TY - JOUR
T1 - Lack of Informed and Affirming Healthcare for Sexual Minority Men
T2 - A Call for Patient-Centered Care
AU - Hascher, Kevin
AU - Jaiswal, Jessica
AU - LoSchiavo, Caleb
AU - Ezell, Jerel
AU - Duffalo, Danika
AU - Greene, Richard E.
AU - Cox, Amanda
AU - Burton, Wanda M.
AU - Griffin, Marybec
AU - John, Tejossy
AU - Grin, Benjamin
AU - Halkitis, Perry N.
N1 - Publisher Copyright: © The Author(s) 2024.
PY - 2024/8
Y1 - 2024/8
N2 - Background: Sexual minority men (SMM) face severe health inequities alongside negative experiences that drive avoidance of medical care. Understanding how SMM experience healthcare is paramount to improving this population’s health. Patient-centered care, which emphasizes mutual respect and collaboration between patients and providers, may alleviate the disparaging effects of the homophobia that SMM face in healthcare settings. Objective: To explore how SMM perceive their experiences with healthcare providers and how care can most effectively meet their needs. Design: Semi-structured qualitative interviews focused on healthcare experiences, pre-exposure prophylaxis (PrEP), and HIV-related beliefs were conducted between July and November 2018. Participants: The study included a sample of 43 young adult SMM (ages 25–27), representing diverse socioeconomic, racial, and ethnic backgrounds, in New York City. Approach: Researchers utilized a multiphase, systematic coding method to identify salient themes in the interview transcripts. Key Results: Analyses revealed three main themes: (1) SMM perceived that their clinicians often lack adequate skills and knowledge required to provide care that considers participants’ identities and behaviors; (2) SMM desired patient-centered care as a way to regain agency and actively participate in making decisions about their health; and (3) SMM felt that patient-centered care was more common with providers who were LGBTQ-affirming, including many who felt that this was especially true for LGBTQ-identified providers. Conclusions: SMM expressed a clear and strong desire for patient-centered approaches to care, often informed by experiences with healthcare providers who were unable to adequately meet their needs. However, widespread adoption of patient-centered care will require improving education and training for clinicians, with a focus on LGBTQ-specific clinical care and cultural humility. Through centering patients’ preferences and experiences in the construction of care, patient-centered care can reduce health inequities among SMM and empower healthcare utilization in a population burdened by historic and ongoing stigmatization.
AB - Background: Sexual minority men (SMM) face severe health inequities alongside negative experiences that drive avoidance of medical care. Understanding how SMM experience healthcare is paramount to improving this population’s health. Patient-centered care, which emphasizes mutual respect and collaboration between patients and providers, may alleviate the disparaging effects of the homophobia that SMM face in healthcare settings. Objective: To explore how SMM perceive their experiences with healthcare providers and how care can most effectively meet their needs. Design: Semi-structured qualitative interviews focused on healthcare experiences, pre-exposure prophylaxis (PrEP), and HIV-related beliefs were conducted between July and November 2018. Participants: The study included a sample of 43 young adult SMM (ages 25–27), representing diverse socioeconomic, racial, and ethnic backgrounds, in New York City. Approach: Researchers utilized a multiphase, systematic coding method to identify salient themes in the interview transcripts. Key Results: Analyses revealed three main themes: (1) SMM perceived that their clinicians often lack adequate skills and knowledge required to provide care that considers participants’ identities and behaviors; (2) SMM desired patient-centered care as a way to regain agency and actively participate in making decisions about their health; and (3) SMM felt that patient-centered care was more common with providers who were LGBTQ-affirming, including many who felt that this was especially true for LGBTQ-identified providers. Conclusions: SMM expressed a clear and strong desire for patient-centered approaches to care, often informed by experiences with healthcare providers who were unable to adequately meet their needs. However, widespread adoption of patient-centered care will require improving education and training for clinicians, with a focus on LGBTQ-specific clinical care and cultural humility. Through centering patients’ preferences and experiences in the construction of care, patient-centered care can reduce health inequities among SMM and empower healthcare utilization in a population burdened by historic and ongoing stigmatization.
UR - http://www.scopus.com/inward/record.url?scp=85184208272&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85184208272&partnerID=8YFLogxK
U2 - 10.1007/s11606-024-08635-8
DO - 10.1007/s11606-024-08635-8
M3 - Article
C2 - 38308157
SN - 0884-8734
VL - 39
SP - 2023
EP - 2032
JO - Journal of General Internal Medicine
JF - Journal of General Internal Medicine
IS - 11
ER -