scholarly journals General practitioner awareness of sexual orientation among a community and internet sample of gay and bisexual men in New Zealand

2015 ◽  
Vol 7 (3) ◽  
pp. 204 ◽  
Author(s):  
Adrian Ludlam ◽  
Peter Saxton ◽  
Nigel Dickson ◽  
Anthony Hughes
Keyword(s):  
General Practice ◽  
Sexual Orientation ◽  
Gay And Bisexual Men ◽  
Anal Intercourse ◽  
Bisexual Men ◽  
Transmitted Infection ◽  
Missed Opportunities ◽  
Hiv Test ◽  
And Bisexual ◽  
Sex With Men

INTRODUCTION: General practitioners (GPs) can improve HIV and sexually transmitted infection (STI) screening, vaccination and wellbeing among gay, bisexual and other men who have sex with men (GBM) if they are aware of a patient?s sexual orientation. AIM: To estimate GP awareness of their GBM patients' sexual orientation and examine whether HIV and STI screening was associated with this. METHODS: We analysed anonymous, self-completed data from 3168 GBM who participated in the community-based Gay Auckland Periodic Sex Survey (GAPSS) and internet-based Gay men's Online Sex Survey (GOSS) in 2014. Participants were asked if their usual GP was aware of their sexual orientation or that they had sex with men. RESULTS: Half (50.5%) believed their usual GP was aware of their sexual orientation/behaviour, 17.0% were unsure, and 32.6% believed he/she was unaware. In multivariate analysis, GP awareness was significantly lower if the respondent was younger, Asian or an 'Other' ethnicity, bisexual-identified, had never had anal intercourse or had first done so very recently or later in life, and had fewer recent male sexual partners. GBM whose GP was aware of their sexual orientation were more likely to have ever had an HIV test (91.5% vs 57.9%; p<0.001), specific STI tests (91.7% vs 68.9%; p<0.001), and were twice as likely to have had an STI diagnosed. DISCUSSION: Lack of sexual orientation disclosure is resulting in missed opportunities to reduce health inequalities for GBM. More proactive, inclusive and safe environments surrounding the care of sexual orientation minorities are needed in general practice to encourage disclosure. KEYWORDS: Culturally competent care; general practice; HIV; HPV; sexual health; sexual orientation

scholarly journals Assessing the Impacts of Integrated Decision Support Software on Sexual Orientation Recording, Comprehensive Sexual Health Testing, and Detection of Infections Among Gay and Bisexual Men Attending General Practice: Observational Study (Preprint)

2018 ◽  
Author(s):  
Denton Callander ◽  
Christopher Bourne ◽  
Handan Wand ◽  
Mark Stoové ◽  
Jane S Hocking ◽  
...  
Keyword(s):  
General Practice ◽  
Decision Support ◽  
Sexual Orientation ◽  
Sexual Health ◽  
Gay And Bisexual Men ◽  
Bisexual Men ◽  
Data Feedback ◽  
And Bisexual ◽  
Support Software ◽  
The Impact

BACKGROUND Gay and bisexual men are disproportionately affected by HIV and other sexually transmissible infections (STIs), yet opportunities for sexual health testing of this population are often missed or incomplete in general practice settings. Strategies are needed for improving the uptake and completeness of sexual health testing in this setting. OBJECTIVES The goal of the research was to evaluate the impact of an intervention centered around integrated decision support software and routine data feedback on the collection of sexual orientation data and sexual health testing among gay and bisexual men attending general practice. METHODS A study using before/after and intervention/comparison methods was undertaken to assess the intervention’s impact in 7 purposively sampled Australian general practice clinics located near the urban centers of Sydney and Melbourne. The software was introduced at staggered points between April and August 2012; it used patient records to prompt clinicians to record sexual orientation and accessed pathology testing history to generate prompts when sexual health testing was overdue or incomplete. The software also had a function for querying patient management system databases in order to generate de-identified data extracts, which were used to report regularly to participating clinicians. We calculated summary rate ratios (SRRs) based on quarterly trends and used Poisson regression analyses to assess differences between the 12-month preintervention and 24-month intervention periods as well as between the intervention sites and 4 similar comparison sites that did not receive the intervention. RESULTS Among 32,276 male patients attending intervention clinics, sexual orientation recording increased 19% (from 3213/6909 [46.50%] to 5136/9110 [56.38%]) during the intervention period (SRR 1.10, 95% CI 1.04-1.11, P<.001) while comprehensive sexual health testing increased by 89% (305/1159 [26.32%] to 690/1413 [48.83%]; SRR 1.38, 95% CI 1.28-1.46, P<.001). Comprehensive testing increased slightly among the 7290 gay and bisexual men attending comparison sites, but the increase was comparatively greater in clinics that received the intervention (SRR 1.12, 95% CI 1.10-1.14, P<.001). In clinics that received the intervention, there was also an increase in detection of chlamydia and gonorrhea that was not observed in the comparison sites. CONCLUSIONS Integrated decision support software and data feedback were associated with modest increases in sexual orientation recording, comprehensive testing among gay and bisexual men, and the detection of STIs. Tests for and detection of chlamydia and gonorrhea were the most dramatically impacted. Decision support software can be used to enhance the delivery of sexual health care in general practice.

