical problem is now discredited). Krafft-Ebing, who considered lesbianism

7831-401: A situation where they are being taunted, tortured, and "beaten up" by their classmates. Physical bullying will often escalate over time, and can lead to a detrimental or fatal ending, and therefore many try to stop it quickly when such cases are reported or observed in order to prevent any further escalation. Verbal bullying is one of the most common types of bullying. This is any bullying that

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8022-437: A source of entertainment. Other researchers also argued that a minority of the bullies, those who are not in-turn bullied, enjoy going to school, and are least likely to take days off sick. Research indicates that adults who bully have authoritarian personalities, combined with a strong need to control or dominate. It has also been suggested that a prejudicial view of subordinates can be a particularly strong risk factor. In

8213-544: A span of six months. Hall reflected the appearance of a "mannish" woman in the 1920s: short cropped hair , tailored suits (often with pants), and monocle that became widely recognized as a "uniform". When British women supported the war effort during the First World War, they became familiar with masculine clothing, and were considered patriotic for wearing uniforms and pants. Postwar masculinization of women's clothing became associated primarily with lesbianism. In

8404-496: A stop in the bullying after a teacher or parent intervened. The study emphasizes the importance of implementing program-collaborations in schools to have programs and anti-bullying interventions in place to prevent and properly intervene when it occurs. The study also shows the importance of having parents and teachers talk to the bullies about their bullying behavior in order to provide the necessary support for those experiencing bullying. While some people find it very easy to ignore

8595-489: A stressful home life and hostile siblings. Moreover, according to some researchers, bullies may be inclined toward negativity and perform poorly academically. Dr. Cook says, "A typical bully has trouble resolving problems with others and also has trouble academically. He or she usually has negative attitudes and beliefs about others, feels negatively toward himself/herself, comes from a family environment characterized by conflict and poor parenting, perceives school as negative and

8786-700: A strong link between discrimination and harm to the health of LGBT people. The findings showed that the presence of discrimination, stigma, and prejudice creates a hostile social climate which increase the risk of poor mental and physical health, even for those not directly exposed to the discrimination. A systematic review of healthcare access for LGBTQ individuals found that they often struggle to communicate with healthcare providers due to fear of assumptions and embarrassment about their sexual orientation. This, coupled with homophobia in healthcare, leads to exclusion and marginalization, reducing their attendance and engagement in body care and preventive health programs. During

8977-579: A study of lesbian and bisexual women in Canada about using healthcare services, researchers Ross, Steele, and Epstein found that the women in the study loved working with doulas and midwives. Midwives were considered helpful advocates with other healthcare providers that they encountered. Midwives also discuss their perspectives. Röndahl, Bruhner, and Lindhe conducted a study in 2009 about lesbian pregnancy experiences of women in Norway. They found that midwives were

9168-606: A survey by Stonewall Scotland, 7% of bisexual men had attempted suicide in the past year. Bisexual women are twice as likely as heterosexual women to report suicidal ideation if they have disclosed their sexual orientation to a majority of individuals in their lives; those who are not disclosed are three times more likely. Bisexual individuals have a higher prevalence of suicidal ideation and attempts than heterosexual individuals, and more self-injurious behavior than gay men and lesbians. A 2011 survey found that 44 per cent of bisexual middle and high school students had thought about suicide in

9359-491: A target of bullying can teach a child "how to manage disputes and boost their ability to interact with others", and that teachers should not intervene but leave children to respond to the bullying themselves. Others, however, have pointed out that this is only true for normal peer conflicts but not for bullying cases. The teaching of anti-bullying coping skills to children, carers and teachers has been found to be an effective long-term means of reducing bullying incidence rates and

9550-892: A tool to conceal shame or anxiety or to boost self-esteem: by demeaning others, the abuser feels empowered. Bullies may bully out of jealousy or because they themselves are bullied. Psychologist Roy Baumeister asserts that people who are prone to abusive behavior tend to have inflated but fragile egos. Because they think too highly of themselves, they are frequently offended by the criticisms and lack of deference of other people, and react to this disrespect with violence and insults. Researchers have identified other risk factors such as depression and personality disorders , as well as quickness to anger and use of force, addiction to aggressive behaviors, mistaking others' actions as hostile, concern with preserving self-image , and engaging in obsessive or rigid actions. A combination of these factors may also be causes of this behavior. In one study of youth,

9741-582: A unique and often unflatteringly portrayed group. Specifically, Faderman connects the growth of women's independence and their beginning to reject strictly prescribed roles in the Victorian era to the scientific designation of lesbianism as a type of aberrant sexual behavior. For some women, the realization that they participated in behavior or relationships that could be categorized as lesbian caused them to deny or conceal it, such as professor Jeannette Augustus Marks at Mount Holyoke College , who lived with

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9932-413: A valuable skill-set for individuals. Statistically controlling for age and pubertal status, results indicated that on average verbally bullied girls produced less testosterone, and verbally bullied boys produced more testosterone than their nonbullied counterparts. Research on the dark triad ( narcissism , Machiavellianism , and psychopathy ) indicate a correlation with bullying as part of evidence of

10123-510: A variety of non-contraceptive benefits. Estimates suggest that 3.8 million cisgender lesbian, bisexual and queer women may be using contraceptives in the United States. However, lesbian, bisexual, and queer women are less likely to use contraceptive methods, even when they are engaging in sex that could result in pregnancy. Lesbian, bisexual, queer, and women who identify with a sexual minority identity seek abortion care. The Guttmacher Institute estimates that approximately 5% of abortion patients in

10314-439: A woman who identifies herself as an invert after reading Krafft-Ebing's Psychopathia Sexualis , and lives within the homosexual subculture of Paris. The novel included a foreword by Havelock Ellis and was intended to be a call for tolerance for inverts by publicizing their disadvantages and accidents of being born inverted. Hall subscribed to Ellis and Krafft-Ebing's theories and rejected Freud 's theory that same-sex attraction

10505-412: A woman's reputation. In fact, these relationships were promoted as alternatives to and practice for a woman's marriage to a man. One such relationship was between Lady Mary Wortley Montagu , who wrote to Anne Wortley in 1709: "Nobody was so entirely, so faithfully yours ... I put in your lovers, for I don't allow it possible for a man to be so sincere as I am." Similarly, English poet Anna Seward had

10696-415: Is a form of bullying common among youth, but more particularly upon girls. Social exclusion (slighting or making someone feel "left out") is one of the most common types of relational bullying. Relational bullying can be used as a tool by bullies to both improve their social standing and in order to control others. Unlike physical bullying, which is obvious, relational bullying is not overt and can continue for

10887-526: Is a more broad approach or motivation than with the engagement of hate crimes. There are also cases being researched now and in the more recent years regarding the phenomenon called "cyberbullying" , which takes place in the virtual or electronic world, typically over the internet. Physical, verbal, and relational bullying are most prevalent in primary school and could also begin much earlier while continuing into later stages of individual's lives. The cases of cyberbullying usually start in early adolescence, when

11078-438: Is among the most obvious and most preventable risk factor for lesbians, bisexual, and queer women in the development of invasive late-stage cervical cancer. Lesbian, bisexual, and queer women are less likely to receive appropriate screening for cervical cancer than heterosexual women, which leads to later detection of cervical cancer. Lesbian, bisexual, and queer women need access to contraception, both to prevent pregnancy and for

