Nondisclosure of sexual orientation to a physician among a sample of gay, lesbian, and bisexual youth
Nondisclosure of sexual orientation to a physician among a sample of gay, lesbian, and bisexual youth
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DOI：
10.1001/archpedi.160.12.1248
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发表时间：
2006-12-01
影响因子：
--
通讯作者：
Schuster, Mark A.
中科院分区：
文献类型：
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作者：
Meckler, Garth D.;Elliott, Marc N.;Schuster, Mark A.
背景：美国医学会、美国儿科学会和青少年医学协会建议将讨论性取向作为所有青少年健康监督的一部分。人们对女同性恋、男同性恋和双性恋 (LGB) 青少年是否向医疗保健提供者隐瞒自己的性取向知之甚少，这可能会导致错失识别个人健康风险并提供适当筛查和咨询的机会。目标：描述 LGB 青少年的非临床样本的医疗保健经历，并确定与向医生披露和不披露性取向相关的因素。设计：使用自填问卷的基于社区的参与式研究。背景：10 月举行的洛杉矶青年赋权会议2003 年，针对高中年龄的 LGB 青少年。参与者：131 名 14 至 18 岁的青少年，自认为是 LGB。主要结果测量：医生对参与者性取向的了解。结果：35% 的样本报告说，他们的医生知道他们是 LGB。双性恋青少年比男同性恋和女同性恋青少年披露的可能性要小。披露的最强预测因素是与医生讨论过任何类型的性或性健康（比值比，15.47；95% 置信区间，4.34-55.18）。当被问及医生可以做些什么来让谈论 LGB 变得更舒服时，64% 的参与者选择了调查答案，“问我就行。”结论：即使在对自己的取向足够开放并参加有关该主题的会议的 LGB 青少年非临床样本中，也只有 35% 的人表示他们的医生了解他们的取向。结果表明，医生没有与研究中的大多数 LGB 青少年讨论性问题，并且大多数青少年会欢迎这样的讨论。
Background: The American Medical Association, the American Academy of Pediatrics, and the Society for Adolescent Medicine recommend discussing sexual orientation as part of the health supervision of all adolescents. Little is known about whether lesbian, gay, and bisexual (LGB) youth hide their orientation from health care providers, which can potentially lead to missed opportunities in identifying individual health risks and provide appropriate screening and counseling.Objectives: To describe the health care experiences of a nonclinical sample of LGB youth and identify factors associated with disclosure and nondisclosure of orientation to physicians.Design: Community-based participatory study using a self-administered questionnaire.Setting: Los Angeles youth empowerment conference held in October 2003 targeting high school-aged LGB youth.Participants: One hundred thirty-one youth aged 14 to 18 years who identified themselves as LGB.Main Outcome Measure: Physician's knowledge of participant's sexual orientation.Results: Thirty-five percent of the sample reported that their physician knew they were LGB. Bisexual youth were less likely than gay and lesbian youth to have disclosed. The strongest predictor of disclosure was having discussed sex or sexual health of any kind with a physician (odds ratio, 15.47; 95% confidence interval, 4.34-55.18). When asked what a physician could do to make talking about being LGB more comfortable, 64% of participants chose the survey response, "Just ask me."Conclusions: Even among a nonclinical sample of LGB youth who were open enough about their orientation to attend a conference on the subject, only 35% reported that their physician knew their orientation. The results indicate that physicians had not discussed sexuality with most LGB youth in the study and that most youth would welcome such a discussion.