Johns Hopkins University School of Medicine, Baltimore, MD, USA.
University of Texas Southwestern School of Medicine, Dallas, TX, USA.
J Sex Med. 2018 Jul;15(7):942-946. doi: 10.1016/j.jsxm.2018.05.004. Epub 2018 Jun 5.
The Institute of Medicine Report and Department of Health and Human Services Healthy People 2020 Initiative have called for steps to address health disparities facing sexual minorities.
We sought to characterize the practice patterns of sexual health specialists as they relate to men who have sex with men (MSM).
Surveys were electronically mailed to 696 members of the Sexual Medicine Society of North America (SMSNA). Responses were compared using descriptive statistics and χ analysis with Yates correction where appropriate.
Outcomes were SMSNA members' demographics, their assessment of their patients' sexual orientation, and adaptation of care to address the specific needs of their MSM patients.
92 (13.2%) Members responded. While 93.3% of respondents reported treating MSM patients, only 51.7% routinely asked about sexual orientation. Of those that do not ask, 41.9% responded that sexual orientation is irrelevant to their patients' care and 25.6% responded that patients will disclose this information if the patient thinks it is important. Practitioners inquiring about sexual orientation were more likely to practice in urban settings; more likely to inquire about a greater number of sexual behaviors; more likely to tailor their care to lesbian, gay, bisexual, and transgender needs; and more likely to endorse the notion that homosexual/bisexual patients have unique sexual dysfunction concerns.
Limited and uneven inquiry about sexual orientation necessitates efforts aimed at tailoring care to the needs of sexual minority patients.
STRENGTHS & LIMITATIONS: This survey addresses a gap in the literature by investigating predictors and practical consequences of practitioner inquiry about sexual orientation. Limitations include a low response rate, disparate study population, the potential influence of respondent social desirability biases, and spurious associations due to a multiplicity of statistical tests.
Only about half of surveyed SMSNA members ask their patients' sexual orientation; inquiry about sexual orientation was associated with practice setting and with provider practice patterns and attitudes. Saheb Kashaf M, Butler PR, Cordon-Galiano BH, et al. Sexual Health Care Practitioners' Evaluation of Men Who Have Sex With Men. J Sex Med 2018;15:942-946.
美国医学研究所报告和卫生与公众服务部“健康人民 2020 倡议”呼吁采取措施解决性少数群体面临的健康差距问题。
我们旨在描述性健康专家的实践模式，因为它们与男男性行为者（MSM）有关。
向北美性医学学会（SMSNA）的 696 名成员发送了电子调查。使用描述性统计和适当的 Yates 校正的 χ 分析比较了回复。
SMSNA 成员的人口统计学特征、他们对患者性取向的评估以及适应护理以满足 MSM 患者的具体需求是结果。
只有大约一半接受调查的 SMSNA 成员询问患者的性取向；对性取向的询问与实践环境以及提供者的实践模式和态度有关。Saheb Kashaf M、Butler PR、Cordon-Galiano BH 等人。评估与男男性行为者发生性关系的男性的性健康护理人员。J Sex Med 2018;15:942-946.
