Paper did not mention sexual orientation

EDITOR—The paper by Ramrakha et al on risky sexual behaviour in young adults did not mention sexual orientation.1 It met its stated objective but would have had a much greater impact if it had included a discussion of sexual orientation.

Lesbian, gay, and bisexual adolescents face tremendous challenges growing up in a culture that is almost uniformly antihomosexual. They face an increased risk of medical and psychosocial problems that are not caused by their sexual orientation but by society's negative reaction to it. In response to the external pressure and isolation they often face, lesbian and gay young people are more vulnerable than others to psychosocial problems including …