11269-443: Is an innate quality in all people. When a woman realizes her romantic and sexual attraction to another woman, it may cause an "existential crisis"; many who go through this adopt the identity of a lesbian, challenging what society has offered in stereotypes about homosexuals, to learn how to function within a homosexual subculture. Lesbians in western cultures generally share an identity that parallels those built on ethnicity; they have

11460-406: Is an unspoken fear of getting HIV tested in gay men. This can be because of fear of sexual rejection, not knowing where of how to get tested, and fear of friends/family distancing. Pre-exposure prophylaxis , or "PrEP", are medications to prevent HIV infection in individuals at higher risk, such as sexually active adults or people who inject drugs. PrEP has been shown to be highly effective, reducing

11651-406: Is associated with depression even a couple years later. Another study that followed up with Finnish teens two years after the initial survey showed that depression and suicidal ideation is higher with teens who are bullied than those who did not report experiencing bullying. A Dutch longitudinal study on elementary students reported that boys who are bully-victims, who play both roles of a victim and

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11842-559: Is because of the common stigma they face as sexual and/or gender minorities known as minority stress. In some studies, lesbians, gay men, bisexual, and queer individuals are combined under the label "non-heterosexual," while in HIV research, participants may be grouped together in categories that include various identities. Most research focuses on lesbians and gay men, with significantly less attention given to bisexual, transgender, queer, intersex and asexual individuals. and they often face stigma as

12033-637: Is by seeking "queer-friendly" health care providers. Research explains healthcare disparities in LGBTQ people is likely due to minority stress. Minority refers to the weight of facing negative societal attitudes and reactions towards one's sexual and gender identity. It includes stressors resulting from social exclusion and stigma, leading to adverse mental health effects. The theory of minority stress explains how experiences of victimization related to gender and sexual non-conformity contribute to psychological and mental health issues among LGBT individuals. This stress

12224-802: Is conducted by speaking, other use of the voice, or some form of body language, and does not involve any form of physical contact. Bullying usually begins at this stage and includes any of the following: In verbal bullying, the main weapon the bully uses is their voice. In many cases, verbal bullying is common in both genders. However, girls are more likely to perform this type of bullying compared to boys. Girls, in general, are also more subtle with insults than boys. Girls use verbal bullying, as well as social exclusion techniques, to dominate and control other individuals and show their superiority and power, often to try to impress someone they idolize. Many boys are subtle enough to use verbal techniques for dominance, and often exhibit this type of bullying when they want to avoid

12415-524: Is consistently and significantly associated with poorer physical and mental health in PLHIV (people living with HIV). The first name proposed for what is now known as AIDS was gay-related immune deficiency , or GRID . This name was proposed in 1982, after public health scientists noticed clusters of Kaposi's sarcoma and Pneumocystis pneumonia among gay males in California and New York City . There

12606-442: Is constructed by men, whose primary indicator of lesbian sexual orientation is sexual experience with other women. The same indicator is not necessary to identify a woman as heterosexual. McCormick states that emotional, mental, and ideological connections between women are as important or more so than the genital. Nonetheless, in the 1980s, a significant movement rejected the desexualization of lesbianism by cultural feminists, causing

12797-637: Is debated and depends on the individual details of each case. If discovered, punishments ranged from death, to time in the pillory , to being ordered never to dress as a man again. Henry Fielding wrote a pamphlet titled The Female Husband in 1746, based on the life of Mary Hamilton , who was arrested after marrying a woman while masquerading as a man, and was sentenced to public whipping and six months in jail. Similar examples were procured of Catharine Linck in Prussia in 1717, executed in 1721; Swiss Anne Grandjean married and relocated with her wife to Lyons, but

12988-504: Is for the viewer or an accurate representation of life is unknown. Rabinowitz writes that the lack of interest from 19th-century historians who specialized in Greek studies regarding the daily lives and sexual inclinations of women in Greece was due to their social priorities. She postulates that this lack of interest led the field to become over male-centric and was partially responsible for

13179-445: Is for women (i.e., desire or attraction )" ... "The lack of a standard definition of lesbian and of standard questions to assess who is lesbian has made it difficult to clearly define a population of lesbian women." How and where study samples were obtained can also affect the definition. The varied meanings of lesbian since the early 20th century have prompted some historians to revisit historic relationships between women before

13370-624: Is growing research to suggest interventions should build on the foundation that bullying is morally wrong. Among adults, being a bystander to workplace bullying was linked to depression. The Bystander effect can be detrimental to the person being bullied. People are less likely to stand up for someone or something when others are around. In the case of cyberbullying, people that see bullying happen on social media are less likely to say something back, whether online or in person. People can have good intentions and want to help, but with no action, nothing will be accomplished. "The act of others stepping in

13561-565: Is hypothesized to be related to the ideals of body image prevalent in the LGBT community. Obesity , on the other hand, affects relatively fewer gay and bisexual men than straight men David McDowell of Columbia University , who has studied substance use in gay men, wrote that club drugs are particularly popular at gay bars and circuit parties . Studies have found different results on the frequency of tobacco use among gay and bisexual men compared to that of heterosexual men, with one study finding

13752-679: Is important to consider that the majority of bisexual individuals are well-adjusted and healthy, despite having higher instances of health issues than the heterosexual population. Youth who reported having sex with both males and females are at the greatest risk for disordered eating, unhealthy weight control practices compared to youth who only have same- or other-gender sex. Bisexual women are twice as likely as lesbians to have an eating disorder and, if they are out, to be twice as likely as heterosexual women to have an eating disorder. Bisexual females are higher on suicidal intent, mental health difficulties and mental health treatment than bisexual males. In

13943-482: Is known as "mobbing" , and can include any of the individual types of bullying. Trolling behavior on social media, although generally assumed to be individual in nature by casual readers, is sometimes a result of organized efforts made by sponsored astroturfers . Mobbing refers to the bullying of an individual by a group, in any context, such as a family , peer group , school , workplace , neighborhood , community , or online. When it occurs as emotional abuse in

14134-778: Is like youres". In Georgia, Alice Baldy wrote to Josie Varner in 1870, "Do you know that if you touch me, or speak to me there is not a nerve of fibre in my body that does not respond with a thrill of delight?" Around the turn of the 20th century, the development of higher education provided opportunities for women. In all-female surroundings, a culture of romantic pursuit was fostered in women's colleges. Older students mentored younger ones, called on them socially, took them to all-women dances, and sent them flowers, cards, and poems that declared their undying love for each other. These were called "smashes" or "spoons", and they were written about quite frankly in stories for girls aspiring to attend college in publications such as Ladies Home Journal ,

14325-427: Is negatively influenced by peers." Contrarily, some researchers have suggested that some bullies are psychologically strongest and have high social standing among their peers, while their targets are emotionally distressed and socially marginalized. Peer groups often promote the bully's actions, and members of these peer groups also engage in behaviors, such as mocking, excluding, punching, and insulting one another as

14516-431: Is not covered by medical insurance. Lesbian A lesbian is a homosexual woman or girl. The word is also used for women in relation to their sexual identity or sexual behavior , regardless of sexual orientation , or as an adjective to characterize or associate nouns with female homosexuality or same-sex attraction. The concept of "lesbian" to differentiate women with a shared sexual orientation evolved in

