West William, Torres Maria Beatriz, Mitteldorf Darryl, Capistrant Benjamin D, Konety Badrinath R, Polter Elizabeth, Rosser B R Simon
Department of Writing Studies, University of Minnesota, Minneapolis, Minnesota, USA.
Communications Studies, Mercyhurst University, Erie, Pennsylvania, USA.
Int J Sex Health. 2021;33(3):426-438. doi: 10.1080/19317611.2021.1924335. Epub 2021 Aug 13.
This study investigates the experience of communicating sexual orientation by gay, bisexual and men who have sex with men (GBM) to physicians involved in their prostate cancer care. Methodology consisted of qualitative analysis conducted on 30 in-depth interviews of GBM recruited from a national online cancer support site. Results revealed four key strategies around sexual disclosure. These ranged from explicitly outing themselves to selective or non-disclosure. Disclosures had unpredictable multiple outcomes ranging from increased trust in the patient-physician relationship to seeking alternate treatment. We concluded competent care is achieved when physicians know their patient's sexual orientation, and are trained in them.
本研究调查了男同性恋者、双性恋者以及与男性发生性关系的男性（GBM）向参与其前列腺癌护理的医生透露性取向的经历。研究方法包括对从一个全国性在线癌症支持网站招募的30名GBM进行深入访谈，并进行定性分析。结果揭示了围绕性取向披露的四个关键策略。这些策略从明确公开自己的性取向到选择性披露或不披露。披露会产生不可预测的多种结果，从增强医患关系中的信任到寻求替代治疗。我们得出结论，当医生了解患者的性取向并接受相关培训时，就能提供有效的护理。
