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现役男同性恋/双性恋军人在军事医疗系统中的舒适度水平。

Comfort levels of active duty gay/bisexual male service members in the military healthcare system.

作者信息

Biddix Joseph M, Fogel Catherine I, Perry Black Beth

机构信息

Naval Medical Center Portsmouth, 620 John Paul Jones Circle, Portsmouth, VA 23708.

出版信息

Mil Med. 2013 Dec;178(12):1335-40. doi: 10.7205/MILMED-D-13-00044.

Abstract

Before a revision of the "Don't Ask, Don't Tell" policy in 2010, sexual behaviors that lesbian, gay, and bisexual service members disclosed to military healthcare providers (MHCPs) were grounds for discharge. However, after the revision, service members either did not know about the revision, or were still uncomfortable approaching MHCPs. This study examined the comfort levels of active duty gay/bisexual males approaching MHCPs about sexuality/sexual health concerns. Using a quantitative descriptive approach, the 31-item survey developed for this study provided initial research data to inform future studies on this topic. The survey was available to participants from March 2 to April 3, 2012. Analyzing responses from 30 participants, the data revealed a strong correlation between service members' comfort disclosing their sexual orientation to a MHCP and their perception of how the military cares about them as a sexual minority. The data suggested differences in comfort levels among age cohorts disclosing their sexual orientation, in addition to differences between officers and enlisted men concerning the cost of seeing a nonmilitary healthcare provider. MHCPs should understand that establishing a relationship with service members that encourages disclosure can improve their view of the military healthcare system and help address sexual health concerns.

摘要

在2010年“不问,不说”政策修订之前,女同性恋、男同性恋和双性恋军人向军事医疗服务提供者(MHCPs)透露的性行为是被开除的理由。然而,修订之后,军人要么不知道修订的情况,要么仍然不愿意找MHCPs。本研究调查了现役男同性恋/双性恋男性就性取向/性健康问题找MHCPs时的舒适度。采用定量描述性方法,为本研究编制的31项调查问卷提供了初步研究数据,为今后关于该主题的研究提供参考。该调查问卷于2012年3月2日至4月3日向参与者开放。通过分析30名参与者的回复,数据显示军人向MHCPs透露其性取向时的舒适度与他们对军队如何关心作为性少数群体的他们的看法之间存在很强的相关性。数据表明,在透露性取向方面,不同年龄组的舒适度存在差异,此外,军官和士兵在看非军事医疗服务提供者的费用方面也存在差异。MHCPs应该明白,与军人建立鼓励他们透露信息的关系可以改善他们对军事医疗系统的看法,并有助于解决性健康问题。

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