Heart disease is the leading cause of death in North American women, therefore, it is likely the leading cause of death in lesbian and bisexual women as well. Smoking and obesity are both risk factors for heart disease, so it is possible that lesbians have a higher risk than heterosexual women due to their increased use of cigarettes and their higher BMIs  .
5. Peterkin A, Risdon C. Caring for Lesbian and Gay People: A Clinical Guide. 2003. University of Toronto Press Incorporated. Toronto, Ontario.
11. Solarz, AL Ed. Lesbian Health: Current Assessment and Directions for the Future. Washington DC. National Academy Press; 1999.
14. Kaiser Permanente National Diversity Council. A Provider's Handbook on Culturally Competent Care: Lesbian, Gay, Bisexual and Transgendered Population. Oakland, CA. Kaiser Permanente; 2000.
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