The Role of Butch versus Femme Identity in Body Image and Breast Health Among Lesbians in Taiwan: Results of an Online Survey

Purpose 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.