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....

Full description

Saved in:
Bibliographic Details
Published in:AIDS and behavior Vol. 22; no. 10; pp. 3417 - 3428
Main Authors: Fisher, Celia B., Fried, Adam L., Macapagal, Kathryn, Mustanski, Brian
Format: Journal Article
Language:English
Published: New York Springer US 01.10.2018
Springer Nature B.V
Subjects:
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
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary: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.
Bibliography: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