Assessing the Health Care Experiences of Rural Men Who Have Sex with Men (MSM)

被引:11
作者
Giano, Zachary [1 ]
Hubach, Randolph D. [1 ,3 ]
Meyers, Hunter J. [1 ]
DeBoy, Kyle R. [1 ]
Currin, Joseph M. [2 ]
Wheeler, Denna L. [3 ]
Croff, Julie M. [3 ]
机构
[1] Oklahoma State Univ, Sexual Hlth Res Lab, Ctr Hlth Sci, Stillwater, OK 74078 USA
[2] Texas Tech Univ, Dept Psychol, Lubbock, TX 79409 USA
[3] Oklahoma State Univ, Ctr Rural Hlth, Ctr Hlth Sci, 1111 17th St, Tulsa, OK 74107 USA
关键词
Rural health; men who have sex with men; health care access; health care experiences; PREEXPOSURE PROPHYLAXIS; BISEXUAL MEN; MEDICAL MISTRUST; UNITED-STATES; BLACK-MEN; HIV; GAY; STIGMA; PREVENTION; ATTITUDES;
D O I
10.1353/hpu.2020.0020
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
Research investigating the health care experiences of men who have sex with men (MSM) predominately concerns urban populations. This study examines the health care experiences of MSM residing in rural Oklahoma. A total of 40 MSM (aged 21 through 66) living in rural areas were interviewed. Data were analyzed using a qualitative approach to identify emerging concepts. Three themes emerged from the data: First, participants cited cultural differences related to religious conservative ideologies as a central motif of health care experiences. Next, doctor-patient relationship quality was a contributing factor to health care experiences. Last, health care experiences were predicated on the idea of doctors' knowledge of lesbian, gay, bisexual and transgender (LGBT) health issues. Certain health care aspects regarding the rural experiences of MSM that were identified differed between rural and urban MSM. Implications include support for programs that bridge the gap between practitioners and patients, while better informing both MSM and health care providers of current LGBT health issues.
引用
收藏
页码:235 / 248
页数:14
相关论文
共 49 条
[1]   Coming out and coming back: Rural gay migration and the city [J].
Annes, Alexis ;
Redlin, Meredith .
JOURNAL OF RURAL STUDIES, 2012, 28 (01) :56-68
[2]  
[Anonymous], 2016, IBM SPSS Statistics for Windows (Version Version 24)
[3]   Knowledge, Attitudes, and Likelihood of Pre-Exposure Prophylaxis (PrEP) Use Among US Women at Risk of Acquiring HIV [J].
Auerbach, Judith D. ;
Kinsky, Suzanne ;
Brown, Gina ;
Charles, Vignetta .
AIDS PATIENT CARE AND STDS, 2015, 29 (02) :102-110
[4]   Role Flexing: How Community, Religion, and Family Shape the Experiences of Young Black Men Who Have Sex with Men [J].
Balaji, Alexandra B. ;
Oster, Alexandra M. ;
Viall, Abigail H. ;
Heffelfinger, James D. ;
Mena, Leandro A. ;
Toledo, Carlos A. .
AIDS PATIENT CARE AND STDS, 2012, 26 (12) :730-737
[5]   Disparities in physician care: Experiences and perceptions of a multi-ethnic America [J].
Blendon, Robert J. ;
Buhr, Tami ;
Cassidy, Elaine F. ;
Perez, Debra J. ;
Sussman, Tara ;
Benson, John M. ;
Herrmann, Melissa J. .
HEALTH AFFAIRS, 2008, 27 (02) :507-517
[6]   Minority stress factors as mediators of sexual orientation disparities in mental health treatment: a longitudinal population-based study [J].
Branstrom, Richard .
JOURNAL OF EPIDEMIOLOGY AND COMMUNITY HEALTH, 2017, 71 (05) :446-452
[7]   Stigma, medical mistrust, and perceived racism may affect PrEP awareness and uptake in black compared to white gay and bisexual men in Jackson, Mississippi and Boston, Massachusetts [J].
Cahill, Sean ;
Taylor, S. Wade ;
Elsesser, Steven A. ;
Mena, Leandro ;
Hickson, DeMarc ;
Mayer, Kenneth H. .
AIDS CARE-PSYCHOLOGICAL AND SOCIO-MEDICAL ASPECTS OF AIDS/HIV, 2017, 29 (11) :1351-1358
[8]  
Corbin J., 2008, BASICS QUALITATIVE R, V3rd, DOI [DOI 10.4135/9781452230153, 10.4135/9781452230153]
[9]   Barriers to Accessing Mental Healthcare for Gay and Bisexual Men Living in Oklahoma [J].
Currin, Joseph M. ;
Hubach, Randolph D. ;
Crethar, Hugh C. ;
Hammer, Tonya R. ;
Lee, Hang-Shim ;
Larson, Mary .
SEXUALITY RESEARCH AND SOCIAL POLICY, 2018, 15 (04) :483-496
[10]   Exploring dual disclosures for men who have sex with men in Mpumalanga, South Africa: a report from the field [J].
Daniels, Joseph ;
Lane, Tim ;
Maleke, Kabelo ;
Mogos, Wini ;
Assaf, Ryan ;
Struthers, Helen ;
McIntyre, James ;
Coates, Tom .
AJAR-AFRICAN JOURNAL OF AIDS RESEARCH, 2018, 17 (01) :91-94