14707-458: Is not necessarily the same as one's sexual orientation or sexual behavior, due to various reasons, such as the fear of identifying their sexual orientation in a homophobic setting. Portrayals of lesbians in the media suggest that society at large has been simultaneously intrigued and threatened by women who challenge feminine gender roles , as well as fascinated and appalled with women who are romantically involved with other women. Women who adopt

14898-426: Is often pointed out that the reason for this is heterosexism in medical care and research. "Heterosexism can be purposeful (decreased funding or support of research projects that focus on sexual orientation) or unconscious (demographic questions on intake forms that ask the respondent to rate herself or himself as married, divorced, or single). These forms of discrimination limit medical research and negatively impact

15089-444: Is present in extreme forms of bullying, such as hate crimes. A hate crime is when a perpetrator harms a victim because they perceive them to be a member of an outgroup that they are biased against. Perpetrators often harm victims that are perceived as belonging to a group based on their race, ethnicity, skin color, religion, nationality, gender, gender identity, sexual orientation, and or disability. Both bullying and hate crimes involve

15280-422: Is protective against suicide". Men who have sex with men are more likely to acquire HIV in the modern West, Japan, India, and Taiwan, as well as other developed countries than among the general population, in the United States, 60 times more likely than the general population. An estimated 62% of adult and adolescent American males living with HIV/AIDS got it through sexual contact with other men. HIV-related stigma

15471-427: Is rarely the first form of bullying that a victim will experience. Often, bullying will begin in a different form and later progress to physical violence. In physical bullying, the main weapon the bully uses is their body, or some part thereof; or an object as a weapon when attacking their victim. Sometimes groups of young adults will target and alienate a peer because of some adolescent prejudice. This can quickly lead to

15662-402: Is rooted in negative social interactions and, when prolonged, can significantly impact mental health, leading to behaviors like substance abuse, suicidal thoughts, poor communication, and unintentional actions. Research has shown various negative mental health outcomes linked to chronic experiences of minority stress. The 'What We Know Project' reviewed thousands of peer-reviewed studies and found

15853-548: Is stated that Cyberbullying is more common in secondary school than in primary school. The internet provides people with limited accountability and often with no filter. Bullying can feel easier and less restrictive through the use of the internet. This phenomenon is described and detailed in a principle (or effect), called "the online disinhibition effect " . The use of technology for purposes of bullying can be detrimental to someone's online reputation. The information published online will often remain there indefinitely, unless it

16044-434: Is taken down or removed by the person who published it, or by moderators of the website or platform, or (if allowed) by other users. Future employers and other people with access to the internet will be able to see others' digital footprint and how individuals behaved or treated other people - especially if concerted efforts are allocated in order to search for and find any posts, webpages, or content that may negatively impact

16235-409: Is the use of force, coercion , hurtful teasing , comments, or threats, in order to abuse , aggressively dominate , or intimidate one or more others. The behavior is often repeated and habitual. One essential prerequisite is the perception (by the bully or by others) that an imbalance of physical or social power exists or is currently present. This perceived presence of physical or social imbalance

16426-534: Is typically repetitive and enacted by those who are in a position of power over the victim. A growing body of research illustrates a significant relationship between bullying and emotional intelligence (EI). Mayer et al., (2008) defines the dimensions of overall EI as "accurately perceiving emotion, using emotions to facilitate thought, understanding emotion, and managing emotion". The concept combines emotional and intellectual processes. Lower emotional intelligence appears to be related to involvement in bullying, as

16617-654: Is unknown, in particular their expressions of sexuality. Although men participated in pederastic relationships outside marriage, there is no clear evidence that women were allowed or encouraged to have same-sex relationships before or during marriage as long as their marital obligations were met. Women who appear on Greek pottery are depicted with affection, and in instances where women appear only with other women, their images are eroticized: bathing, touching one another, with dildos placed in and around such scenes, and sometimes with imagery also seen in depictions of heterosexual marriage or pederastic seduction. Whether this eroticism

16808-430: Is what distinguishes the behavior from being interpreted or perceived as bullying from instead being interpreted or perceived as conflict . Bullying is a subcategory of aggressive behavior characterized by hostile intent, the goal (whether consciously or subconsciously) of addressing or attempting to "fix" the imbalance of power, as well as repetition over a period of time. Bullying can be performed individually or by

16999-462: Is what will stop bullying". To stop the Bystander effect, people should be confident and stand up for what they believe in. Do not worry what people think of you, rather think of what the benefits can be for the person being bullied. Dr. Cook says, "A typical victim is likely to be aggressive, lack social skills, think negative thoughts, experience difficulties in solving social problems, come from

17190-506: The Dutch : boel , "lover, brother", probably diminutive of Middle High German : buole , "brother", of uncertain origin (compare with the German word buhle "lover"). The meaning deteriorated through the 17th century through "fine fellow", "blusterer", to "harasser of the weak". This may have been as a connecting sense between "lover" and "ruffian" as in "protector of a prostitute ", which

17381-616: The Hepatitis C . Human papilloma virus , which causes anal and genital warts, plays a role in the increased rates of anal cancers in gay men, and some health professionals now recommend routine screening with anal pap smears to detect early cancers. Men have higher prevalence of oral HPV than women. Oral HPV infection is associated with HPV-positive oropharyngeal cancer . Gay men are more likely than straight men to develop eating disorders such as bulimia or anorexia nervosa . The cause of this correlation remains poorly understood, but

17572-472: The " third sex " who rejected the roles of women to be subservient, feminine, and domestic. Invert described the opposite gender roles, and also the related attraction to women instead of men; since women in the Victorian period were considered unable to initiate sexual encounters, women who did so with other women were thought of as possessing masculine sexual desires. The work of Krafft-Ebing and Ellis

17763-549: The 1930s, independent and masculine women were directly recruited by the military in the 1940s, and frailty discouraged. Some women arrived at the recruiting station in a man's suit, denied ever being in love with another woman, and were easily inducted. Sexual activity was forbidden and blue discharge was almost certain if one identified oneself as a lesbian. As women found each other, they formed into tight groups on base, socialized at service clubs, and began to use code words. Historian Allan Bérubé documented that homosexuals in

17954-472: The 20th century. Throughout history, women have not had the same freedom or independence as men to pursue homosexual relationships, but neither have they met the same harsh punishment as gay men in some societies. Instead, lesbian relationships have often been regarded as harmless, unless a participant attempts to assert privileges traditionally enjoyed by men. As a result, little in history was documented to give an accurate description of how female homosexuality

18145-622: The Committee on Lesbian, Gay, Bisexual and Transgender Health Issues and Research Gaps and Opportunities, convened by the Institute of Medicine (IOM) at the request of the NIH, there are several difficulties in conducting health research on LGBTQ populations. These challenges include the complexity of defining sexual orientation and gender nonconformity, hesitancy among individuals to answer questions about their same-sex behavior or gender identity, and

18336-509: The German capital as a center of lesbian activity. Clubs varied between large establishments that became tourist attractions, to small neighborhood cafes where local women went to meet other women. The cabaret song " Das lila Lied " ("The Lavender Song") became an anthem to the lesbians of Berlin. Although it was sometimes tolerated, homosexuality was illegal in Germany and law enforcement used permitted gatherings as an opportunity to register

