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

Ya Ching Wang, Shiow Ru Chang, Nae Fang Miao

Research output: Contribution to journalArticle


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.

Original languageEnglish
Pages (from-to)174-182
Number of pages9
JournalJournal of Nursing Scholarship
Issue number2
Publication statusPublished - Mar 1 2020



  • Breast health
  • butch
  • femme
  • health disparities
  • lesbian

ASJC Scopus subject areas

  • Nursing(all)

Cite this