TY - JOUR
T1 - Characteristics Associated with Trust in and Disclosure of Sexual Behavior to Primary Care Providers among Gay, Bisexual, and Other Men Who Have Sex with Men in the United States
AU - Stults, Christopher B.
AU - Grov, Christian
AU - Anastos, Kathryn
AU - Kelvin, Elizabeth A.
AU - Patel, Viraj V.
N1 - Publisher Copyright:
© Copyright 2020, Mary Ann Liebert, Inc., publishers 2020.
PY - 2020/6/1
Y1 - 2020/6/1
N2 - Characteristics associated with having a primary care provider (PCP), patient-provider trust, and sexual behavior disclosure were examined among men who have sex with men (MSM). Methods: MSM (N = 4239) were surveyed regarding demographic, behavioral, and medical characteristics. Multivariable logistic regression analyses were used. Results: Among 86.3% of MSM with a PCP, characteristics associated with lower patient-provider trust included younger age, Asian, bisexual, HIV-negative-not-on-pre-exposure prophylaxis, HIV-unknown, and lower medical literacy; with nondisclosure: Asian, bisexual, straight, HIV-negative, HIV-unknown, fewer partners, recruitment source, lower medical literacy, and lower patient-provider trust. Conclusion: Medical literacy and patient-provider trust are promising points of intervention to improve health outcomes among MSM.
AB - Characteristics associated with having a primary care provider (PCP), patient-provider trust, and sexual behavior disclosure were examined among men who have sex with men (MSM). Methods: MSM (N = 4239) were surveyed regarding demographic, behavioral, and medical characteristics. Multivariable logistic regression analyses were used. Results: Among 86.3% of MSM with a PCP, characteristics associated with lower patient-provider trust included younger age, Asian, bisexual, HIV-negative-not-on-pre-exposure prophylaxis, HIV-unknown, and lower medical literacy; with nondisclosure: Asian, bisexual, straight, HIV-negative, HIV-unknown, fewer partners, recruitment source, lower medical literacy, and lower patient-provider trust. Conclusion: Medical literacy and patient-provider trust are promising points of intervention to improve health outcomes among MSM.
KW - disclosure
KW - gay and bisexual men
KW - men who have sex with men
KW - patient-provider trust
KW - primary care providers
UR - http://www.scopus.com/inward/record.url?scp=85086258718&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85086258718&partnerID=8YFLogxK
U2 - 10.1089/lgbt.2019.0214
DO - 10.1089/lgbt.2019.0214
M3 - Article
C2 - 32311309
AN - SCOPUS:85086258718
SN - 2325-8292
VL - 7
SP - 208
EP - 213
JO - LGBT Health
JF - LGBT Health
IS - 4
ER -
