The role of disclosure & perceptions about providers in health discussions among gay and bisexual young men |
| |
| Authors: | Sarah A Gioia Michael A Russell Gregory D Zimet Nathan W Stupiansky Joshua G Rosenberger |
| |
| Institution: | 1. Department of Biobehavioral Health, The Pennsylvania State University, University Park, USA;2. Department of Pediatrics, Indiana University School of Medicine, Indianapolis, USA;3. Health Behavior Consultants International, 7575 E Indian Bend Rd, Scottsdale, AZ 85250, USA;1. Department of Neonatology, Children’s Hospital of Soochow University, Soochow, China;2. School of Nursing, Medical College of Soochow University, Soochow, China;3. Department of Nursing, Children’s Hospital of Soochow University, Soochow, China;1. VA New York Harbor Healthcare System, New York, NY, USA;2. David Geffen School of Medicine at UCLA, Los Angeles, CA, USA;3. Northcentral University, La Jolla, CA, USA;4. New York University Grossman School of Medicine, New York, NY, USA;5. Medical University of South Carolina, Charleston, SC, USA;6. Ralph H. Johnson VA Medical Center, Charleston, SC, USA;7. Teachers College, Columbia University, New York, NY, USA;8. Mailman School of Public Health, Columbia University, New York, NY, USA;1. Department of Communication Studies, Moody College of Communication, The University of Texas at Austin, Austin, USA;2. Center for Health Communication, Stan Richards School of Advertising & Public Relations, and Department of Population Health, The University of Texas at Austin, Austin, USA;3. School of Community and Rural Health, The University of Texas Health Science Center at Tyler, and Population Health University of Texas, System Administration, Austin, USA;1. School of Nursing and Midwifery Monash University, Wellington Road, Clayton, VIC, 3800, Australia;2. Xiangya School of Nursing, Central South University, China;3. School of Health Federation University, PO Box 859, Berwick, VIC, 3806, Australia;1. School of Public Health, University of Sydney, Sydney, Australia;2. Centre for Biostatistics, Division of Health Sciences, University of Otago, Dunedin, New Zealand;1. University of Houston College of Pharmacy, Department of Pharmaceutical Health Outcomes and Policy, United States;2. Duquesne University School of Pharmacy Graduate School of Pharmaceutical Sciences, 418A Mellon Hall, United States;3. CareAllies, Houston, Texas, United States |
| |
| Abstract: | ObjectivesGay and bisexual men may feel discomfort discussing sensitive topics such as sexual behaviors and substance use with their health providers, which may prevent them from receiving important health information. This study investigates whether patients’ perceptions of their provider’s sexual orientation predicts patient-provider discussions of sexual and general health topics, and whether this relationship is moderated by patients’ disclosure of sexual orientation to providers.MethodsData were collected online from a sample of 576 gay and bisexual men living in the USA, aged 18–26. Adjusted risk ratios were estimated by using modified Poisson regression with robust error variance.ResultsParticipants who believed their providers were gay or bisexual were more likely to have discussed sexual health topics, but not general health topics; simple slopes analyses revealed that this effect was stronger among those who had not disclosed to their providers. Disclosure was also consistently associated with increased likelihood of discussing almost all topics.ConclusionsFindings highlight differences in communication based on disclosure and perceived sexual orientation of provider, suggesting the need to further explore how these differences influence young gay and bisexual men’s health.Practice implicationsDyads may be more likely to discuss sexual health topics when patients believe their providers are sexual minorities themselves. In addition, patient-provider dyads may be likelier to discuss various health topics when providers are aware of patients’ sexual minority statuses. |
| |
| Keywords: | Health communication Sexual health Gay and bisexual men Sexual minorities Sexual orientation Sexual and gender minorities LGBTQ |
| 本文献已被 ScienceDirect 等数据库收录！ |
|
