Hoshen, the Hebrew acronym for "Education & Change", is a nonprofit, nationwide education and information center for the lesbian, gay, bisexual, and transgender (LGBT) community in Israel. The main educational method Hoshen uses is the personal story told by volunteers. The present study aimed to examine whether this activity, carried out in Israeli high schools, resulted in a change in participants' attitudes. Questionnaires measuring Attitudes Towards Homosexuality were administered to 272 students in 3 high schools before and after the activity. Results showed an improvement in the general Attitudes Towards Homosexuality scale, and in all three subscales of the attitudes towards homosexuality construct measured in this study: emotional, cognitive and behavioral. A very significant impact was observed on the emotional subscale. Young men showed a sharper rise in acceptance of homosexuality than did women. Religiosity, form of residence (urban vs. nonurban), and previous acquaintance with LGBT people showed to also have an effect on attitudes. Results of this study indicate that the personal story method is effective in changing attitudes toward homosexuality. This change might help create a safer environment for LGBT teens. Social change organizations may be able to use this method to promote tolerance towards other minorities as well.

Introduction Lesbian and bisexual women (LBs) have unique health needs compared with heterosexual women (HW). Aim This study aimed to associate the health status of LB, their health behavior, disclosure of sexual orientation (SO), and avoidance of health care with that of HW. Methods Participants in this cross-sectional study completed anonymous questionnaires, which were distributed in Internet sites and public venues in Israel, comparing health behaviors and outcomes between LB and HW. Main Outcome Measures Health outcomes included subjective health status, general practitioner or gynecologist visit in the last 6 months, and satisfaction from the Israeli healthcare system. Results In 2012, 681 (34.4%) lesbians, 242 (13.5%) bisexual women, and 937 (52.1%) HW completed the questionnaire. In comparison with HW, LBs were more commonly single, used drugs/alcohol, smoked, experienced eating disorders, and reported an earlier sexual debut. In comparison with all women, lesbians performed less physical activities and were more satisfied with their body weight, whereas bisexuals had riskier sexual behavior and reported more verbal/physical abuse. LB reported more emergency room visits, more visits to psychiatrists, yet underwent Pap smears less frequently compared with HW. In a multivariate analysis, lesbians had fewer gynecologists' visits and were less satisfied with the healthcare system than HW, whereas bisexuals visited their general practitioner or gynecologist less frequently and were less satisfied with the primary healthcare system. Lesbians were more likely to disclose their SO with their doctors than bisexuals and were satisfied with the disclosure. Nondisclosure of SO was correlated with poor subjective health status. The interaction between being bisexual and nondisclosure of SO was strong. Conclusions LB utilized health care less frequently than HW, resulting in unmet medical needs. SO disclosure was associated with better healthcare utilization and health outcomes, especially among bisexuals. Providers should be trained about LB's unique health needs and improve their communication skills to encourage SO disclosure.

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