Power Jennifer, Grant Ruby, Pym Tinonee, Gurtler Percy, Drysdale Kerryn, Mooney-Somers Julie
Australian Research Centre in Sex, Health and Society, La Trobe University, Melbourne, Australia.
Australian Research Centre in Sex, Health and Society, La Trobe University, Melbourne, Australia.
Soc Sci Med. 2025 Sep;380:118249. doi: 10.1016/j.socscimed.2025.118249. Epub 2025 May 27.
This paper presents findings from a critical review of literature on the sexual health of lesbian, bisexual, queer, and other sexuality-diverse (LBQ+) women. The review aimed to understand how LBQ + women's sexual health is framed in current research and the impact of this framing on recommendations for future research and practice. We also explored how holistic definitions of sexual health are applied in research. A narrative synthesis of literature published between 2012 and 2023 was conducted. We then undertook a critical review utilising Bacchi's 'What's the problem represented to be' (WPR) framework. There were 91 publications included in the review. Findings show that LBQ + women are diverse in their sexual identities, practices and experiences and that many LBQ + women have sex with cisgender men, irrespective of sexual identity. Despite this, research in this field often rests on the assumption that sex between cisgender women is the dominant sexual experience of LBQ + women and, therefore, that LBQ + women face low or no HIV/STI risks. This creates fragmented and unclear conclusions about what LBQ + women need regarding sexual health promotion and support. Further, the current literature provides limited insight into the significance of sexual identity and gender on LBQ + women's experiences navigating safe and pleasurable sex. We recommend future research focuses on LBQ + women's navigation of safety and pleasure in their sexual encounters and relationships, with consideration given to identity and community connection, as well as the social and relational contexts in which LBQ + women experience sex throughout their life course.
本文展示了对女同性恋、双性恋、酷儿及其他性取向多元（LBQ+）女性性健康相关文献进行批判性综述的研究结果。该综述旨在了解当前研究中如何界定LBQ+女性的性健康，以及这种界定对未来研究和实践建议的影响。我们还探讨了性健康的整体定义在研究中的应用方式。对2012年至2023年间发表的文献进行了叙述性综合分析。然后，我们运用巴奇的“问题呈现为何”（WPR）框架进行了批判性综述。该综述纳入了91篇出版物。研究结果表明，LBQ+女性在性身份、性行为和性经历方面具有多样性，许多LBQ+女性与顺性别男性发生性行为，而不论其性身份如何。尽管如此，该领域的研究往往基于这样一种假设，即顺性别女性之间的性行为是LBQ+女性的主要性经历，因此，LBQ+女性面临的艾滋病毒/性传播感染风险较低或不存在。这就导致了关于LBQ+女性在性健康促进和支持方面需要什么的结论支离破碎且不明确。此外，当前文献对性身份和性别对LBQ+女性在进行安全且愉悦的性行为时的经历的重要性提供的见解有限。我们建议未来的研究聚焦于LBQ+女性在性接触和性关系中对安全性和愉悦感的把握，同时考虑到身份认同和社区联系，以及LBQ+女性在其一生的性经历中所处的社会和关系背景。
