YA-CHING WANGSHIOW-RU CHANGMiao N.-F.2020-07-162020-07-1620201527-6546https://scholars.lib.ntu.edu.tw/handle/123456789/510079Purpose: The views of butch- and femme-identified lesbians toward their own breasts, breast cancer, breast cancer screenings, and their behavior and intentions toward breast health care were examined and compared in this study. Methods: A total of 208 Taiwanese lesbians (134 butch-identified lesbians and 78 femme-identified lesbians) completed an online survey. Results: Butch-identified lesbians were more likely to hold negative views regarding their own breasts, which were found to be significantly and negatively associated with their actions in performing breast self-examinations when compared with femme-identified lesbians. Conclusions: Healthcare providers should be aware of and provide culturally competent care to lesbians with different identities. Clinical Relevance: The results can be employed as evidence for promoting lesbians’ breast health, particularly butch-identified lesbians. Healthcare providers should provide a supportive environment in order to promote a positive body image and improve breast health among lesbians. ? 2020 Sigma Theta Tau International[SDGs]SDG3adult; aged; behavior; body image; breast; breast tumor; cross-sectional study; cultural factor; early cancer diagnosis; epidemiology; female; gender identity; human; Internet; lesbianism; middle aged; physiology; psychology; questionnaire; sexual and gender minority; Taiwan; Adult; Aged; Body Image; Breast; Breast Neoplasms; Cross-Sectional Studies; Cultural Characteristics; Early Detection of Cancer; Female; Gender Identity; Homosexuality, Female; Humans; Intention; Internet; Middle Aged; Sexual and Gender Minorities; Surveys and Questionnaires; Taiwanjournal article10.1111/jnu.12544320689422-s2.0-85079717879