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Indeed, the word's etymology suggests an indirect sexual act emanating a promiscuous woman. This term has been borrowed from the Greek kinaidos which may itself have come from a language of Ionian Greecs of Asia Minor, primarily signifying a purely effeminate dancer who entertained his audiences with a tympanum or tambourine in his hand, and adopted a lascivious style, often suggestively wiggling his buttocks in such a way as to suggest anal intercourse The primary meaning of cinaedus never died out; the term never became a dead metaphor. Contrastingly, a masculine girl would be called a " tomboy ", " butch ", or " dyke ".
Substance abuse[ edit ] Lesbians often have high rates of substance use, including recreational drugs, alcohol and tobacco. Depression, anxiety, and suicide[ edit ] Studies by Cochran et al. Adolescents and young adults may be at particularly high risk of suicide because of these concerns. Culturally sensitive mental health services targeted specifically at gay men may be more effective in the prevention, early detection, and treatment of these conditions.