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
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Abstract	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.
AbstractList	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 did 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 need for medical training that meets the unique sexual health needs of AMSM. 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. 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. 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.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.
Author	Macapagal, Kathryn Fried, Adam L. Mustanski, Brian Fisher, Celia B.
AuthorAffiliation	c Department of Medical Social Sciences, Northwestern University Feinberg School of Medicine a Center for Ethics Education and Department of Psychology, Fordham University, Bronx, NY, 10458; tel. 817-3793; fax. 817-0731; fisher@fordham.edu b Clinical Psychology Program, Midwestern University, Glendale, AZ
AuthorAffiliation_xml	– name: c Department of Medical Social Sciences, Northwestern University Feinberg School of Medicine – name: a Center for Ethics Education and Department of Psychology, Fordham University, Bronx, NY, 10458; tel. 817-3793; fax. 817-0731; fisher@fordham.edu – name: b Clinical Psychology Program, Midwestern University, Glendale, AZ
Author_xml	– sequence: 1 givenname: Celia B. surname: Fisher fullname: Fisher, Celia B. email: fisher@fordham.edu organization: Center for Ethics Education and Department of Psychology, Fordham University – sequence: 2 givenname: Adam L. surname: Fried fullname: Fried, Adam L. organization: Clinical Psychology Program, Midwestern University – sequence: 3 givenname: Kathryn surname: Macapagal fullname: Macapagal, Kathryn organization: Department of Medical Social Sciences, Northwestern University Feinberg School of Medicine – sequence: 4 givenname: Brian surname: Mustanski fullname: Mustanski, Brian organization: Department of Medical Social Sciences, Northwestern University Feinberg School of Medicine
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Copyright	Springer Science+Business Media, LLC, part of Springer Nature 2018 AIDS and Behavior is a copyright of Springer, (2018). All Rights Reserved.
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References	KannLOlsenEOMMcManusTSexual identity, sex of sexual contacts, and health-related behaviors among students in grades 9–12—United States and selected sites, 2015MMWR Surveill Summ2016659120210.15585/mmwr.ss6509a1 MecklerGDElliottMNKanouseDESchusterMABealsKPNondisclosure of sexual orientation to a physician among a sample of gay, lesbian, and bisexual youthArch Pediatr Adolesc Med2006160121248125410.1001/archpedi.160.12.1248 FisherCBFriedALDesmondMMacapagalKMustanskiBFacilitators and barriers to participation in PrEP HIV prevention trials involving adolescent and emerging adult transgender men and womenAIDS Educ Prev201729320521710.1521/aeap.2017.29.3.2055768197 Maragh-BassACGermanDTorainMRisks, benefits, and importance of collecting sexual orientation and gender identity data in healthcare settings: a multi-method analysis of patient and provider perspectivesLGBT Health20174214115210.1089/lgbt.2016.0107 JacksonCLAgnnorMJohnsonDAAustinSBKawachiISexual orientation identity disparities in health behaviors, outcomes, and services use among men and women in the United States: a cross-sectional studyBMC Public Health2016180710.1186/s12889-016-3467-1 HerrickALSmithHAStallRDMarshalMPSucatoGSex while intoxicated: a meta-analysis comparing heterosexual and sexual minority youthJ Adolesc Health201148330630910.1016/j.jadohealth.2010.07.0083691819 