Predicting disclosure of MSM status to providers in a primarily socially conservative state

Joseph M. Currin, Randolph D. Hubach

Research output: Contribution to journalArticle

Abstract

Purpose: This study aimed to determine what predicts a man who identifies as MSM living in a conservative state to inform his provider of his sexual behaviors and/or his sexual orientation. Methods: We administered an anonymous online survey to 148 men who reported seeing a general medical provider in the last 12 months. All participants resided in Oklahoma. Results: When controlling for HIV status, previous STI diagnosis, and age, logistic regression modeling yielded significant results (x2(9) = 31.22, p <.001) predicting 70.3% of cases. Age and overall disclosure of sexual orientation and/or sexual behaviors were significant predictors. Conclusion: Individuals who did not disclose their sexual orientation or same-sex behaviors to friends and family members were less likely to inform their providers of their sexual orientation. Disclosure of MSM status provides additional opportunities to enhance primary and secondary prevention strategies in rural and conservative areas that are necessary to optimize health, including but not limited to HIV screening and discussion of pre-exposure prophylaxis that their counterparts in urban settings more readily receive.

Original languageEnglish
Pages (from-to)445-452
Number of pages8
JournalJournal of Gay and Lesbian Social Services
Volume29
Issue number4
DOIs
StatePublished - 2 Oct 2017

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sexual orientation
sex behavior
prophylaxis
online survey
family member
logistics
regression
health

Keywords

  • Gay men's health disparities
  • minority stress
  • structural stigma

Cite this

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title = "Predicting disclosure of MSM status to providers in a primarily socially conservative state",
abstract = "Purpose: This study aimed to determine what predicts a man who identifies as MSM living in a conservative state to inform his provider of his sexual behaviors and/or his sexual orientation. Methods: We administered an anonymous online survey to 148 men who reported seeing a general medical provider in the last 12 months. All participants resided in Oklahoma. Results: When controlling for HIV status, previous STI diagnosis, and age, logistic regression modeling yielded significant results (x2(9) = 31.22, p <.001) predicting 70.3{\%} of cases. Age and overall disclosure of sexual orientation and/or sexual behaviors were significant predictors. Conclusion: Individuals who did not disclose their sexual orientation or same-sex behaviors to friends and family members were less likely to inform their providers of their sexual orientation. Disclosure of MSM status provides additional opportunities to enhance primary and secondary prevention strategies in rural and conservative areas that are necessary to optimize health, including but not limited to HIV screening and discussion of pre-exposure prophylaxis that their counterparts in urban settings more readily receive.",
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Predicting disclosure of MSM status to providers in a primarily socially conservative state. / Currin, Joseph M.; Hubach, Randolph D.

In: Journal of Gay and Lesbian Social Services, Vol. 29, No. 4, 02.10.2017, p. 445-452.

Research output: Contribution to journalArticle

TY - JOUR

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AU - Hubach, Randolph D.

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