Comprehensive clinical care for men who have sex with men: an integrated approach.
Comprehensive clinical care for men who have sex with men: an integrated approach.
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DOI：
10.1016/s0140-6736(12)60835-6
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发表时间：
2012-07-28
期刊：
影响因子：
--
通讯作者：
Lama JR
中科院分区：
文献类型：
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作者：
Mayer KH;Bekker LG;Stall R;Grulich AE;Colfax G;Lama JR
男男性行为者有独特的医疗保健需求，部分原因是生物学因素，例如由于肛交而增加了艾滋病毒和性病感染和传播的易感性，但也由于与同性恋和性别不合规相关的社会耻辱内化，导致抑郁、焦虑和药物滥用以及其他不良健康结果。成功应对全球艾滋病毒/艾滋病流行病需要为男同性恋者制定文化敏感的临床护理计划，解决这些健康差异问题，以及社会恐同症等适应不良行为的根本原因。提供者需要熟悉当地的外展机构、热线电话和媒体，以便将 MSM 与积极的榜样和社交机会联系起来。需要进行研究来了解大多数 MSM 在面临歧视时如何过上有弹性和富有成效的生活，以便在 MSM 创造的社区支持的基础上制定基于资产的干预措施。 MSM 应该受到尊重，临床提供者需要以促进可操作健康信息披露的方式与他们互动。为性少数群体提供最佳临床护理是一项基本人权，需要卫生专业人员作为盟友。
Men who have sex with men have unique health care needs, partially due to biologial factors, such as their increased susceptibility to HIV and STD acquisition and transmission because of anal intercourse, but also due to the internalization of societal stigma related to homosexuality and gender non-conformity, resulting in depression, anxiety and substance use, and other adverse health outcomes. Successful responses to the global HIV/AIDS epidemic will require the development of culturally-sensitive clinical care programs for MSM that address these health disparities concerns, as well as root causes of maladaptive behavior, such as societal homophobia. Providers need to become familiar with local outreach agencies, hotlines and media that can connect MSM with positive role models and social opportunities. Research is needed to understand how the majority of MSM lead resilient and productive lives in the face of discrimination, in order to develop assets-based interventions that build on community supports that MSM have created. MSM deserve to be treated with respect and clinical providers need to interact with them in ways that promote the disclosure of actionable health information. Optimal clinical care for sexual and gender minority persons is a fundamental human right, requiring health professionals as allies.