WhitfieldCJomeenJHayterMGardinerESexual health information seeking: a survey of adolescent practicesJ Clin Nurs2013223259326910.1111/jocn.12192 FrankowskiBLSexual orientation and adolescentsPediatrics20046182710.1542/peds.113.6.1827 SheltonRCWinkelGDavisSNValidation of the group-based medical mistrust scale among urban black menJGIM201025654910.1007/s11606-010-1288-y ArbeitMRFisherCBMacapagalKMustanskiBBisexual invisibility and the sexual health needs of adolescent girlsLGBT Health20163534234910.1089/lgbt.2016.00355073214 KonstanJARosserBRSStantonJEdwardsWMRossMWThe story of subject naught: a cautionary but optimistic tale of internet survey researchJ Comput Mediat Commun20051025 MacApagalKGreeneGJBhatiaRDifferences in healthcare access, use, and experiences within a community sample of racially diverse lesbian, gay, bisexual, transgender, and questioning emerging adultsLGBT Health20163643444210.1089/lgbt.2015.01245165667 FisherCBArbeitMRDumontMSMacapagalKMustanskiBSelf-consent for HIV prevention research involving sexual and gender minority youthJ Empir Res Hum Res Ethics2016111310.1177/15562646166339634842126 Council P. Key populations at risk for HIV; 2017. ByczkowskiTLKollarLMBrittoMTFamily experiences with outpatient care: do adolescents and parents have the same perceptions?J Adolesc Health2010471929810.1016/j.jadohealth.2009.12.005 CharestMKleinplatzPJLundJISexual health information disparities between heterosexual and LGBTQ + young adults: implications for sexual healthCan J Hum Sex2016252748510.3138/cjhs.252-A9 WittenbergAGerberJRecommendations for improving sexual health curricula in medical schools: results from a two-arm study collecting data from patients and medical studentsJ Sex Med20096236236810.1111/j.1743-6109.2008.01046.x MilhausenRRMcKayAGrahamCACrosbyRAYarberWLSandersSAPrevalence and predictors of condom use in a national sample of Canadian university studentsCan J Hum Sex201322314215110.3138/cjhs.2316 SmalleyKBWarrenJCBarefootKNDifferences in health risk behaviors across understudied LGBT subgroupsHealth Psychol20163510311410.1037/hea0000231 Center for Disease Control. HIV among gay and bisexual men; 2017. ThomaBCHuebnerDMParental monitoring, parent-adolescent communication about sex, and sexual risk among young men who have sex with menAIDS Behav20141881604161410.1007/s10461-014-0717-z4108561 WilliamsKAChapmanMVComparing health and mental health needs, service use, and barriers to services among sexual minority youths and their peersHealth Soc Work201136319720610.1093/hsw/36.3.197 HulleySBCSBrownerWSGradyDNewmanTBDesigning clinical research : an epidemiologic approach2013PhiladelphiaLippincott Williams & Wilkins79 CokerTRSchusterMAAustinSBThe health and health care of lesbian, gay, and bisexual adolescentsAnnu Rev Public Health20103145747710.1146/annurev.publhealth.012809.103636 MinerMHBocktingWORomineRSRamanSConducting internet research with the transgender population: reaching broad samples and collecting valid dataSoc Sci Comput Rev201230220221110.1177/0894439311404795 MustanskiBCoventryRMacapagalKArbeitMRFisherCBSexual and gender minority adolescents’ views on HIV research participation and parental permission: a mixed-methods studyPerspect Sex Reprod Health201749211112110.1363/psrh.120275768203 Center for Disease Control. Sexual indentity, sex of sexual contacts, and health-related behaviors among students in grades 9–12—United States and selected sites, 2015; 2016. GreeneGFisherKKuperLAndrewsRMustanskiB‘Is this normal? is this not normal? there is no set example’: sexual health intervention preferences of LGBT youth in romantic relationshipsSex Res Soc Policy2015121110.1007/s13178-014-0169-2 Institute of Medicine, Committee on Lesbian GB, Transgender Health I, Research G, Opportunities. The health of lesbian, gay, bisexual, and transgender people: building a foundation for better understanding. Washington DC: National Academies Press. 