scholarly journals Pilot Trial of a Sexual Health Counseling Intervention for HIV-Positive Gay and Bisexual Men Who Report Anal Sex without Condoms

2021 ◽  
Author(s):  
Trevor A. Hart ◽  
Natalie Stratton ◽  
Todd A. Coleman ◽  
Holly A. Wilson ◽  
Scott H. Simpson ◽  
...  
Keyword(s):  
Sexual Transmission ◽  
Psychosocial Outcomes ◽  
Gay And Bisexual Men ◽  
Sexual Compulsivity ◽  
Hiv Positive ◽  
Bisexual Men ◽  
Anal Sex ◽  
Counseling Intervention ◽  
And Bisexual ◽  
Sex With Men

Background Even in the presence of promising biomedical treatment as prevention, HIV incidence among men who have sex with men has not always decreased. Counseling interventions, therefore, continue to play an important role in reducing HIV sexual transmission behaviors among gay and bisexual men and other men who have sex with men. The present study evaluated effects of a small-group counseling intervention on psychosocial outcomes and HIV sexual risk behavior. Method HIV-positive (HIV+) peer counselors administered seven 2-hour counseling sessions to groups of 5 to 8 HIV+ gay and bisexual men. The intervention employed information provision, motivational interviewing, and behavioral skills building to reduce sexual transmission risk behaviors. Results There was a significant reduction in condomless anal sex (CAS) with HIV-negative and unknown HIV-status partners, from 50.0% at baseline to 28.9% of the sample at 3-month follow-up. Findings were robust even when controlling for whether the participant had an undetectable viral load at baseline. Significant reductions were also found in the two secondary psychosocial outcomes, loneliness and sexual compulsivity. Conclusions The findings provide preliminary evidence that this intervention may offer an efficient way of concurrently reducing CAS and mental health problems, such as sexual compulsivity and loneliness, for HIV+ gay and bisexual men. Trial Registration ClinicalTrials.gov NCT02546271

Helping a Buddy Out

2021 ◽  
pp. 141-157
Author(s):  
Tony Silva
Keyword(s):  
Sexual Identity ◽  
Small Town ◽  
Gay And Bisexual Men ◽  
Sexual Practices ◽  
Hooking Up ◽  
Bisexual Men ◽  
Male Sex ◽  
And Bisexual ◽  
Sex With Men ◽  
Three Components

The men interviewed interpreted sex with men as compatible with heterosexuality and masculinity. What the author calls “bud-sex” is the way rural and small-town, white, straight men interpret or engage in sex in ways that reinforce their heterosexuality and masculinity. While the sex these men have with other men involves acts similar to those between gay and bisexual men, the meanings they attach to these acts differ greatly. Bud-sex has three components. First is hooking up with other masculine, white, and straight or bisexual men. Second is having secretive, nonromantic sex. And third is interpreting male-male sex as largely unthreatening to masculinity, heterosexuality, or marriage. Bud-sex, with its unique understandings of gender and sexual identity, reflects and reinforces the men’s embeddedness in straight culture. Sexual identity and masculinity depend on what sex acts mean, rather than on mere mechanics. Consequently, interpretations of sexual practices, not sexual practices in and of themselves, are crucially important. For the straight men interviewed, their interpretations both reflected and reinforced their embeddedness in straight culture. Bud-sex allows straight men to enjoy male-male sex without threatening either their heterosexuality or their masculinity.

scholarly journals Family Relationships and Sexual Orientation Disclosure to Family by Gay and Bisexual Men in Jamaica

2016 ◽  
Vol 28 (4) ◽  
pp. 306-317 ◽  
Author(s):  
Yohann White ◽  
Theo Sandfort ◽  
Kai Morgan ◽  
Karen Carpenter ◽  
Russell Pierre
Keyword(s):  
Sexual Orientation ◽  
Family Relationships ◽  
Gay And Bisexual Men ◽  
Bisexual Men ◽  
And Bisexual ◽  
Sexual Orientation Disclosure

scholarly journals 1281. Awareness of U=U Among Gay and Bisexual Men Who Have Sex with Men

