Assessing the Health Care Experiences of Rural Men Who Have Sex with Men (MSM)
Assessing the Health Care Experiences of Rural Men Who Have Sex with Men (MSM)
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DOI：
10.1353/hpu.2020.0020
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发表时间：
2020-02-01
影响因子：
1.4
通讯作者：
Croff, Julie M.
中科院分区：
文献类型：
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作者：
Giano, Zachary;Hubach, Randolph D.;Croff, Julie M.
调查男男性行为者（MSM）医疗保健经历的研究主要关注城市人群。本研究探讨居住在农村俄克拉荷马州的MSM的医疗保健经验。共有40名男男性接触者（年龄21至66岁）生活在农村地区进行了采访。使用定性方法分析数据，以确定新出现的概念。从数据中出现了三个主题：首先，参与者引用了与宗教保守意识形态相关的文化差异作为医疗保健经验的中心主题。其次，医患关系质量是影响医疗保健体验的一个因素。最后，医疗保健经验是基于医生对女同性恋、男同性恋、双性恋和变性人（LGBT）健康问题的了解。某些医疗保健方面的农村经验的男男性接触者，确定不同的农村和城市男男性接触者。影响包括支持弥合从业者和患者之间差距的计划，同时更好地告知MSM和医疗保健提供者当前的LGBT健康问题。
Research investigating the health care experiences of men who have sex with men (MSM) predominately concerns urban populations. This study examines the health care experiences of MSM residing in rural Oklahoma. A total of 40 MSM (aged 21 through 66) living in rural areas were interviewed. Data were analyzed using a qualitative approach to identify emerging concepts. Three themes emerged from the data: First, participants cited cultural differences related to religious conservative ideologies as a central motif of health care experiences. Next, doctor-patient relationship quality was a contributing factor to health care experiences. Last, health care experiences were predicated on the idea of doctors' knowledge of lesbian, gay, bisexual and transgender (LGBT) health issues. Certain health care aspects regarding the rural experiences of MSM that were identified differed between rural and urban MSM. Implications include support for programs that bridge the gap between practitioners and patients, while better informing both MSM and health care providers of current LGBT health issues.