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BMJ 2004;328:463 (21 February), doi:10.1136/bmj.328.7437.463-a
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EDITORThe editorial by Hughes and Evans discussed the health needs of women who have sex with women.1 NHS services are predominantly targeted using white, heterosexual imagery. How non-white, non-heterosexual people relate to these images and whether they would still access a service that used imagery irrelevant to their cultural references are debatable. Work is needed, with local initiatives and voluntary sector groups in partnership, to develop appropriate campaigns and culturally relevant material to encourage equitable access.
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Relevant materials are needed to encourage equitable access for women who have sex with women Credit: CANADIAN PRESS/AP
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Services also need to address the issue of cultural competency both in directly employed and contracted services. Diversity and equality are high on the NHS human resources agenda but have been slow to infiltrate the medical hierarchy. Research has shown perceived disapproval acts as a barrier to accessing care.2 Targeted services for lesbian or
Justin Varney, specialist registrar public health
South East London Public Health Network, London SE10 8EX Tank1275@aol.com