Patient-Provider Communication Barriers and Facilitators to HIV and STI Preventive Services for Adolescent MSM.
Patient-Provider Communication Barriers and Facilitators to HIV and STI Preventive Services for Adolescent MSM.
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DOI：
10.1007/s10461-018-2081-x
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发表时间：
2018-10
影响因子：
4.4
通讯作者：
Mustanski B
中科院分区：
文献类型：
--
作者：
Fisher CB;Fried AL;Macapagal K;Mustanski B
与男性发生性行为的青少年男性感染艾滋病毒/艾滋病和其他性传播感染的风险增加。卫生保健提供者是预防艾滋病毒/性传播感染的重要来源，然而，人们对AMSM患者与提供者之间的性健康交流和服务知之甚少。为了探讨这一问题，我们调查了198名14 - 17岁的AMSM。四个经心理测量学验证的在线量表表明，一半以上的青年由于害怕异性恋偏见、担心自己的性健康信息会泄露给父母以及普遍认为性少数青年在卫生保健环境中没有得到公平待遇而避免向提供者传达自己的性取向和性健康问题。报告说他们的医生已经开始讨论他们的性取向的年轻人更有可能接受艾滋病毒/性传播感染预防服务和检测。讨论包括医疗培训的需要，以满足非男性行为者独特的性健康需求。
Adolescent males who have sex with males (AMSM) are at increased risk of contracting HIV/AIDS and other sexually transmitted infections (STIs). Healthcare providers are a critical source of HIV/STI prevention, yet little is known about AMSM patient-provider sexual health communications and services. To explore this issue, we surveyed a national sample of 198 AMSM 14 – 17 years. Four online psychometrically validated scales indicated over half the youth avoided communicating their sexual orientation and sexual health concerns to providers due to fear of heterosexist bias, concern their sexual health information would be disclosed to parents, and a general belief that sexual minority youth did not receive equitable treatment in health care settings. Youth who reported their physicians had initiated discussion about their sexual orientation were significantly more likely to have received HIV/STI preventive services and testing. Discussion includes the need for medical training that meets the unique sexual health needs of AMSM.
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影响因子：
12.7
作者：
Eaton LA;Driffin DD;Kegler C;Smith H;Conway-Washington C;White D;Cherry C
通讯作者：
Cherry C
影响因子：
1.7
作者：
Bauermeister J;Pingel E;Zimmerman M;Couper M;Carballo-Diéguez A;Strecher VJ
通讯作者：
Strecher VJ
影响因子：
2.6
作者：
Greene, George J.;Fisher, Kimberly A.;Kuper, Laura;Andrews, Rebecca;Mustanski, Brian
通讯作者：
Mustanski, Brian
影响因子：
7.6
作者：
Herrick, Amy L.;Marshal, Michael P.;Stall, Ron D.
通讯作者：
Stall, Ron D.
影响因子：
120.7
作者：
GINSBURG, KR;SLAP, GB;ROUSELLE, DM
通讯作者：
ROUSELLE, DM