Patient–Provider Communication Barriers and Facilitators to HIV and STI Preventive Services for Adolescent MSM

Adolescent males who have sex with males (AMSM) are at increased risk of contracting HIV/AIDS and other sexually transmitted infections (STIs). Healthcare providers are a critical source of HIV/STI prevention, yet little is known about AMSM patient–provider sexual health communications and services....

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Vydáno v:	AIDS and behavior Ročník 22; číslo 10; s. 3417 - 3428
Hlavní autoři:	Fisher, Celia B., Fried, Adam L., Macapagal, Kathryn, Mustanski, Brian
Médium:	Journal Article
Jazyk:	angličtina
Vydáno:	New York Springer US 01.10.2018 Springer Nature B.V
Témata:	Acquired immune deficiency syndrome Adolescence Adolescent Adolescent boys Adolescents Adult AIDS Attitude of Health Personnel Communication Communication Barriers Female Gays & lesbians Health behavior Health care Health care industry Health education Health information Health needs Health Personnel Health problems Health Psychology Health services Heterosexism HIV HIV Infections - prevention & control HIV Infections - psychology Homosexuality, Male - psychology Homosexuality, Male - statistics & numerical data Human immunodeficiency virus Humans Infectious Diseases Male Males Medical education Medicine Medicine & Public Health Men who have sex with men Mens health Original Paper Parents Patients Physicians Prevention Preventive Health Services - statistics & numerical data Preventive medicine Professional-Patient Relations Public Health Risk communication Self Disclosure Services Sexual Behavior Sexual health Sexual orientation Sexuality Sexually transmitted diseases Sexually Transmitted Diseases - prevention & control Social Stigma STD Surveys and Questionnaires Teenagers Youth Prevention Discrimination Patient–provider communication HIV Stigma MSM Adolescent Men who have sex with men Physician Healthcare Sexually transmitted infections Mistrust
ISSN:	1090-7165, 1573-3254, 1573-3254
On-line přístup:	Získat plný text
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Shrnutí:	Adolescent males who have sex with males (AMSM) are at increased risk of contracting HIV/AIDS and other sexually transmitted infections (STIs). Healthcare providers are a critical source of HIV/STI prevention, yet little is known about AMSM patient–provider sexual health communications and services. To explore this issue, we surveyed a national sample of 198 AMSM 14–17 years. Four online psychometrically validated scales indicated over half the youth avoided communicating their sexual orientation and sexual health concerns to providers due to fear of heterosexist bias, concern their sexual health information would be disclosed to parents, and a general belief that sexual minority youth do not receive equitable treatment in health care settings. Youth who reported their physicians had initiated discussion about their sexual orientation were significantly more likely to have received HIV/STI preventive services and testing. Discussion includes the importance of medical training that meets the unique sexual health needs of AMSM.
Bibliografie:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 14 content type line 23
ISSN:	1090-7165 1573-3254 1573-3254
DOI:	10.1007/s10461-018-2081-x