Predicting disclosure of MSM status to providers in a primarily socially conservative state

Currin, Joseph M.; Hubach, Randolph D.

doi:10.1080/10538720.2018.1378145

Cited by 6 publications

(5 citation statements)

References 27 publications

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“…Stigma and marginalization of MSM in relatively rural states make them susceptible to structural barriers that inhibit care and access to socially supportive networks in their geographic locale. Similar to previous findings, participants identified various forms of stigma routinely encountered, such as access and barriers to culturally competent care, 31,36,48,49 enactment of anti-LGBT public policy, 21,50,51 and exclusion from supportive social networks (e.g., faith communities). 3,52,53 It is clear that such needs must be considered when designing programs for MSM in rural areas of the United States.…”

Section: Discussionsupporting

confidence: 78%

Experiences of Stigma by Gay and Bisexual Men in Rural Oklahoma

et al. 2019

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Purpose: The unique experiences of men who have sex with men (MSM) residing in culturally conservative rural areas are not well represented in the scientific literature. The human immunodeficiency virus (HIV) epidemic in the United States has shifted toward rural areas where populations are dispersed and health care resources are limited. Methods: We recruited 40 sexual minority men, ages 22–66, residing in rural Oklahoma for in-depth, qualitative sexual health interviews that sought to understand how cultural and social environments impacted health behaviors. Findings: Participants described a stigmatizing social environment and less access to quality, sexual minority medical care within rural communities and perceived these as substantial barriers to enhancing health. Structural issues, including lack of sexual minority-affirming policies, institutional practices, and hostile cultural norms, were noted. Conclusions: Results indicate the need to develop greater awareness of stigma as an etiologic factor that contributes to the health of rural sexual minority populations, specifically when it relates to provision of culturally appropriate care.

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Section: Discussionsupporting

confidence: 78%

Experiences of Stigma by Gay and Bisexual Men in Rural Oklahoma

et al. 2019

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“…28,29 In particular, participants described ways in which telemedicine would increase their access to knowledgeable and affirming providers. Lack of sexual orientation and sexual behavior disclosure to providers has limited the potential for rural MSM to be adequately assessed for preventive care (e.g., HIV and STI screening) 2,3,11,12,20 ; however, telemedicine provides an opportunity to enhance patient provider communication and increase likeliness of disclosure.…”

Section: Discussionmentioning

confidence: 99%

“…This reluctance to disclose sexual behavior to a medical provider can limit the effectiveness of both medical and mental healthcare. 2,12 Further, a general lack of access to medical and mental health providers in rural areas contributes to a lack of engagement in routine healthcare and preventive screenings. 17 Telemedicine has been advocated for as a means for overcoming these barriers to care.…”

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confidence: 99%

Assessing the Amenability of Rural MSM to Using Telemedicine for Medical and Mental Healthcare

et al. 2021

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Rural men who have sex with men (MSM) experience numerous barriers to healthcare, including stigma, which impedes medical and mental healthcare engagement. Given this, rural MSM are less likely to be engaged in routine healthcare compared to their urban counterparts. Telemedicine has been advocated for to address these disparities in care access; however, no known studies have explored the amenability of telemedicine for both medical and mental healthcare among rural MSM. In-depth interviews were conducted with a sample of MSM (n = 23) residing in rural Oklahoma and Arkansas. Respondents described a willingness to use telemedicine to engage with medical and mental health providers as it presented a mechanism to overcome identified barriers to care. Removing barriers, notably lack of access to knowledgeable and affirming providers, is one potential method for increasing engagement in routine care which provides opportunities for rural MSM to engage in primary and secondary prevention services.

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“…Further, we did not assess the length of time that foreign-born MSM have been in the U.S., which may be influential in behaviors examined in the study. Additionally, we note that Seattle is an urban metropolitan area with traditionally liberal policies; this context may have influenced the population and variables of interest in our study such as sexual orientation disclosure and the foreign-born MSM who decided to migrate to Seattle (42,43).…”

Section: Discussionmentioning

confidence: 99%

Immigrant Status and Sexual Orientation Disclosure: Implications for HIV/STD Prevention Among Men Who Have Sex with Men in Seattle, Washington

et al. 2020

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Men who have sex with men (MSM) are disproportionately affected by HIV and may avoid disclosing their sexual preferences to others. With heightened attention on immigrant status in the United States, foreign-born MSM may be particularly concerned about disclosing their sexual orientation. We sought to examine how immigrant status is associated with sexual orientation disclosure among MSM and to assess the impact of disclosure on HIV/STD prevention outcomes stratified by nativity. We analyzed data from the 2014 and 2017 Seattle-area surveys of MSM from the National HIV Behavioral Surveillance (NHBS) system. Foreign-born MSM were less likely than U.S.-born MSM to have disclosed their sexuality to friends who are not gay, lesbian, or bisexual (85.0% vs. 95.5%; p<.001) or to family members (80.5% vs. 91.3%; p<.001). Further, disclosure to one's health care provider significantly increased the likelihood of having tested for HIV in the past 12 months among foreign-born and U.S.-born MSM. Findings highlight the need to better understand the risks and benefits of disclosure among foreign-born MSM. Future research may explore how responses and reactions to disclosure among foreign-born MSM shape pathways to HIV risk and prevention.

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Predicting disclosure of MSM status to providers in a primarily socially conservative state

Cited by 6 publications

References 27 publications

Experiences of Stigma by Gay and Bisexual Men in Rural Oklahoma

Experiences of Stigma by Gay and Bisexual Men in Rural Oklahoma

Assessing the Amenability of Rural MSM to Using Telemedicine for Medical and Mental Healthcare

Immigrant Status and Sexual Orientation Disclosure: Implications for HIV/STD Prevention Among Men Who Have Sex with Men in Seattle, Washington

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