Openness Between Gay Persons and Health Professionals

Dardick, Larry; Grady, Kathleen E.

doi:10.7326/0003-4819-93-1-115

Cited by 103 publications

(51 citation statements)

References 10 publications

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“…Identifying vaccine candidates, however, can be challenging, because many gay and bisexual youths do not report their sexual orientation to their providers. 45,46 We found that young MSM who acknowledged Adjusted odds ratios are reported for those variables that remained in the final logistic regression model. All other variables listed were entered into the full model but were removed in the variable-reduction procedure as described in the Methods section.…”

Section: Discussionmentioning

confidence: 99%

Two decades after vaccine license: hepatitis B immunization and infection among young men who have sex with men

MacKellar

Valleroy²,

Secura³

et al. 2001

Am J Public Health

123

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A B S T R A C TObjectives. This study investigated hepatitis B immunization coverage and the extent of hepatitis B virus (HBV) infection among young men who have sex with men (MSM), a group for whom hepatitis B vaccine has been recommended since 1982.Methods. We analyzed data from 3432 MSM, aged 15 to 22 years, randomly sampled at 194 gay-identified venues in 7 US metropolitan areas from 1994 through 1998. Participants were interviewed, counseled, and tested for serologic markers of HBV infection.Results. Immunization coverage was 9% and the prevalence of markers of HBV infection was 11%. HBV infection ranged from 2% among 15-year-olds to 17% among 22-year-olds. Among participants susceptible to HBV infection, 96% used a regular source of health care or accessed the health care system for HIV or sexually transmitted disease testing.Conclusions. Despite the availability of an effective vaccine for nearly 2 decades, our findings suggest that few adolescent and young adult MSM in the United States are vaccinated against hepatitis B. Health care providers should intensify their efforts to identify and vaccinate young MSM who are susceptible to

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Section: Discussionmentioning

confidence: 99%

Two decades after vaccine license: hepatitis B immunization and infection among young men who have sex with men

MacKellar

Valleroy²,

Secura³

et al. 2001

Am J Public Health

123

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“…Among gay/lesbian patients, sexual orientation concordance may be preferable, with two thirds who had previously experienced prejudice in the health care environment desiring a homosexual provider. 1 Whereas sexual orientation concordance may explain why respondents would change providers, it is less applicable when discerning why a respondent would leave a practice that employed gay/lesbian providers (more so than changing providers). This apparent paradox may be explained by the more personal relationship with one's provider as opposed to the practice.…”

Section: Discussionmentioning

confidence: 99%

“…In 1 study, 27% of gay/lesbian patients reported interactions with a prejudiced physician, 2% reported an openly hostile physician, and 21% felt their provider was not supportive of their gay/ lesbian orientation. 1 Other studies have reported that 20-30% of physicians surveyed are homophobic. 2,3 However, very little work has been done to examine whether the reverse holds true-whether patients would discriminate against gay/ lesbian providers.…”

Section: Introductionmentioning

confidence: 99%

The Dilemma of Disclosure: Patient Perspectives on Gay and Lesbian Providers

et al. 2007

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BACKGROUND: Discrimination toward gay and lesbian patients by health care providers has been documented. No study has determined if patient behavior would change when seeing a gay/lesbian provider. OBJECTIVE:The objective of the study was to examine whether a provider's sexual orientation would affect the choice of provider, practice, or preference for a chaperone during genital exams. DESIGN:The design of the study was an anonymous, cross-sectional survey. PARTICIPANTS:The participants were a random national sample of persons 18 years or older residing in the USA able to read English. MEASUREMENTS:The measurements were selfreported perceptions and chaperone preference based on provider gender and sexual orientation. RESULTS:The response rate was 32% (n=502). Many respondents indicated they would change providers upon finding out their provider was gay/lesbian (30.4%) or change practices if gay/lesbian providers were employed there (35.4%). Female respondents preferred chaperones most with heterosexual male providers (adjusted odds ratio [OR] 1.50, 95% confidence interval [CI]=1.15 to 1.95) followed by homosexual male (OR 1.17, 95% CI=0.93 to 1.47), lesbian (reference), and heterosexual female providers (OR 0.63, 95% CI=0.51 to 0.77). Male respondents showed an increased preference for chaperones with gay/ lesbian providers of either gender (OR 1.52, 95%, CI= 1.22 to 1.90, for gay male provider, [reference] for lesbian provider) than with either heterosexual male (OR 0.36, 95% CI=0.26 to 0.52) or heterosexual female providers (OR 0.39, 95% CI=0.29 to 0.54). CONCLUSIONS:Patients may change providers, practices, or desire for chaperone based on a provider's gender and sexual orientation. Although the low response rate may limit generalizability, these findings have the potential to impact aspects of practice structure including chaperone use and provider-patient relationships.KEY WORDS: Patient-provider relationship; gay/lesbian; disclosure; practice of medicine.

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“…'2'20,22 This survey was conducted to obtain information from women who defined themselves as bisexual or lesbian; the survey focused on gynecologic care since knowledge of sexual orientation is particularly important in this area. 10,11,13,17,18 Methods A self-administered questionnaire was distributed to approximately 4,100 women who attended week-long cultural events for women in 1980. These yearly events were for gynecologic care (% per cent), particularly for problems with sexual functioning.…”

Section: Introductionmentioning

confidence: 99%

Health care attitudes and experiences during gynecologic care among lesbians and bisexuals.

Smith¹,

Johnson²,

Guenther³

1985

Am J Public Health

115

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Bisexuals (N = 424) and lesbians (N = 1,921) were surveyed regarding their sources of gynecologic care, utilization patterns, openness with physicians, and assessment of quality of care. About 40 per cent of each group believed that physician knowledge about their sexual preference would hinder the quality of medical care and about as many believed that it would have no effect. About one-third in each group had not disclosed their sexual behavior although they desired to do so. Physicians rarely requested this information. A lesbian physician was overwhelmingly preferred IntroductionComprehensive health care depends in part on the quality of the physician-patient relationship: the degree of trust in the physician has been correlated with number of

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Openness Between Gay Persons and Health Professionals

Cited by 103 publications

References 10 publications

Two decades after vaccine license: hepatitis B immunization and infection among young men who have sex with men

Two decades after vaccine license: hepatitis B immunization and infection among young men who have sex with men

The Dilemma of Disclosure: Patient Perspectives on Gay and Lesbian Providers

Health care attitudes and experiences during gynecologic care among lesbians and bisexuals.

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