"Let's Be a Person to Person and Have a Genuine Conversation": Comparing Perspectives on PrEP and Sexual Health Communication Between Black Sexual Minority Men and Healthcare Providers.

HIV Infections / prevention & control Health Communication Health Personnel Homosexuality, Male Humans Male Sexual Health Sexual and Gender Minorities
Black sexual minority men Healthcare providers PrEP Sexual health Sexual orientation

Journal

Archives of sexual behavior
ISSN: 1573-2800
Titre abrégé: Arch Sex Behav
Pays: United States
ID NLM: 1273516

Informations de publication

Date de publication:
07 2022
Historique:
received: 14 03 2021
accepted: 29 10 2021
revised: 28 10 2021
pubmed: 6 7 2022
medline: 22 7 2022
entrez: 5 7 2022
Statut: ppublish

Résumé

Patient-provider communication is a key factor affecting HIV pre-exposure prophylaxis (PrEP) awareness and access among Black sexual minority men (SMM). Optimizing patient-provider communication requires a deeper understanding of communication dynamics. In this study, we investigated the perspectives of both HIV-negative/status-unknown Black SMM and practicing community healthcare providers regarding patient-provider communication about PrEP and sexual health. We conducted eleven semi-structured qualitative focus groups (six with Black SMM; five with providers) in the Northeastern USA and thematically analyzed transcripts. A total of 36 Black SMM and 27 providers participated in the focus groups. Our analysis revealed points of alignment and divergence in the two groups' perspectives related to patient-provider communication. Points of alignment included: (1) the importance ascribed to maximizing patients' comfort and (2) belief in patients' right to non-discriminatory healthcare. Points of divergence included: (1) Black SMM's preference for sexual privacy versus providers' preference that patients share sexual information, (2) Black SMM's perception that providers have an ethical responsibility to initiate conversations about PrEP with patients versus providers' perception of such conversations as being optional, and (3) Black SMM's preference for personalized sexual health conversations versus providers' preference for standardized conversations. Findings underscore a need for providers to offer more patient-centered sexual healthcare to Black SMM, which should entail routinely presenting all prevention options available-including PrEP-and inviting open dialogue about sex, while also respecting patients' preferences for privacy about their sexuality. This approach could increase PrEP access and improve equity in the US healthcare system.

Identifiants

DOI: 10.1007/s10508-021-02213-3 PMID: 35790614 PMC: PMC10040304
pubmed: 35790614
doi: 10.1007/s10508-021-02213-3
pii: 10.1007/s10508-021-02213-3
pmc: PMC10040304
mid: NIHMS1875559
doi:

Types de publication

Journal Article Research Support, N.I.H., Extramural

Langues

eng

Sous-ensembles de citation

IM

Pagination

2583-2601

Subventions

Organisme : NIMH NIH HHS
ID : P30 MH062294
Pays : United States
Organisme : NIMH NIH HHS
ID : K01-MH103080
Pays : United States
Organisme : NIMH NIH HHS
ID : K01 MH103080
Pays : United States
Organisme : NIMH NIH HHS
ID : P30-MH062294
Pays : United States
Organisme : NIAID NIH HHS
ID : P30 AI117970
Pays : United States
Organisme : NIAID NIH HHS
ID : P30 AI060354
Pays : United States

Informations de copyright

© 2022. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.

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Auteurs

Sarah K Calabrese (SK)

Department of Psychological and Brain Sciences, George Washington University, 2125 G Street NW, Washington, DC, 20052, USA. skcalabrese@gwu.edu.
Department of Prevention and Community Health, George Washington University, Washington, DC, USA. skcalabrese@gwu.edu.
ORCID: 0000-0003-2640-0208

Sharanya Rao (S)

Department of Psychological and Brain Sciences, George Washington University, 2125 G Street NW, Washington, DC, 20052, USA.

Adam I Eldahan (AI)

Columbia School of Nursing, Columbia University, New York, NY, USA.

Mehrit Tekeste (M)

Department of Psychological and Brain Sciences, George Washington University, 2125 G Street NW, Washington, DC, 20052, USA.

Djordje Modrakovic (D)

Department of Psychological and Brain Sciences, George Washington University, 2125 G Street NW, Washington, DC, 20052, USA.

D Dangaran (D)

Harvard Law School, Harvard University, Cambridge, MA, USA.

Cheriko A Boone (CA)

Department of Psychological and Brain Sciences, George Washington University, 2125 G Street NW, Washington, DC, 20052, USA.

Kristen Underhill (K)

Columbia Law School, Columbia University, New York, NY, USA.
Heilbrunn Department of Population and Family Health, Columbia University, New York, NY, USA.

Douglas S Krakower (DS)

Beth Israel Deaconess Medical Center, Harvard University, Boston, MA, USA.
The Fenway Institute, Fenway Health, Boston, MA, USA.
Department of Population Medicine, Harvard University, Boston, MA, USA.

Kenneth H Mayer (KH)

Beth Israel Deaconess Medical Center, Harvard University, Boston, MA, USA.
The Fenway Institute, Fenway Health, Boston, MA, USA.
Department of Global Health and Population, Harvard University, Boston, MA, USA.

Nathan B Hansen (NB)

Department of Health Promotion and Behavior, University of Georgia, Athens, GA, USA.

Trace S Kershaw (TS)

Social and Behavioral Sciences Department, Yale University, New Haven, CT, USA.

Manya Magnus (M)

Department of Epidemiology and Biostatistics, George Washington University, Washington, DC, USA.

Joseph R Betancourt (JR)

Disparities Solution Center, Harvard University, Boston, MA, USA.

John F Dovidio (JF)

Social and Behavioral Sciences Department, Yale University, New Haven, CT, USA.
Department of Psychology, Yale University, New Haven, CT, USA.

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Classifications MeSH

questionsmedicales.fr › Maladies du système immunitaire › Déficits immunitaires › Infections à VIH › "Let's Be a Person to Person and Have a...
questionsmedicales.fr › Établissements, main d'oeuvre et services de soins de santé › Communication sur la santé › "Let's Be a Person to Person and Have a...
questionsmedicales.fr › Établissements, main d'oeuvre et services de soins de santé › Personnel de santé › "Let's Be a Person to Person and Have a...
questionsmedicales.fr › Phénomènes physiologiques des appareils urinaire et reproducteur › Phénomènes physiologiques de la reproduction › Sexualité › Homosexualité › Homosexualité masculine › "Let's Be a Person to Person and Have a...
questionsmedicales.fr › Eucaryotes › Animaux › Chordés › Vertébrés › Mammifères › Eutheria › Primates › Haplorhini › Catarrhini › Hominidae › Humains › "Let's Be a Person to Person and Have a...
questionsmedicales.fr › Caractéristiques de la population › Santé › Santé sexuelle › "Let's Be a Person to Person and Have a...
questionsmedicales.fr › Personnes › Disparités en matière de santé, minorités et populations vulnérables › Minorités sexuelles › "Let's Be a Person to Person and Have a...