Health Care Needs of Gay Men and Lesbians in the United States

Davis, Ronald M.

doi:10.1001/jama.1996.03530410068036

Cited by 78 publications

(10 citation statements)

References 87 publications

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“…Individuals of low socioeconomic status are both more likely to smoke and more likely to become infected with HIV. Other variables associated with both smoking status and HIV include gay or bisexual orientation [4,5], alcohol and/or illicit drug use [6], and depression [7]. …”

Section: Introductionmentioning

confidence: 99%

The influence of HIV disease events/stages on smoking attitudes and behaviors: project STATE (Study of Tobacco Attitudes and Teachable Events)

et al. 2014

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BackgroundGiven the increase in life expectancy among HIV-positive individuals attributable to antiretroviral therapies, cigarette smoking now represents one of the most salient health risks confronting the HIV-positive population. Despite this risk, very few efforts to date have been made to target persons living with HIV for smoking cessation treatment, and no efforts have been made to explore the role of cognitions and HIV disease events/stages on smoking outcomes. The purpose of the study, Project STATE (Study of Tobacco Attitudes and Teachable Events), is to prospectively examine the relationship between HIV events/stages, perceived impact of HIV disease, attitudes about cigarette smoking, and smoking behaviors.Methods/DesignThis study employs a prospective design. Patients are recruited at the time of their first physician visit at a large inner city HIV-clinic – Thomas Street Health Center (TSHC). Consenting participants then complete a baseline assessment. All participants are offered standard care smoking cessation treatment. Follow-up assessments are completed on four subsequent occasions: 3, 6, 9, and 12 months post-baseline. These follow-up assessments are scheduled to coincide with routine clinic appointments with their TSHC physicians. In addition, each participant is given a prepaid cell phone at the time of enrollment and asked to complete brief phone assessments weekly for the first three months of the study period.DiscussionBy evaluating events/stages of HIV disease as potential teaching moments for smoking cessation, findings from this study could be used to develop treatments tailored to an individual’s stage of HIV disease. This study design will enable us to carefully track changes in smoking behavior over time, and to link these changes to both the course of HIV disease and/or to the participant’s’ perceived impact of HIV. By identifying optimal time points for intervention, the findings from this study will have the potential to maximize the efficiency and efficacy of cessation treatments delivered in resource-limited settings. In addition, the findings will be instrumental in identifying specific constructs that should be targeted for intervention and will provide a strong foundation for the development of future cessation interventions targeting smokers living with HIV/AIDS.

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Section: Introductionmentioning

confidence: 99%

The influence of HIV disease events/stages on smoking attitudes and behaviors: project STATE (Study of Tobacco Attitudes and Teachable Events)

et al. 2014

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“…1–3 Therefore, additional diagnostic and preventive measures are recommended for the routine health care of MSM, including hepatitis A and B vaccinations, and often, testing for HIV and sexually transmitted infections (STIs). 4,5 If healthcare providers assume patients are heterosexual, they may neglect essential screening, diagnostic, or preventive health measures.…”

mentioning

confidence: 99%

Physician Awareness of Sexual Orientation and Preventive Health Recommendations to Men Who Have Sex With Men

Petroll¹,

Mosack²

2011

Sexually Transmitted Diseases

200

165

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Background Men who have sex with men (MSM) have unique health risks and needs. Providers who assume patients to be heterosexual may be providing suboptimal care. This study sought (1) to describe primary care provider (PCP) knowledge of patients' sexual orientation and the demographic and provider-related factors associated with such knowledge; and, (2) to assess whether PCP knowledge of sexual orientation was associated with appropriate recommendations for preventive and diagnostic health care services. Methods A total of 271 MSM completed a cross-sectional survey. We measured MSMs' disclosure of their sexual orientation and demographic information, and PCP recommendations for preventive health services. Results Most participants' PCPs (72%) knew the participants' sexual orientation. Participants with female, gay, and/or younger PCPs were more likely to have disclosed their sexual orientation. Black men, men from rural areas, and men with incomes under $15,000 per year were less likely to have disclosed their sexual orientation. PCP knowledge of sexual orientation was associated with a higher likelihood that PCPs recommended disease screening and preventive health measures: 59% versus 13% for human immunodeficiency virus testing, 32% versus 16% for hepatitis A or B vaccination. Inconsistencies were found between participants' self-reported risk behaviors and PCP recommendations. Conclusions Disclosure of sexual orientation is associated with several patient-related and provider-related characteristics. Lack of disclosure to providers significantly decreased the likelihood that appropriate health services were recommended to participants. Efforts to promote discussion of sexual orientation within the primary health care setting should be directed toward both PCPs and MSM.

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“…They insisted that sexual orientation is determined during early development, as well as the physiological gender, and left little room for learning models of sexual orientation Rahman, 2005;Savic, Garcia-Falgueras, & Swaab, 2010;Swaab, 2004). However, their hypothesis is not compatible with the clinical data and genetic research findings (Davis et al, 1996;Friedman & Downey, 2010;Joel, 2011;Langstrom, Rahman, Carlstrom, & Lichtenstein, 2010), and our case presentation. According to the recent phylogenetic studies, there is mounting evidence that supports the roles of social learning and social recognition in determining and shaping mate choice and preferences (Kavaliers & Choleris, 2013;Verzijden, Cate, Servedio, Kozak, Boughman, & Svensson, 2012).…”

Section: Discussionmentioning

confidence: 61%

“…Studies and clinical practices disclosed that sexual orientation, at least in some people, is not unchangeable (Davis et al, 1996;Friedman & Downey, 2002, 2010Jones & Yarhouse, 2011). Some persons who had a heterosexual or homosexual life for more than ten years became bisexual when they had to deal with tough life events at middle age (Friedman & Downey, 2010).…”

Section: Introductionmentioning

confidence: 99%

The Change of Heterosexual Preference in Adolescents: Implications of Stress and Cognitive Regulation on Sexual Orientation

Zhu¹,

Ren²,

Cao³

et al. 2013

JSS

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Sexual orientation is a complex area. It is unclear to date how people precisely establish their preferred sexual objects. This paper presents two cases, whose heterosexual preference were changed in late adolescent age after a severe psychological event, to draw attention to the study of the possible underlying mechanism. Case 1, one identical male twin, was seriously punished at age 12 years, as he loved a girl in his classroom. Afterwards, he feared to contact with girls, and became attracted to young men at age 17 years, and kept same-sex sexual behaviors since then. However, his twin brother is always heterosexual. Case 2, a girl at age 16 years, was unexpectedly betrayed by her boyfriend, she bore great pain and distress in the beginning. Since then, she had a definite opinion that men were unbelievable, and gradually turned her heterosexual preference and had same-sex sexual behaviors with a girl classmate more than 3 years. Our case presentation indicates that severe frustration of primary heterosexual desires or behaviors and the successive cognitive regulation might lead susceptible adolescents into reorienting their sexual preference. The role of prefrontal cortex and related neuromodulatory pathways were discussed.

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Health Care Needs of Gay Men and Lesbians in the United States

Cited by 78 publications

References 87 publications

The influence of HIV disease events/stages on smoking attitudes and behaviors: project STATE (Study of Tobacco Attitudes and Teachable Events)

The influence of HIV disease events/stages on smoking attitudes and behaviors: project STATE (Study of Tobacco Attitudes and Teachable Events)

Physician Awareness of Sexual Orientation and Preventive Health Recommendations to Men Who Have Sex With Men

The Change of Heterosexual Preference in Adolescents: Implications of Stress and Cognitive Regulation on Sexual Orientation

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