黑人男同性恋者对性传播感染筛查指南和性定位评估的文化接受度。

Cultural acceptability of STI screening guidelines and sexual positioning assessments among black sexual minority men.

机构信息

Johns Hopkins School of Nursing, Baltimore, Maryland, USA.

Department of Prevention and Community Health, George Washington University Milken Institute School of Public Health, Washington, District of Columbia, USA.

出版信息

J Adv Nurs. 2024 Aug;80(8):3253-3263. doi: 10.1111/jan.16017. Epub 2023 Dec 27.

DOI:10.1111/jan.16017

PMID:38151805

Abstract

AIM

To identify attitudes towards HIV/STI screening guidelines and explore the acceptability of assessing sexual positioning practices among Black sexual minority men (SMM).

BACKGROUND

Risks for HIV/STIs vary by sexual positioning practices. However, clinicians and Black SMM do not always discuss sexuality with each other. Therefore, HIV/STI screening and testing remain suboptimal.

DESIGN

Qualitative study using focus groups.

METHODS

Data were obtained from 12 focus groups and one in-depth interview conducted in Baltimore, MD among HIV-negative Black SMM between October 2019 and May 2020 (N = 39). Groups were stratified into three age categories: 18-24, 25-34 and 35+. Participants were given the "5 P's" from the CDC's 2015 Sexual History Screening Guidelines and asked to discuss attitudes towards existing questions regarding sexual positioning practices. Themes were identified using an electronic pile sorting approach.

RESULTS

Most identified as homosexual/gay/same gender-loving (68%), were employed (69%) and single (66%). Additionally, 34% had ever been diagnosed with an STI, of whom 38% had a history of repeated STI acquisition in their lifetime. Participants across age groups said clinicians should use the words "top" and "bottom" to demonstrate cultural familiarity and build trust. Some said that screening for sexual positioning was unnecessary and intrusive; others said that questions should be justified. Younger men wanted clinicians to ask questions in ways that make them feel cared for.

DISCUSSION

Guidelines should include language for clinicians to use culturally specific language and better ways to prepare Black SMM patients for screening.

IMPACT TO NURSING PRACTICE

Some Black SMM will not discuss sexual positioning practices without clinicians' demonstration of cultural understanding and respect. Screening should incorporate culturally responsive language, justification and convey care.

REPORTING METHOD

Consolidated criteria for reporting qualitative research (COREQ).

NO PATIENT OR PUBLIC CONTRIBUTION

There was no patient or public involvement in the design or drafting of this discursive paper.

摘要

目的

确定人们对 HIV/性传播感染（STI）筛查指南的态度，并探讨评估黑人男男性行为者（MSM）性取向实践的可接受性。

背景

性取向实践的不同会导致 HIV/STI 风险的变化。然而，临床医生和黑人 MSM 并不总是相互讨论性问题。因此，HIV/STI 的筛查和检测仍然不尽如人意。

设计

使用焦点小组的定性研究。

方法

数据来自于 2019 年 10 月至 2020 年 5 月期间在马里兰州巴尔的摩市进行的 12 个焦点小组和一个深入访谈，参与者为 HIV 阴性的黑人 MSM（N=39）。根据年龄分为三组：18-24 岁、25-34 岁和 35 岁以上。参与者被提供了美国疾病控制与预防中心（CDC）2015 年性史筛查指南中的“5P”，并被要求讨论对现有关于性取向实践问题的态度。使用电子分类法确定主题。

结果

大多数参与者（68%）认同同性恋/男同性恋/同性爱人的身份，他们中 69%的人有工作，66%的人是单身。此外，34%的人曾被诊断出患有性传播感染，其中 38%的人在一生中曾多次感染性传播感染。不同年龄组的参与者都表示，临床医生应该使用“顶”和“底”等词语，以表现出对文化的熟悉程度并建立信任。一些人表示，对性取向进行筛查是不必要的，甚至是侵犯隐私的；另一些人则表示，提问应该有充分的理由。年轻男性希望临床医生以让他们感到被关心的方式提出问题。