2011. KhaliliJDiamantALLeungLBFinding the perfect doctor: Identifying lesbian, gay, bisexual, and transgender-competent physiciansAm J Public Health201510561114111910.2105/AJPH.2014.3024484431087 WilliamsKAChapmanMVUnmet health and mental health need among adolescents: the roles of sexual minority status and child-parent connectednessAm J Orthopsychiatr201282447348110.1111/j.1939-0025.2012.01182.x GinsburgKRSlapGBCnaanAForkeCMBalsleyCMRouselleDMAdolescents’ perceptions of factors affecting their decisions to seek health careJAMA199527324191319181:STN:280:DyaK2Mzgt1Gquw%3D%3D10.1001/jama.1995.03520480033036 NapperLFisherDReynoldsGDevelopment of the perceived risk of HIV scaleAIDS Behav2012164107510.1007/s10461-011-0003-2 BauermeisterJAPingelEZimmermanMStrecherVJCouperMCarballo-DiéguezAData quality in HIV/AIDS web-based surveys: handling invalid and suspicious dataField Methods201224327229110.1177/1525822X124430973505140 MustanskiBSNewcombMEBoisSNDGarciaSCGrovCHIV in young men who have sex with men: a review of epidemiology, risk and protective factors, and interventionsJ Sex Res20112–321810.1080/00224499.2011.558645 RoundsKEMcGrathBBWalshEPerspectives on provider behaviors: a qualitative study of sexual and gender minorities regarding quality of careContemp Nurse20134419911010.5172/conu.2013.44.1.99 HoffmanNDFreemanKSwannSHealthcare preferences of lesbian, gay, bisexual, transgender and questioning youthJ Adolesc Health200945322222910.1016/j.jadohealth.2009.01.0092773204 EatonLADriffinDDKeglerCThe role of stigma and medical mistrust in the routine health care engagement of black men who have sex with menAm J Public Health20151052e75e8210.2105/AJPH.2014.3023224318301 WallKMKhosropourCMSullivanPSOffering of HIV screening to men who have sex with men by their health care providers and associated factorsJIAPAC20109528420841438 Soper DS. A priori sample size calculator for multiple regression [Software]. 2018; http://www.danielsoper.com/statcalc, 2018. HaiderAHSchneiderEBAdlerRREmergency department query for patient-centered approaches to sexual orientation and gender identity. The EQUALITY studyJAMA Intern Med2017177681982810.1001/jamainternmed.2017.09065818827 D’AmicoEJulienDDisclosure of sexual orientation and gay, lesbian, and bisexual youths’ adjustment: associations with past and current parental acceptance and rejectionJ GLBT Fam Stud20128321524210.1080/1550428X.2012.677232 PhilbinMMTannerAEDuValAFactors affecting linkage to care and engagement in care for newly diagnosed HIV-positive adolescents within fifteen adolescent medicine clinics in the United StatesAIDS Behav20141881501151010.1007/s10461-013-0650-64000283 KittsRLBarriers to optimal care between physicians and lesbian, gay, bisexual, transgender, and questioning adolescent patientsJ Homosex2010673010.1080/00918369.2010.485872 MeanleySGaleAHarmellCJadwin-CakmakLPingelEBauermeisterJAThe role of provider interactions on comprehensive sexual healthcare among young men who have sex with menAIDS Educ Prev2015271152610.1521/aeap.2015.27.1.15 PhillipsGYbarraMLPrescottTLParsonsJTMustanskiBLow rates of human immunodeficiency virus testing among adolescent gay, bisexual, and queer menJ Adolesc Health2015440710.1016/j.jadohealth.2015.06.014 DiclementeRJSalesJMRuizMSBarriers to adolescents’ participation in HIV biomedical prevention researchJ Acquir Immune Defic Syndr201054SUPPL. 