18527-546: The LGBT community. Studies by Cochran et al. (2003) and Mills et al. (2004), among others, suggest that depression and anxiety appear to affect gay men at a higher rate than in the general population. According to GLMA, "the problem may be more severe for those men who remain in the closet or who do not have adequate social supports. Adolescents and young adults may be at particularly high risk of suicide because of these concerns. Culturally sensitive mental health services targeted specifically at gay men may be more effective in

18718-505: The Lesbian History Group wrote: Because of society's reluctance to admit that lesbians exist, a high degree of certainty is expected before historians or biographers are allowed to use the label. Evidence that would suffice in any other situation is inadequate here... A woman who never married, who lived with another woman, whose friends were mostly women, or who moved in known lesbian or mixed gay circles, may well have been

18909-505: The Roman male's view of himself as the exclusive giver of sexual pleasure but also the most basic foundations of Rome's male-dominated culture". No historical documentation exists of women who had other women as sex partners. Female homosexuality did not receive the same negative response from religious or criminal authorities as male homosexuality or adultery did throughout history. Whereas sodomy between men, men and women, and men and animals

19100-513: The U.S. Enigmatic poet Emily Dickinson wrote over 300 letters and poems to Susan Gilbert, who later became her sister-in-law, and engaged in another romantic correspondence with Kate Scott Anthon. Anthon broke off their relationship the same month Dickinson entered self-imposed lifelong seclusion. Nearby in Hartford, Connecticut, African American freeborn women Addie Brown and Rebecca Primus left evidence of their passion in letters: "No kisses

19291-489: The U.S. who could not visit Harlem or live in Greenwich Village for the first time were able to visit saloons in the 1920s without being considered prostitutes. The existence of a public space for women to socialize in bars that were known to cater to lesbians "became the single most important public manifestation of the subculture for many decades", according to historian Lillian Faderman . The primary component necessary to encourage lesbians to be public and seek other women

19482-415: The U.S.) is largely heteronormative and may not provide information relevant for LGBTQ individuals (see LGBT sex education ). Health care providers may not have adequate education regarding sexual orientation, so may not be offering their queer patients appropriate and needed services. In one survey of Ob/Gyn residents, 50% reported feeling unprepared to care for lesbian or bisexual patients and 92% reported

19673-470: The U.S., Europe, and especially in England. Documentation of these relationships is possible by a large volume of letters written between women. Whether the relationship included any genital component was not a matter for public discourse, but women could form strong and exclusive bonds with each other and still be considered virtuous, innocent, and chaste; a similar relationship with a man would have destroyed

19864-662: The UK alone because they are being bullied. Certain groups seem to incur a higher risk for suicide, such as Native Americans , Alaskan Natives , Asian Americans , and LGBT people. When someone feels unsupported by family or friends, it can make the situation much worse for the victim. In a self-report study completed in New York by 9th through 12th graders, victims of bullying reported more depressive symptoms and psychological distress than those who did not experience bullying. All types of involvement in bullying among both boys and girls

20055-481: The United States identify as lesbian, bisexual, or queer. Studies relying on measures of self-reported abortions suggest that abortion is common across queer women's lives. Bisexual adolescents are more likely to terminate a pregnancy than their heterosexual counterparts, a difference that persists into adulthood. Across their lifetimes, women who identify with a sexual minority identity were more likely than heterosexual women to experience an unwanted pregnancy or terminate

20246-514: The United States responded to the discrimination and repression either by hiding their personal lives, or accepting the label of outcast and creating a subculture and identity . Following World War II , during a period of social repression when governments actively persecuted homosexuals, women developed networks to socialize with and educate each other. Gaining greater economic and social freedom allowed them to determine how they could form relationships and families. With second-wave feminism and

20437-507: The United States, the 1920s was a decade of social experimentation, particularly with sex. This was heavily influenced by the writings of Sigmund Freud , who theorized that sexual desire would be sated unconsciously, despite an individual's wish to ignore it. Freud's theories were much more pervasive in the U.S. than in Europe. With the well-publicized notion that sexual acts were a part of lesbianism and their relationships, sexual experimentation

20628-423: The armed forces either consciously or subconsciously refused to identify themselves as homosexual or lesbian, and also never spoke about others' orientation. The most masculine women were not necessarily common, though they were visible, so they tended to attract women interested in finding other lesbians. Women had to broach the subject about their interest in other women carefully, sometimes taking days to develop

20819-514: The aversive nature of those traits. Studies have shown that bullying behavior is positively correlated with Dark Triad traits. Out of the three traits of the Dark Triad, psychopathy is most strongly correlated to bullying. It is posited that this is because aggression related to psychopathy is more likely to be unprovoked than Machiavellianism and narcissism. This holds true in traditional bullying as well as with cyberbullying. Psychopathy has

21010-465: The basis of their sexual orientation and/or gender identity or expression. Many avoid or delay care or receive inappropriate or inferior care because of perceived or real homophobia or transphobia and discrimination by healthcare providers and institutions; in other words, negative personal experience, the assumption or expectation of negative experience based on knowledge of the history of such experience in other LGBTQ people, or both. According to

21201-410: The body of literature into different types. These can be in the form of nonverbal, verbal, or physical behavior. Another classification is based on the perpetrators or the participants involved, so that the types include individual and collective bullying. Other interpretation also cite emotional and relational bullying in addition to physical harm inflicted towards another person or even property. This

21392-568: The breast, and the prospect of living with my Fanny gladdens my heart:—You know not how I love her." Perhaps the most famous of these romantic friendships was between Eleanor Butler and Sarah Ponsonby, nicknamed the Ladies of Llangollen . Butler and Ponsonby eloped in 1778, to the relief of Ponsonby's family (concerned about their reputation had she run away with a man) to live together in Wales for 51 years and be thought of as eccentrics. Their story

21583-494: The bully and/or the victim of bullying. EI seems to play an important role in both bullying behavior and victimization in bullying; given that EI is illustrated to be malleable, EI education could greatly improve bullying prevention and intervention initiatives. Cyberbullying is any bullying done through the use of technology. This form of bullying can easily go undetected because of lack of authoritative (including parental) supervision. Because bullies can pose as someone else, it

21774-768: The climate for LGBTQ+ youth at schools and educate students and staff about issues faced by the LGBTQ+ community. In order to investigate the effects of GSAs on LGBT youth, 149 college-aged students that self-identified as LGBT completed a survey that assessed their high school's climate for LGBT youth, and their current health and alcohol dependency outcomes. Those participants who had a GSA at their high school (GSA+ youth) reported higher senses of belonging, less at-school victimization because of their sexual orientation, more favorable outcomes related to their alcohol use behaviors, and greater positive outcomes related to depression and general psychological distress when compared to those without

21965-529: The college president, Mary Woolley , for 36 years. Marks discouraged young women from "abnormal" friendships and insisted happiness could only be attained with a man. Other women embraced the distinction and used their uniqueness to set themselves apart from heterosexual women and gay men. From the 1890s to the 1930s, American heiress Natalie Clifford Barney held a weekly salon in Paris to which major artistic celebrities were invited and where lesbian topics were

22156-502: The designation of different or perverted, and used their outlaw status to form social circles in Paris and Berlin. Lesbian began to describe elements of a subculture. Lesbians in Western cultures in particular often classify themselves as having an identity that defines their individual sexuality, as well as their membership to a group that shares common traits. Women in many cultures throughout history have had sexual relations with other women, but they rarely were designated as part of

