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A community-based participatory approach was used for the mixed-method, cross-sectional study. High risk types of genital human papillomavirus are associated with developing high grade cervical intraepithelial neoplasia, and sexual intercourse with men is a powerful risk factor for cervical cancer. SMW included in the studies were racially and socio-economically heterogeneous. Risk factors for Southern African women who have sex with women include sexual assault at the hands of both men and women, often resulting from homophobia, as well as transactional sex and barrier-free sex with HIV-positive female partners Matebeni et al. Health needs of women who have sex with women. Queer theory provided the theoretical underpinnings of the study, offering a lens through which to examine the heteronormative underpinnings of education, and a means to interpret how homophobic discourses circulate in school and society.

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