1S12S1710.1097/QAI.0b013e3181e1e2c02925395 HoytMARubinLRNemeroffCJLeeJHuebnerDMProeschold-BellRJHIV/AIDS-related institutional mistrust among multiethnic men who have sex with men: effects on HIV testing and risk behaviorsHealth Psychol201231326927710.1037/a0025953 StrutzKLHerringAHHalpernCTHealth disparities among young adult sexual minorities in the U.SAm J Prev Med2015481768810.1016/j.amepre.2014.07.038 ZanoniBCMayerKHThe adolescent and young adult HIV cascade of care in the United States: exaggerated health disparitiesAIDS Patient Care STDs.201428312813510.1089/apc.2013.03453948479 D’AugelliARHershbergerSLPilkingtonNWLesbian, gay, and bisexual youth and their families: disclosure of sexual orientation and its consequencesAm J Orthopsychiatr199868336137110.1037/h0080345 RothmanEFSullivanMKeyesSBoehmerUParents’ supportive reactions to sexual orientation disclosure associated with better health: results from a population-based survey of LGB adults in MassachusettsJ Homosex201259218620010.1080/00918369.2012.6488783313451 DonaldsonAAEllenJMMarcellAVLindbergLDReceipt of sexual health information from parents, teachers, and healthcare providers by sexually experienced U.S. adolescentsJ Adolesc Health201353223524010.1016/j.jadohealth.2013.03.0174034256 RossmanKSalamancaPMacapagalKA qualitative study examining young adults’ experiences of disclosure and no BS Mustanski (2081_CR35) 2011; 2–3 B Mustanski (2081_CR40) 2017; 49 2081_CR1 KE Rounds (2081_CR16) 2013; 44 JA Konstan (2081_CR25) 2005; 10 2081_CR6 MH Miner (2081_CR47) 2012; 30 BL Frankowski (2081_CR52) 2004; 6 E D’Amico (2081_CR41) 2012; 8 SBCS Hulley (2081_CR32) 2013 L Kann (2081_CR4) 2016; 65 AH Haider (2081_CR54) 2017; 177 TL Byczkowski (2081_CR36) 2010; 47 MM Philbin (2081_CR10) 2014; 18 BC Zanoni (2081_CR14) 2014; 28 A Wittenberg (2081_CR51) 2009; 6 M Charest (2081_CR46) 2016; 25 G Phillips (2081_CR11) 2015; 4 LA Eaton (2081_CR15) 2015; 105 2081_CR8 AA Donaldson (2081_CR44) 2013; 53 G Greene (2081_CR45) 2015; 12 CB Fisher (2081_CR30) 2017; 29 C Whitfield (2081_CR56) 2013; 22 K Rossman (2081_CR18) 2017; 10 KL Strutz (2081_CR12) 2015; 48 MR Arbeit (2081_CR21) 2016; 3 K MacApagal (2081_CR9) 2016; 3 KA Williams (2081_CR13) 2011; 36 R Dahan (2081_CR50) 2008; 55 RC Shelton (2081_CR31) 2010; 25 CB Fisher (2081_CR29) 2016; 11 GD Meckler (2081_CR23) 2006; 160 CL Jackson (2081_CR7) 2016; 1 RL Kitts (2081_CR49) 2010; 6 BC Thoma (2081_CR43) 2014; 18 TR Coker (2081_CR2) 2010; 31 RR Milhausen (2081_CR5) 2013; 22 RJ Diclemente (2081_CR38) 2010; 54 AR D’Augelli (2081_CR28) 1998; 68 L Napper (2081_CR27) 2012; 16 J Khalili (2081_CR53) 2015; 105 EF Rothman (2081_CR42) 2012; 59 S Meanley (2081_CR17) 2015; 27 ND Hoffman (2081_CR20) 2009; 45 2081_CR34 JA Bauermeister (2081_CR26) 2012; 24 AL Herrick (2081_CR3) 2011; 48 KR Ginsburg (2081_CR37) 1995; 273 KA Williams (2081_CR24) 2012; 82 AL Gilbert (2081_CR39) 2015; 1 AC Maragh-Bass (2081_CR55) 2017; 4 KB Smalley (2081_CR48) 2016; 35 KM Wall (2081_CR19) 2010; 9 MA Hoyt (2081_CR22) 2012; 31 2081_CR33
References_xml	– reference: GinsburgKRSlapGBCnaanAForkeCMBalsleyCMRouselleDMAdolescents’ perceptions of factors affecting their decisions to seek health careJAMA199527324191319181:STN:280:DyaK2Mzgt1Gquw%3D%3D10.1001/jama.1995.03520480033036 – reference: DiclementeRJSalesJMRuizMSBarriers to adolescents’ participation in HIV biomedical prevention researchJ Acquir Immune Defic Syndr201054SUPPL. 