22347-513: The devaluing and disrespecting of another person for what is deemed or determined by the perpetrator to be justified reasons. Yet, not all bullying is considered to be a hate crime. Bullies often select their victims because of specific characteristics that the bully views as nonconforming to their specific requirements or sense of belonging. This means that individuals in minority groups are more likely to be targeted. However, bullies usually choose victims that are more available and or vulnerable. This

22538-551: The expense of themselves and their own feelings. The results of a meta-analysis conducted by Cook and published by the American Psychological Association in 2010 concluded the main risk factors for children and adolescents being bullied, and also for becoming bullies, are the lack of social problem-solving skills. Children who are bullied often show physical or emotional signs, such as: being afraid to attend school, complaining of headaches or

22729-588: The focus. Combining Greek influences with contemporary French eroticism, she attempted to create an updated and idealized version of Lesbos in her salon. Her contemporaries included artist Romaine Brooks , who painted others in her circle; writers Colette , Djuna Barnes , social host Gertrude Stein , and novelist Radclyffe Hall . Berlin had a vibrant homosexual culture in the 1920s, and about 50 clubs catered to lesbians. Die Freundin ( The Girlfriend ) magazine, published between 1924 and 1933, targeted lesbians. Garçonne (aka Frauenliebe ( Woman Love ))

22920-515: The formation of lesbian relationships and families in the open. The word lesbian is the demonym of the Greek island of Lesbos , home to the 6th-century BCE poet Sappho . From various ancient writings, historians gathered that a group of young women were left in Sappho's charge for their instruction or cultural edification. Little of Sappho's poetry survives, but her remaining poetry reflects

23111-631: The gay, bisexual, lesbian or trans gendered identity groups report being five times as more likely to miss school because they feel unsafe after being bullied due to their sexual orientation. Research points to issues encountered from an early age, such as sexual and gender minorities being targeted for bullying , assault, and discrimination , as contributing significantly to depression, suicide and other mental health issues in adulthood. Social research suggests that LGBT experience discriminatory practices in accessing healthcare. One way that LGB individuals have attempted to deal with discriminatory health care

23302-521: The general population, with depression, anxiety, self-harm, and suicide ideation being higher than the general population. These mental health disparities are more evident in LGBTQ+ youth, with self-harm being reported by 65% of LGBQ youth and 46% of TGNC youth. LGBT individuals have also been shown to have difficulty accessing competent fertility-related care or quality family planning services. There appear to be higher rates of eating disorder and self-harm, but similar levels of obesity and domestic violence to

23493-734: The general population; lack of exercise and smoking appear more significant and drug use higher, while alcohol consumption is similar to the general population. The research indicates noticeable barriers between LGB patients and health professionals, and the reasons suggested are homophobia, assumptions of heterosexuality, lack of knowledge, misunderstanding and over-caution; institutional barriers were identified as well, due to assumed heterosexuality, inappropriate referrals, lack of patient confidentiality, discontinuity of care, absence of LGBT-specific healthcare, lack of relevant psycho-sexual training. About 30 percent of all completed suicides have been related to sexual identity crisis. Students who also fall into

23684-470: The group. Unless action is taken, a " culture of bullying " is often perpetuated within a group for months, years, or longer. Bystanders who have been able to establish their own "friendship group" or "support group" have been found to be far more likely to opt to speak out against bullying behavior than those who have not. In addition to communication of clear expectations that bystanders should intervene and increasing individual self-efficacy , there

23875-517: The growth of scholarship in women's history and sexuality in the late 20th century, the definition of lesbian broadened, leading to debate about the term's use. While research by Lisa M. Diamond identified sexual desire as the core component for defining lesbians, some women who engage in same-sex sexual activity may reject not only identifying as lesbians but as bisexual as well. Other women's self-identification as lesbian may not align with their sexual orientation or sexual behavior. Sexual identity

24066-467: The health care of LGB individuals. This disparity is particularly extreme for lesbians (compared to homosexual men) because they have a double minority status, and experience oppression for being both female and homosexual." LGBTQ+ health outcomes are strongly influenced by social support networks, peers, and family. One example of a support network now available to some LGBTQ+ youth include Gay-Straight Alliances (GSAs), which are clubs that work to improve

24257-480: The high rate of homelessness experienced by LGBT youth. In turn, homelessness relates to an array of adverse health outcomes that sometimes stem from homeless LGBT youths' elevated rates of involvement in prostitution and survival sex. One longitudinal study of 248 youth across 5.5 years found that LGBT youth that have strong family and peer support experience less distress across all-time points relative to those who have uniformly low family and peer support. Overtime,

24448-720: The human papillomavirus (HPV). Most research on HIV/AIDS focuses on gay and bisexual men than lesbians and bisexual women. Evidence for risky sexual behavior in bisexually behaving men has been conflicted. Bisexually active men have been shown to be just as likely as gay or heterosexual men to use condoms. Men who have sex with men and women are less likely than homosexually behaving men to be HIV-positive or engage in unprotected receptive anal sex, but more likely than heterosexually behaving men to be HIV-positive. Although there are no confirmed cases of HIV transmitted from female to female, women who have sex with both men and women have higher rates of HIV than homosexual or heterosexual women. In

24639-417: The island of Lesbos, and so could be construed to mean ' from the island of Lesbos ' . In 1875, George Saintsbury , in writing about Baudelaire's poetry, refers to his "Lesbian studies" in which he includes his poem about "the passion of Delphine" which is a poem simply about love between two women which does not mention the island of Lesbos, though the other poem alluded to, entitled "Lesbos", does. Use of

24830-502: The limited information available on female topics in ancient Greece. Women in ancient Rome were similarly subject to men's definitions of sexuality. Modern scholarship indicates that men viewed female homosexuality with hostility. They considered women who engaged in sexual relations with other women to be biological oddities that would attempt to penetrate women—and sometimes men—with "monstrously enlarged" clitorises . According to scholar James Butrica, lesbianism "challenged not only

25021-467: The logistical and financial challenges of recruiting a sufficient sample size for meaningful analysis due to the relatively small size of the LGBTQIA population in the United States. Lesbians, gay men, bisexual individuals, and transgender people are often grouped together in research and discussions despite being distinct populations and non-inclusive of all non-heterosexual or gender non-conforming. This

25212-659: The masquerade of one gender for another to fool an unsuspecting woman into being seduced. Such plot devices were used in Shakespeare 's Twelfth Night (1601), The Faerie Queene by Edmund Spenser in 1590, and James Shirley 's The Bird in a Cage (1633). Cases during the Renaissance of women taking on male personae and going undetected for years or decades have been recorded, though whether these cases would be described as transvestism by homosexual women, or in contemporary sociology characterised as transgender ,

25403-478: The military in the U.S. Women's Army Corps (WACs) and U.S. Navy's Women Accepted for Volunteer Emergency Service (WAVES). Unlike processes to screen out male homosexuals, which had been in place since the creation of the American military, there were no methods to identify or screen for lesbians; they were put into place gradually during World War II. Despite common attitudes regarding women's traditional roles in

25594-482: The names of homosexuals for future reference. Magnus Hirschfeld's Scientific-Humanitarian Committee , which promoted tolerance for homosexuals in Germany , welcomed lesbian participation, and a surge of lesbian-themed writing and political activism in the German feminist movement became evident. In 1928, Radclyffe Hall published a novel titled The Well of Loneliness . The novel's plot centers around Stephen Gordon,

