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 - Funding Information:
Support for this article was provided by the Centers for Disease Control and Prevention-funded New York University–City University of New York (CUNY) Prevention Research Center (U48DP005008) Special Interest Project (SIP 15-009: Christian Grov/Simona Kwon—multiple principal investigators). Drs. Kelvin, Anastos, and Patel were supported by the Einstein-Rockefeller-CUNY Center for AIDS Research (P30-AI-124414), which is supported by the following National Institutes of Health co-funding and participating institutes and centers: National Institute of Allergy and Infectious Diseases, National Cancer Institute, Eunice Kennedy Shriver National Institute of Child Health and Human Development, National Heart, Lung, and Blood Institute, National Institute on Drug Abuse, National Institute of Mental Health (NIMH), National Institute on Aging, Fogarty International Center, and Office of AIDS Research. Dr. Patel was also supported by a Career Development Award from the NIMH (K23-MH102118; Viraj V. Patel, principal investigator).
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
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U2 - 10.1089/lgbt.2019.0214
DO - 10.1089/lgbt.2019.0214
M3 - Article
C2 - 32311309
AN - SCOPUS:85086258718
VL - 7
SP - 208
EP - 213
JO - LGBT Health
JF - LGBT Health
SN - 2325-8292
IS - 4
ER -