1S12S1710.1097/QAI.0b013e3181e1e2c02925395 – reference: DahanRFeldmanRHermoniDIs patients’ sexual orientation a blind spot of family physicians?J Homosex200855352453210.1080/00918360802345321 – reference: GilbertALKnopfASFortenberryJDHosekSGKapogiannisBGZimetGDAdolescent self-consent for biomedical human immunodeficiency virus prevention researchJ Adolesc Health2015111310.1016/j.jadohealth.2015.03.017 – reference: FrankowskiBLSexual orientation and adolescentsPediatrics20046182710.1542/peds.113.6.1827 – reference: GreeneGFisherKKuperLAndrewsRMustanskiB‘Is this normal? is this not normal? there is no set example’: sexual health intervention preferences of LGBT youth in romantic relationshipsSex Res Soc Policy2015121110.1007/s13178-014-0169-2 – reference: MustanskiBCoventryRMacapagalKArbeitMRFisherCBSexual and gender minority adolescents’ views on HIV research participation and parental permission: a mixed-methods studyPerspect Sex Reprod Health201749211112110.1363/psrh.120275768203 – reference: HulleySBCSBrownerWSGradyDNewmanTBDesigning clinical research : an epidemiologic approach2013PhiladelphiaLippincott Williams & Wilkins79 – reference: D’AmicoEJulienDDisclosure of sexual orientation and gay, lesbian, and bisexual youths’ adjustment: associations with past and current parental acceptance and rejectionJ GLBT Fam Stud20128321524210.1080/1550428X.2012.677232 – reference: WilliamsKAChapmanMVComparing health and mental health needs, service use, and barriers to services among sexual minority youths and their peersHealth Soc Work201136319720610.1093/hsw/36.3.197 – reference: MecklerGDElliottMNKanouseDESchusterMABealsKPNondisclosure of sexual orientation to a physician among a sample of gay, lesbian, and bisexual youthArch Pediatr Adolesc Med2006160121248125410.1001/archpedi.160.12.1248 – reference: SheltonRCWinkelGDavisSNValidation of the group-based medical mistrust scale among urban black menJGIM201025654910.1007/s11606-010-1288-y – reference: MustanskiBSNewcombMEBoisSNDGarciaSCGrovCHIV in young men who have sex with men: a review of epidemiology, risk and protective factors, and interventionsJ Sex Res20112–321810.1080/00224499.2011.558645 – reference: ThomaBCHuebnerDMParental monitoring, parent-adolescent communication about sex, and sexual risk among young men who have sex with menAIDS Behav20141881604161410.1007/s10461-014-0717-z4108561 – reference: Institute of Medicine, Committee on Lesbian GB, Transgender Health I, Research G, Opportunities. The health of lesbian, gay, bisexual, and transgender people: building a foundation for better understanding. Washington DC: National Academies Press. 2011. – reference: CokerTRSchusterMAAustinSBThe health and health care of lesbian, gay, and bisexual adolescentsAnnu Rev Public Health20103145747710.1146/annurev.publhealth.012809.103636 – reference: Center for Disease Control. Sexual indentity, sex of sexual contacts, and health-related behaviors among students in grades 9–12—United States and selected sites, 2015; 2016. – reference: MacApagalKGreeneGJBhatiaRDifferences in healthcare access, use, and experiences within a community sample of racially diverse lesbian, gay, bisexual, transgender, and questioning emerging adultsLGBT Health20163643444210.1089/lgbt.2015.01245165667 – reference: MinerMHBocktingWORomineRSRamanSConducting internet research with the transgender population: reaching broad samples and collecting valid dataSoc Sci Comput Rev201230220221110.1177/0894439311404795 – reference: HerrickALSmithHAStallRDMarshalMPSucatoGSex while intoxicated: a meta-analysis comparing heterosexual and sexual minority youthJ Adolesc Health201148330630910.1016/j.jadohealth.2010.07.0083691819 – reference: KittsRLBarriers to optimal care between physicians and lesbian, gay, bisexual, transgender, and questioning adolescent patientsJ Homosex2010673010.1080/00918369.2010.485872 – reference: WhitfieldCJomeenJHayterMGardinerESexual health information seeking: a survey of adolescent practicesJ Clin Nurs2013223259326910.1111/jocn.12192 – reference: Soper DS. 