25785-411: The ones who were responsible for creating a space to discuss sexuality. However, midwives in the study felt that they were inadequate about having the communication tools to create this space. Additionally, the researchers found that lesbian couples were seen as different compared to straight couples. The partners have a sense of both love and friendship. Their differences were also seen when trying to find

25976-750: The past decade, the LGBTQ social movement in United States and worldwide contributed to the increasing trend of public recognition and acceptance toward the community. Reports from the Institute of Medicine , US National Institutes of Health and other nonprofit organizations have called to address the gap in LGBT training and education for healthcare professionals. Current research indicate that LGBT individuals face disparity compared to their heterosexual and cisgender counterparts regarding access to health facilities, qualities, and treatment outcomes. It

26167-678: The past month. Female adolescents who report relationships with same- and other-sex partners have higher rates of hazardous alcohol use and substance use disorders. This includes higher rates of marijuana and other illicit drug use. Behaviorally and self-identified bisexual women are significantly more likely to smoke cigarettes and have been drug users as adolescents than heterosexual women. Bisexual women are more likely to be nulliparous , overweight and obese, have higher smoking rates and alcohol drinking than heterosexual women, all risk factors for breast cancer. Bisexual men practicing receptive anal intercourse are at higher risk for anal cancer caused by

26358-495: The past year. Despite progress in LGBT rights globally, gay men continue to experience high rates of loneliness and depression after coming out. Suicide rates among men in same-sex relationships fell significantly in Sweden and Denmark after the legalization of same-sex marriage . Researcher Annette Erlangsen suggested that along with other gay rights legislation, same-sex marriage may have reduced feelings of social stigmatization among some homosexual people and that "being married

26549-460: The personal level, many bisexual struggle to accept themselves due to society's negative social attitudes and beliefs about bisexuality. In order to address issues of self acceptance, participants recommended embracing spirituality, exercise, the arts, and other activities that promote emotional health. LGBTQ+ individuals face unique problems in having biological children not experienced by cisgender heterosexual men and women. Traditionally parenthood

26740-490: The possession, ownership, or occurrence of cellular or mobile devices are more common. Individual bullying tactics are perpetrated by a single person against one or more victims. Individual bullying can be classified into four types. Physical bullying is any bullying that physically harms someone's body or damages their possessions. Stealing, shoving, hitting, fighting, pantsing. and intentionally destroying someone's property are examples of physical bullying. Physical bullying

26931-455: The present day, the bully pulpit refers to the use of a high position to influence the general public's thoughts and to initiate changes. The term "bully" has been significantly modified through the years, and through language translations, it has shifted from terms of endearment to a form of sarcastic jesting, and then to one or more actions made against others, as well as behavior or activity to be fearful of. Bullying has been classified by

27122-515: The prevention, early detection, and treatment of these conditions." Researchers at the University of California at San Francisco found that major risk factors for depression in gay and bisexual men included a recent experience of anti-gay violence or threats, not identifying as gay, or feeling alienated from the gay community. Results from a survey by Stonewall Scotland published in early 2012 found that 3% of gay men had attempted suicide within

27313-449: The psychological distress experienced by LGBT youth decreased, regardless of the amount of family and peer support that they received during adolescence. Nonetheless, the decrease in distress was greater for youth with low peer and family support than for those participants with high support. At age 17, those who lacked family support but had high peer support exhibited the highest levels of distress, but this distress level lowered to nearly

27504-561: The risk of HIV transmission through sexual intercourse by up to 99% and through injection drug use by 74% when used as directed. The World Health Organization recommends different forms of PrEP, including oral PrEP for those at substantial risk, event-driven PrEP for men who have sex with men, and the dapivirine vaginal ring for women at substantial risk who do not have access to oral PrEP. The US Center for Disease Control recommends annual screening for syphilis , gonorrhea , HIV and chlamydia for men who have sex with men. Black gay men have

27695-444: The roles for the lesbian co-mothers (non-biological mothers), as the language and questions asked did not fit their roles. Finally, the researchers found that there needed to be a balance of asking questions and being overly assertive. Midwives could ask questions about the patients' sexuality, but asking too many questions caused discomfort in the patients. Gay men are more likely to internalize their mental health issues than others in

27886-809: The same level as those reporting high levels of support within a few years. Those LGBT youth without family support but with strong support from their peers reported an increase in family support over the years in spite of having reported the lowest family support at the age of 17. Similarly, another study of 232 LGBTQ youth between the ages of 16-20 found that those with low family and social support reported higher rates of hopelessness, loneliness, depression, anxiety, somatization , suicidality , global severity, and symptoms of major depressive disorder (MDD) than those who received strong family and non-family support. In contrast, those who solely received non-family support reported worse outcomes for all measured health outcomes except for anxiety and hopelessness, for which there

28077-415: The same meaning. Class distinction became linked as the fashion of female homoeroticism passed. Tribades were simultaneously considered members of the lower class trying to ruin virtuous women, and representatives of an aristocracy corrupt with debauchery. Satirical writers began to suggest that political rivals (or more often, their wives) engaged in tribadism in order to harm their reputations. Queen Anne

28268-568: The social structure level, bisexuals noted that they were constantly asked to explain and justify their sexual orientation, and experienced biphobia and monosexism from individuals both within and outside of the LGBT community. Many also stated that their identity was repetitively degraded by others, and that they are assumed to be promiscuous and hypersexual. During dates with others that did not identify as bisexual, some sighted being attacked and rejected solely based their sexual orientation. One female bisexual participant stated that upon going on

28459-526: The soon-to-be-named Joan Crawford . Homosexuals began to draw comparisons between their newly recognized minority status and that of African Americans. Among African American residents of Harlem , lesbian relationships were common and tolerated, though not overtly embraced. Some women staged lavish wedding ceremonies, even filing licenses using masculine names with New York City. Most homosexual women were married to men and participated in affairs with women regularly. Across town, Greenwich Village also saw

28650-416: The strongest correlations, followed by Machiavellianism, and narcissism. Although the lower of the three, narcissism is still correlated, being more prevalent in types of indirect bullying than physical bullying. A bully may project their own feelings of vulnerability onto the target(s) of the bullying activity. Despite the fact that a bully's typically denigrating activities are aimed at the bully's targets,

28841-749: The study's definition of sexual contact, and introduced other factors such as deeper connections existing between women that make frequent sexual relations redundant, greater sexual fluidity in women causing them to move from heterosexual to bisexual to lesbian numerous times through their lives—or reject the labels entirely. Further arguments attested that the study was flawed and misrepresented accurate sexual contact between women, or sexual contact between women has increased since 1983 as many lesbians find themselves freer to sexually express themselves. More discussion on gender and sexual orientation identity has affected how many women label or view themselves. Most people in western culture are taught that heterosexuality

29032-422: The suicide awareness voices for education, suicide is one of the leading causes of death for youth from 15 to 24 years old. Over 16 percent of students seriously consider suicide, 13 percent create a plan, and 8 percent have made a serious attempt. Some have argued that bullying can teach life lessons and instill strength. Helene Guldberg, a child development academic, sparked controversy when she argued that being

