Sexual Healthcare Preferences among Gay and Bisexual Men: A Qualitative Study in San Francisco, California

Koester, Kimberly A.; Collins, Shannon; Fuller, Shannon; Galindo, Gabriel; Gibson, Steven J.; Steward, Wayne T.

doi:10.1371/journal.pone.0071546

Cited by 38 publications

(36 citation statements)

References 51 publications

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“…Consistent with previous studies on preferences for alternative testing approaches,9 the main findings of this study suggest that rapid testing and/or testing in non-healthcare settings are highly preferred by GMSM, particularly those who engaged in risky sexual behaviours (UAIC) and/or having a busy lifestyle (employed full time and in professional or managerial occupations, making it difficult to take time off work) and hence a desire for testing convenience and rapidly accessible results. Three quarters of the participants expressed preferences for rapid testing over the current standard-of-care and more than half preferred to be tested in non-healthcare settings.…”

Section: Discussionsupporting

confidence: 87%

The acceptability of different HIV testing approaches: cross-sectional study among GMSM in Australia: Table 1

et al. 2014

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Section: Discussionsupporting

confidence: 87%

The acceptability of different HIV testing approaches: cross-sectional study among GMSM in Australia: Table 1

et al. 2014

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“…A long history of discrimination and oppression means that many LGBTQ people are reluctant to be open about their sexuality or gender identity, despite positive changes in societal attitudes. Numerous studies demonstrate that many LGBTQ patients show a marked preference for LGBTQ or LGBTQ‐friendly health care providers. It therefore follows that LGBTQ health professionals have distinct information needs, either because of their patients’ or because of their own health information needs, an observation confirmed by Fikar & Keith's respondents.…”

Section: Discussionmentioning

confidence: 99%

Information‐seeking behaviour and information needs of LGBTQ health professionals: a follow‐up study

Morris

Roberto

2016

Health Info Libraries J

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Background: Except for one study in 2004, the literature has no data on the information-seeking behaviour of lesbian, gay, bisexual, transgender and queer/questioning (LGBTQ) health professionals. After a decade of change for LGBTQ people, and the growth of electronic information sources and social networks, it is appropriate to revisit this subject. Objectives: To gain an updated understanding of the information-seeking behaviour of LGBTQ health professionals and of how medical libraries can provide a culturally competent service to such users. Methods: A mixed-methods approach was adopted combining a Web-based questionnaire with email follow-up discussions. One hundred and twenty-three complete responses were received, mostly from the USA and Canada, between November 2012 and October 2013. Results:LGBTQ health professionals remain more comfortable seeking LGBTQ health information from a medical librarian whom they know to be LGBTQ because they perceive LGBTQ librarians as more likely to have specialist knowledge, or through concern that non-LGBTQ librarians may be more likely to react in a stigmatising or discriminatory way. The study also provides evidence suggesting that online chat has marginal appeal for respondents seeking LGBTQ health information, despite its anonymity. Medical libraries seeking to demonstrate their cultural competency should provide visible evidence of this, such as through the creation of dedicated resource lists, promotion of LGBTQ literature on the library's website, and display of other symbols or statements supporting diversity. Conclusion: Opportunities exist for LGBTQ health professionals and medical librarians to work together to ensure that medical libraries are culturally competent and welcoming spaces for LGBTQ patrons, that library collections match their needs, and in the creation of guides to ensure maximum access to the results of LGBTQ health research. Medical libraries should also consider nominating and, if necessary, training a specialist in LGBTQ health information. Such measures are more likely to be successful than reliance on online chat, despite contrary suggestions in the literature.

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“…Prior studies have found that mistrust, disclosure difficulties, and internalized homophobia may limit healthcare access and delay presentation for care among MSM. [11][12][13][14] A recent study of New York MSM found that although most had seen a clinical provider recently, 39 % did not disclose sexual activity with male partners, with lower rates among African American and Latino MSM. 15 Medical mistrust, [16][17][18][19] discrimination experiences, [18][19][20][21] conspiracy beliefs, 19,22,23 and concerns about disclosure may be particularly significant barriers to PrEP access among MSM of color, as demonstrated by a recent PrEP acceptability study among African American MSM.…”

mentioning

confidence: 99%

A Qualitative Study of Medical Mistrust, Perceived Discrimination, and Risk Behavior Disclosure to Clinicians by U.S. Male Sex Workers and Other Men Who Have Sex with Men: Implications for Biomedical HIV Prevention

et al. 2015

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Access to biomedical HIV prevention technologies such as pre-exposure prophylaxis (PrEP) requires individuals to disclose risk behavior to clinicians, but experiences of discrimination and medical mistrust may limit disclosure among male sex workers and other MSM. We explored experiences of perceived discrimination, medical mistrust, and behavior disclosure among male sex workers compared to other men who have sex with men (MSM). We conducted 56 interviews with MSM and compared findings about medical mistrust, discrimination, and disclosure for 31 men who engaged in sex work vs. 25 men who did not. MSM who engaged in sex work reported more medical mistrust and healthcare discrimination due to issues beyond MSM behavior/identity (e.g., homelessness, substance use, poverty). MSM who did not report sex work described disclosing sex with men to clinicians more often. Both subgroups reported low PrEP awareness, but willingness to disclose behavior to obtain PrEP. Medical mistrust and perceived discrimination create barriers for sexual behavior disclosure to clinicians, potentially impeding access to PrEP and other forms of biomedical HIV prevention. These barriers may be higher among male sex workers compared to other MSM, given overlapping stigmas including sex work, substance use, homelessness, and poverty. An intersectionality framework for understanding multiple stigmas can help to identify how these dynamics may limit access to biomedical HIV prevention among male sex workers, as well as suggesting strategies for addressing stigmas to improve the delivery of PrEP and other HIV prevention approaches in this population.

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Sexual Healthcare Preferences among Gay and Bisexual Men: A Qualitative Study in San Francisco, California

Cited by 38 publications

References 51 publications

The acceptability of different HIV testing approaches: cross-sectional study among GMSM in Australia: Table 1

The acceptability of different HIV testing approaches: cross-sectional study among GMSM in Australia: Table 1

Information‐seeking behaviour and information needs of LGBTQ health professionals: a follow‐up study

A Qualitative Study of Medical Mistrust, Perceived Discrimination, and Risk Behavior Disclosure to Clinicians by U.S. Male Sex Workers and Other Men Who Have Sex with Men: Implications for Biomedical HIV Prevention

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