Lack of Informed and Affirming Healthcare for Sexual Minority Men: A Call for Patient-Centered Care.
J Gen Intern Med
; 39(11): 2023-2032, 2024 Aug.
Article
in En
| MEDLINE
| ID: mdl-38308157
ABSTRACT
BACKGROUND:
Sexual minority men (SMM) face severe health inequities alongside negative experiences that drive avoidance of medical care. Understanding how SMM experience healthcare is paramount to improving this population's health. Patient-centered care, which emphasizes mutual respect and collaboration between patients and providers, may alleviate the disparaging effects of the homophobia that SMM face in healthcare settings.OBJECTIVE:
To explore how SMM perceive their experiences with healthcare providers and how care can most effectively meet their needs.DESIGN:
Semi-structured qualitative interviews focused on healthcare experiences, pre-exposure prophylaxis (PrEP), and HIV-related beliefs were conducted between July and November 2018.PARTICIPANTS:
The study included a sample of 43 young adult SMM (ages 25-27), representing diverse socioeconomic, racial, and ethnic backgrounds, in New York City.APPROACH:
Researchers utilized a multiphase, systematic coding method to identify salient themes in the interview transcripts. KEYRESULTS:
Analyses revealed three main themes (1) SMM perceived that their clinicians often lack adequate skills and knowledge required to provide care that considers participants' identities and behaviors; (2) SMM desired patient-centered care as a way to regain agency and actively participate in making decisions about their health; and (3) SMM felt that patient-centered care was more common with providers who were LGBTQ-affirming, including many who felt that this was especially true for LGBTQ-identified providers.CONCLUSIONS:
SMM expressed a clear and strong desire for patient-centered approaches to care, often informed by experiences with healthcare providers who were unable to adequately meet their needs. However, widespread adoption of patient-centered care will require improving education and training for clinicians, with a focus on LGBTQ-specific clinical care and cultural humility. Through centering patients' preferences and experiences in the construction of care, patient-centered care can reduce health inequities among SMM and empower healthcare utilization in a population burdened by historic and ongoing stigmatization.
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
HIV Infections
/
Patient-Centered Care
/
Sexual and Gender Minorities
Type of study:
Prognostic_studies
/
Qualitative_research
Aspects:
Equity_inequality
Limits:
Adult
/
Humans
/
Male
Country/Region as subject:
America do norte
Language:
En
Journal:
J Gen Intern Med
Journal subject:
MEDICINA INTERNA
Year:
2024
Document type:
Article
Affiliation country:
United States
Country of publication:
United States