29223-415: The target person's evaluation or eligibility for a position. Another problem with cyberbullying is the possibility that other people are able to get involved. Technology, especially the use of social media, allows others to repost or share published content, whether it is positive or negative. Collective bullying tactics are employed by more than one individual against one or more victims. Collective bullying

29414-426: The targets of bullying can develop long-term emotional and behavioral problems. Bullying can cause loneliness , depression , anxiety , lead to low self-esteem and increased susceptibility to illness. Bullying has also been shown to cause maladjustment in young children, and targets of bullying who were also bullies themselves exhibit even greater social difficulties. A mental health report also found that bullying

29605-472: The term "bullying" , while some states in the United States currently have laws specifically against it. Bullying is divided into four basic types of abuse: psychological (sometimes referred to as "emotional" or "relational" ), verbal , physical , and cyber (or "electronic" ), though an encounter can fall into more than one of these categories. Behaviors used to assert such domination may include physical assault or coercion, verbal harassment , or

29796-425: The term trepesthai (to be focused on) instead of eros , which was applied to other erotic relationships between men, and between men and women. Historian Nancy Rabinowitz argues that ancient Greek red vase images which portray women with their arms around another woman's waist, or leaning on a woman's shoulders can be construed as expressions of romantic desire. Much of the daily lives of women in ancient Greece

29987-420: The topics she wrote about: women's daily lives, their relationships, and rituals. She focused on the beauty of women and proclaimed her love for girls. Before the mid-19th century, the word lesbian referred to any derivative or aspect of Lesbos, including a type of wine . In Algernon Charles Swinburne 's 1866 poem "Sapphics", the term lesbian appears twice but capitalized both times after twice mentioning

30178-440: The trouble or possible consequences that can come with physically bullying someone else. Relational bullying (sometimes referred to as social aggression) is the type of bullying that uses relationships to hurt others. The term also denotes any bullying that is done with the intent to hurt somebody's reputation or social standing which can also link in with the techniques included in physical and verbal bullying. Relational bullying

30369-500: The true source of such negativity is ultimately almost always found in the bully's own sense of personal insecurity and/or vulnerability. Such aggressive projections of displaced negative emotions can occur anywhere from the micro-level of interpersonal relationships, all the way up through to the macro-level of international politics, or even international armed conflict. Bullying is abusive social interaction between peers which can include aggression, harassment, and violence. Bullying

30560-416: The use of threats , and such acts may be directed repeatedly toward particular targets. Rationalizations of such behavior sometimes include differences of social class, race, religion, gender, sexual orientation, appearance, behavior, body language, personality, reputation, lineage, strength, size, or ability. The word "bully" was first used in the 1530s, meaning "sweetheart", applied to either sex, from

30751-629: The wedding party—continued to appear for the next century. Outside Europe, women were able to dress as men and go undetected. Deborah Sampson fought in the American Revolution under the name Robert Shurtlieff, and pursued relationships with women. Edward De Lacy Evans was born female in Ireland, but took a male name during the voyage to Australia and lived as a man for 23 years in Victoria, marrying three times. Percy Redwood created

30942-496: The wide usage of the word was defined by erotic proclivities. Discussion from historians caused further questioning of what qualifies as a lesbian relationship. As lesbian-feminists asserted, a sexual component was unnecessary in declaring oneself a lesbian if the primary and closest relationships were with women. When considering past relationships within appropriate historic context, there were times when love and sex were separate and unrelated notions. In 1989, an academic cohort named

31133-447: The women in the study commented that they had good experiences with healthcare. However, birth education tended to focus on mother and father dynamics. The forms that were also used tended to be heterosexist (see Heterosexism ), only allowing for mother and father identities. To account for these differences, Singer created a document about how to improve the prenatal care of lesbian women in the United States. She found that curiosity about

31324-429: The word lesbianism to describe erotic relationships between women had been documented in 1870. In 1890, the term lesbian was used in a medical dictionary as an adjective to describe tribadism (as "lesbian love"). The terms lesbian , invert and homosexual were interchangeable with sapphist and sapphism around the turn of the 20th century. The use of lesbian in medical literature became prominent; by 1925,

31515-424: The word was recorded as a noun to mean the female equivalent of a sodomite . The development of medical knowledge was a significant factor in further connotations of the term lesbian. In the middle of the 19th century, medical writers attempted to establish ways to identify male homosexuality, which was considered a significant social problem in most Western societies. In categorizing behavior that indicated what

31706-533: The workplace, such as "ganging up" by co-workers, subordinates or superiors , to force someone out of the workplace through rumor , innuendo , intimidation , humiliation , discrediting , and isolation , it is also referred to as malicious, nonsexual, nonracial/racial, general harassment . Studies have shown that envy and resentment may be motives for bullying. Research on the self-esteem of bullies has produced equivocal results. While some bullies are arrogant and narcissistic, they can also use bullying as

31897-478: Was aimed at lesbians and male transvestites . These publications were controlled by men as owners, publishers, and writers. Around 1926, Selli Engler founded Die BIF – Blätter Idealer Frauenfreundschaften ( The BIF – Papers on Ideal Women Friendships ), the first lesbian publication owned, published and written by women. In 1928, the lesbian bar and nightclub guide Berlins lesbische Frauen ( The Lesbians of Berlin ) by Ruth Margarite Röllig further popularized

32088-543: Was also a suggested way to figure out what term should be used. Parents may also need help navigating legal systems in the area. Midwife (wives) and Doula (s) have provided care for lesbian women and couples who are pregnant. In an article in Rewire News, there was a discussion of how midwives and doulas are attempting to improve the overall care of lesbian couples by having specific training based on providing care to these couples as well as having inclusive processes. In

32279-591: Was caused by childhood trauma and was curable. The publicity Hall received was due to unintended consequences; the novel was tried for obscenity in London, a spectacularly scandalous event described as " the crystallizing moment in the construction of a visible modern English lesbian subculture" by professor Laura Doan. Newspaper stories frankly divulged that the book's content includes "sexual relations between Lesbian women", and photographs of Hall often accompanied details about lesbians in most major print outlets within

32470-613: Was considered "the epitome of virtuous romantic friendship" and inspired poetry by Anna Seward and Henry Wadsworth Longfellow . Diarist Anne Lister , captivated by Butler and Ponsonby, recorded her affairs with women between 1817 and 1840. Some of it was written in code, detailing her sexual relationships with Marianna Belcombe and Maria Barlow. Both Lister and Eleanor Butler were considered masculine by contemporary news reports, and though there were suspicions that these relationships were sapphist in nature, they were nonetheless praised in literature. Romantic friendships were also popular in

32661-523: Was demanded of nuns who "rode" each other or were discovered to have touched each other's breasts. An Italian nun named Sister Benedetta Carlini was documented to have seduced many of her sisters when possessed by a Divine spirit named "Splenditello"; to end her relationships with other women, she was placed in solitary confinement for the last 40 years of her life. Female homoeroticism was so common in English literature and theater that historians suggest it

32852-658: Was economic independence, which virtually disappeared in the 1930s with the Great Depression . Most women in the U.S. found it necessary to marry to a " front " such as a gay man where both could pursue homosexual relationships with public discretion, or to a man who expected a traditional wife. Independent women in the 1930s were generally seen as holding jobs that men should have. The social attitude made very small and close-knit communities in large cities that centered around bars, while simultaneously isolating women in other locales. Speaking of homosexuality in any context

