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
[21]  
Knutson Douglas, 2018, Transgend Health, V3, P109, DOI 10.1089/trgh.2017.0052
[22]  
Lane T, 2008, SEX TRANSM INFECT, V84, P430, DOI 10.1136/sti.2008.031567
[23]   Acting within an increasingly confined space: A qualitative study of sexual behaviours and healthcare needs among men who have sex with men in a provincial Tanzanian city [J].
Larsson, Markus ;
Shio, Jasmine Mohamed ;
Ross, Michael W. ;
Agardh, Anette .
PLOS ONE, 2017, 12 (08)
[24]   Social Milieu and Mediators of Loneliness Among Gay and Bisexual Men in Rural Indiana [J].
Li, Michael J. ;
Hubach, Randolph D. ;
Dodge, Brian .
JOURNAL OF GAY & LESBIAN MENTAL HEALTH, 2015, 19 (04) :331-346
[25]  
Lipka Michael., 2016, How Religious Is Your State?
[26]   HIV risk and prevention among men who have sex with men in rural South Africa [J].
Maleke, Kabelo ;
Makhakhe, Nosipho ;
Peters, Remco P. H. ;
Jobson, Geoffrey ;
De Swardt, Glenn ;
Daniels, Joseph ;
Lane, Timothy ;
McIntyre, James A. ;
Imrie, John ;
Struthers, Helen .
AJAR-AFRICAN JOURNAL OF AIDS RESEARCH, 2017, 16 (01) :31-38
[27]   Knowledge, perceived stigma, and care-seeking experiences for sexually transmitted infections: a qualitative study from the perspective of public clinic attendees in Rio de Janeiro, Brazil [J].
Malta, Monica ;
Bastos, Francisco I. ;
Strathdee, Steffanie A. ;
Cunnigham, Shayna D. ;
Pilotto, Jose Henrique ;
Kerrigan, Deanna .
BMC PUBLIC HEALTH, 2007, 7 (1)
[28]  
Mason M, 2010, FORUM QUAL SOZIALFOR, V11, P8, DOI DOI 10.17169/FQS-11.3.1428
[29]   HIV-Positive patients and the doctor-patient relationship: Perspectives from the margins [J].
McCoy, L .
QUALITATIVE HEALTH RESEARCH, 2005, 15 (06) :791-806
[30]   The experiences of ethnic minority MSM using NHS sexual health clinics in Britain [J].
McKeown, Eamonn ;
Doerner, Rita ;
Nelson, Simon ;
Low, Nicola ;
Robinson, Angela ;
Anderson, Jane ;
Elford, Jonathan .
SEXUALLY TRANSMITTED INFECTIONS, 2012, 88 (08) :595-600