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The EQUALITY studyJAMA Intern Med2017177681982810.1001/jamainternmed.2017.09065818827 – reference: PhilbinMMTannerAEDuValAFactors affecting linkage to care and engagement in care for newly diagnosed HIV-positive adolescents within fifteen adolescent medicine clinics in the United StatesAIDS Behav20141881501151010.1007/s10461-013-0650-64000283 – reference: HoytMARubinLRNemeroffCJLeeJHuebnerDMProeschold-BellRJHIV/AIDS-related institutional mistrust among multiethnic men who have sex with men: effects on HIV testing and risk behaviorsHealth Psychol201231326927710.1037/a0025953 – reference: NapperLFisherDReynoldsGDevelopment of the perceived risk of HIV scaleAIDS Behav2012164107510.1007/s10461-011-0003-2 – reference: FisherCBFriedALDesmondMMacapagalKMustanskiBFacilitators and barriers to participation in PrEP HIV prevention trials involving adolescent and emerging adult transgender men and womenAIDS Educ Prev201729320521710.1521/aeap.2017.29.3.2055768197 – reference: KannLOlsenEOMMcManusTSexual identity, sex of sexual contacts, and health-related behaviors among students in grades 9–12—United States and selected sites, 2015MMWR Surveill Summ2016659120210.15585/mmwr.ss6509a1 – reference: HoffmanNDFreemanKSwannSHealthcare preferences of lesbian, gay, bisexual, transgender and questioning youthJ Adolesc Health200945322222910.1016/j.jadohealth.2009.01.0092773204 – reference: FisherCBArbeitMRDumontMSMacapagalKMustanskiBSelf-consent for HIV prevention research involving sexual and gender minority youthJ Empir Res Hum Res Ethics2016111310.1177/15562646166339634842126 – reference: DonaldsonAAEllenJMMarcellAVLindbergLDReceipt of sexual health information from parents, teachers, and healthcare providers by sexually experienced U.S. adolescentsJ Adolesc Health201353223524010.1016/j.jadohealth.2013.03.0174034256 – reference: MilhausenRRMcKayAGrahamCACrosbyRAYarberWLSandersSAPrevalence and predictors of condom use in a national sample of Canadian university studentsCan J Hum Sex201322314215110.3138/cjhs.2316 – reference: RossmanKSalamancaPMacapagalKA qualitative study examining young adults’ experiences of disclosure and nondisclosure of LGBTQ identity to health care providersJ Homosex201710139010.1080/00918369.2017.1321379 – reference: KonstanJARosserBRSStantonJEdwardsWMRossMWThe story of subject naught: a cautionary but optimistic tale of internet survey researchJ Comput Mediat Commun20051025 – reference: EatonLADriffinDDKeglerCThe role of stigma and medical mistrust in the routine health care engagement of black men who have sex with menAm J Public Health20151052e75e8210.2105/AJPH.2014.3023224318301 – reference: D’AugelliARHershbergerSLPilkingtonNWLesbian, gay, and bisexual youth and their families: disclosure of sexual orientation and its consequencesAm J Orthopsychiatr199868336137110.1037/h0080345 – reference: ZanoniBCMayerKHThe adolescent and young adult HIV cascade of care in the United States: exaggerated health disparitiesAIDS 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Snippet	Adolescent males who have sex with males (AMSM) are at increased risk of contracting HIV/AIDS and other sexually transmitted infections (STIs). Healthcare...
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SubjectTerms	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
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Title	Patient–Provider Communication Barriers and Facilitators to HIV and STI Preventive Services for Adolescent MSM
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