33043-411: Was exposed by a woman with whom she had had a previous affair and sentenced to time in the stocks and prison. Queen Christina of Sweden 's tendency to dress as a man was well known during her time and excused because of her noble birth. She was brought up as a male and there was speculation at the time that she was a hermaphrodite. Even after Christina abdicated the throne in 1654 to avoid marriage, she

33234-463: Was expressed. When early sexologists in the late 19th century began to categorize and describe homosexual behavior, hampered by a lack of knowledge about homosexuality or women's sexuality, they distinguished lesbians as women who did not adhere to female gender roles . They classified them as mentally ill—a designation which has been reversed since the late 20th century in the global scientific community. Women in homosexual relationships in Europe and

33425-474: Was fashionable for a period during the Renaissance . Englishwoman Mary Frith has been described as lesbian in academic study. Ideas about women's sexuality were linked to contemporary understanding of female physiology. The vagina was considered an inward version of the penis; where nature's perfection created a man, often nature was thought to be trying to right itself by prolapsing the vagina to form

33616-960: Was known to pursue romantic relationships with women. Some historians view cases of cross-dressing women to be manifestations of women seizing power they would naturally be unable to enjoy in feminine attire, or their way of making sense out of their desire for women. Lillian Faderman argues that Western society was threatened by women who rejected their feminine roles. Catharine Linck and other women who were accused of using dildos, such as two nuns in 16th century Spain executed for using "material instruments", were punished more severely than those who did not. Two marriages between women were recorded in Cheshire , England, in 1707 (between Hannah Wright and Anne Gaskill) and 1708 (between Ane Norton and Alice Pickford) with no comment about both parties being female. Reports of clergymen with lax standards who performed weddings—and wrote their suspicions about one member of

33807-461: Was linked to eating disorders, anxiety, body dysmorphia and other negative psychological effects. Both victims and perpetrators have been shown to exhibit higher levels of loneliness. Even though there is evidence that bullying increases the risk of suicide, bullying alone does not cause suicide. Depression is one of the main reasons why kids who are bullied die by suicide. It is estimated that between 15 and 25 children die by suicide every year in

33998-559: Was no difference. Some studies have found poorer mental health outcomes for bisexual people than gay men and lesbians, which has been attributed to some degree to this community's lack of acceptance and validation both within and outside of the LGBTQ community. One qualitative study interviewed 55 bisexual people in order to identify common reasons for higher rates of mental health problems. The testimonials that were collected and organized into macro level (social structure), meso level (interpersonal), and micro level (individual) factors. At

34189-571: Was no significant difference in the incidence rates of breast cancer in lesbian and bisexual women compared to heterosexual women. There are also policy documents from both the UK and US Government that stated there could be higher rates of breast cancer among lesbian and bisexual women despite insufficient evidence. In a 2009 report by the UK All Party Parliamentary Group on Cancer's Inquiry into Inequalities in Cancer, it

34380-413: Was often seen as impossible for same sex couples and LGBT adoption was encouraged instead, but in recent decades, developmental biologists have been researching and developing techniques to facilitate same-sex reproduction, which could allow for same sex couples to both be biological parents together. In a 2013 systematic review done in the UK and USA, which looked at nine studies found that overall there

34571-400: Was one sense of "bully" (though not specifically attested until 1706). The verb "to bully" was first attested in 1710. In the past, in the American culture, the term has been used as an exclamation and exhortation. The term has been especially known famously in association with Theodore Roosevelt . In 1907, Roosevelt coined the phrase as a deprecating term, "bully for him". Currently, in

34762-667: Was punishable by death in England, acknowledgment of sexual contact between women was nonexistent in medical and legal texts. The earliest law against female homosexuality appeared in France in 1270. In Spain, Italy, and the Holy Roman Empire, sodomy between women was included in acts considered unnatural and punishable by burning to death, although few instances are recorded of this taking place. The earliest such execution occurred in Speier, Germany , in 1477. Forty days' penance

34953-476: Was recorded about homosexual activity between Greek women. There is some speculation that similar relationships existed between women and girls — the poet Alcman used the term aitis, as the feminine form of aites — which was the official term for the younger participant in a pederastic relationship. Aristophanes , in Plato 's Symposium , mentions women who are romantically attracted to other women, but uses

35144-407: Was referred to as " inversion " by German sexologist Magnus Hirschfeld , researchers categorized what was normal sexual behavior for men and women, and therefore to what extent men and women varied from the "perfect male sexual type" and the "perfect female sexual type". Far less literature focused on female homosexual behavior than on male homosexuality, as medical professionals did not consider it

35335-550: Was rumored to have a passionate relationship with Sarah Churchill , Duchess of Marlborough, her closest adviser and confidante. When Churchill was ousted as the queen's favorite, she purportedly spread allegations of the queen having affairs with her bedchamberwomen. Marie Antoinette was also the subject of such speculation for some months between 1795 and 1796. Hermaphroditism appeared in medical literature enough to be considered common knowledge, although cases were rare. Homoerotic elements in literature were pervasive, specifically

35526-615: Was socially forbidden, and women rarely discussed lesbianism even amongst themselves; they referred to openly gay people as "in the Life". Freudian psychoanalytic theory was pervasive in influencing doctors to consider homosexuality as a neurosis afflicting immature women. Homosexual subculture disappeared in Germany with the rise of the Nazis in 1933. The onset of World War II caused a massive upheaval in people's lives as military mobilization engaged millions of men. Women were also accepted into

35717-551: Was stated that "Lesbians may have a higher risk of breast cancer. Depression and anxiety are thought to affect lesbians at a higher rate than in the general population, for similar reasons. Domestic violence is reported to occur in about 11 percent of lesbian homes. While this rate is about half the rate of 20 percent reported by heterosexual women, lesbians often have fewer resources available for shelter and counselling. Lesbian and bisexual women are more likely to be overweight or obese. Research shows that on average lesbians have

35908-469: Was the perception of whether the most influential male in a player's life would approve of the bullying behavior." A study by The Lancet Child & Adolescent Health medical journal in 2019 showed a relationship between social media use by girls and an increase in their exposure to bullying. Bullying may be defined in many different ways. In the United Kingdom, there is no legal definition of

36099-404: Was thought to have uncontrollable desires because of her engorged clitoris was called a "tribade" (literally, one who rubs). Not only was an abnormally engorged clitoris thought to create lusts in some women that led them to masturbate, but pamphlets warning women about masturbation leading to such oversized organs were written as cautionary tales. For a while, masturbation and lesbian sex carried

36290-408: Was widely read and helped to create public consciousness of female homosexuality. The sexologists' claims that homosexuality was a congenital anomaly were generally well-accepted by homosexual men; it indicated that their behavior was not inspired by nor should be considered a criminal vice, as was widely acknowledged. In the absence of any other material to describe their emotions, homosexuals accepted

36481-664: Was widespread. Large cities that provided a nightlife were immensely popular, and women began to seek out sexual adventure. Bisexuality became chic, particularly in America's first gay neighborhoods. No location saw more visitors for its possibilities of homosexual nightlife than Harlem , the predominantly African American section of New York City . White "slummers" enjoyed jazz , nightclubs, and anything else they wished. Blues singers Ma Rainey , Bessie Smith , Ethel Waters , and Gladys Bentley sang about affairs with women to visitors such as Tallulah Bankhead , Beatrice Lillie , and

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