2019 ◽  
Vol 6 (Supplement_2) ◽  
pp. S461-S461
Author(s):  
Meredith E Clement ◽  
Rick Zimmerman ◽  
Josh Grimm ◽  
Joseph Schwartz
Keyword(s):  
Hiv Transmission ◽  
Gay And Bisexual Men ◽  
Bisexual Men ◽  
Hiv Status ◽  
Anal Sex ◽  
And Bisexual ◽  
Sex With Men ◽  
Living With Hiv ◽  
Hiv Negative ◽  
Strong Agreement

Abstract Background The “Undetectable = Untransmittable” (“U=U”) campaign is gaining traction, but prior studies from 2012–2017 have shown that the proportion of gay and bisexual men who have sex with men (GBMSM) who are aware of or have perceived accuracy of U=U is low. We report findings from a survey administered to GBMSM in 2018 to understand whether the landscape is changing with respect to U=U message dissemination. Methods GBMSM were recruited on gay dating apps to complete a 96 question survey. Survey data were collected in April-August of 2018. Collected data elements included demographic information, HIV status, ART and PrEP use, and beliefs and opinions regarding HIV transmission. Results 969 GBMSM completed the survey; of whom, 678 had analyzable data (241 had never had anal sex with a man and 54 were missing ≥1 of the variables used in the analysis). Average age was 43 years, 65% were white, 15% black, 15% white, and 15% were HIV-infected (of whom 92% were on anti-retrovirals). Of the 85% who were HIV-uninfected, 39% were on PrEP. In response to the statement that a person with an undetectable viral load cannot transmit HIV to an HIV-uninfected person, 24% strongly agreed. Among HIV-negative GBMSM, 33% of those on PrEP agreed and 12% of those not on PrEP agreed. Among those living with HIV, 42% agreed. A multivariable logistic regression was run to explain correlates of strong agreement with U=U, using the following variables: age, education, being Black, being Hispanic, relationship status, number of lifetime male sexual partners, condom use with most recent anal sex, HIV status, PrEP use, and attitudes about living with HIV. Variables associated with strong agreement with U=U were living with HIV (AOR = 1.63, P < 0.001), taking PrEP (AOR = 2.85, P < 0.001), most recent encounter’s condom use (AOR = 2.22, P = 0.003), and having positive attitudes about living with HIV (AOR= 1.93, P < 0.001). Table 1 shows percentages for each of these variables (bivariate relationships) strongly agreeing with U=U. Conclusion Now that U=U has been scientifically proven, the challenge is public awareness. U=U awareness seems to be improving among GBMSM, with HIV-negative GBMSM making the greatest strides. Education around U=U and PrEP efficacy may help reduce guilt around HIV transmission and alleviate HIV stigma. Disclosures All authors: No reported disclosures.

scholarly journals Victimization of Traditional and Cyber Bullying During Childhood and Their Correlates Among Adult Gay and Bisexual Men in Taiwan: A Retrospective Study

2019 ◽  
Vol 16 (23) ◽  
pp. 4634 ◽  
Author(s):  
Wang ◽  
Hsiao ◽  
Yen
Keyword(s):  
Sexual Orientation ◽  
Family Support ◽  
Coming Out ◽  
Early Identification ◽  
Gay And Bisexual Men ◽  
Cyber Bullying ◽  
Bisexual Men ◽  
Traditional Bullying ◽  
Related Factors ◽  
And Bisexual

This study examined the associations of timing of sexual orientation developmental milestones, gender role nonconformity, and family-related factors with victimization of traditional and cyber sexuality-related bullying during childhood among gay and bisexual men in Taiwan, in addition to the moderating effects of family-related factors on these associations. A total of 500 homosexual or bisexual men aged between 20 and 25 years were recruited into this study. The associations of early identification of sexual orientation, early coming out, level of masculinity, parental education levels, and perceived family support with victimization of traditional and cyber sexuality-related bullying were evaluated. Early identification of sexual orientation, low self-rated masculinity, and low family support were significantly associated with victimization of traditional bullying. Moreover, low family support, early coming out, and traditional bullying victimization were significantly associated with victimization of cyber bullying. Family support did not moderate the associations of early identification of sexual orientation and low masculinity with victimization of traditional bullying or cyberbullying. The factors associated with victimization of traditional and cyber sexuality-related bullying should be considered when mental health and educational professionals develop prevention and intervention strategies to reduce sexuality-related bullying.

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