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AIDS and Behavior
Published in: AIDS and Behavior 10/2018

01-10-2018 | Original Paper

Patient–Provider Communication Barriers and Facilitators to HIV and STI Preventive Services for Adolescent MSM

Authors: Celia B. Fisher, Adam L. Fried, Kathryn Macapagal, Brian Mustanski

Published in: AIDS and Behavior | Issue 10/2018

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Abstract

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 do 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 importance of medical training that meets the unique sexual health needs of AMSM.
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Metadata
Title
Patient–Provider Communication Barriers and Facilitators to HIV and STI Preventive Services for Adolescent MSM
Authors
Celia B. Fisher
Adam L. Fried
Kathryn Macapagal
Brian Mustanski
Publication date
01-10-2018
Publisher
Springer US
Published in
AIDS and Behavior / Issue 10/2018
Print ISSN: 1090-7165
Electronic ISSN: 1573-3254
DOI
https://doi.org/10.1007/s10461-018-2081-x

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