Christopher B Stults1, Christian Grov2, Kathryn Anastos3,4,5, Elizabeth A Kelvin6, Viraj V Patel3. 1. Department of Psychology, Baruch College, City University of New York, New York, USA. 2. Department of Community Health and Social Sciences, Graduate School of Public Health and Health Policy, City University of New York, New York, USA. 3. Department of Medicine, Albert Einstein College of Medicine, Bronx, New York, USA. 4. Department of Epidemiology & Population Health, Albert Einstein College of Medicine, Bronx, New York, USA. 5. Department of Obstetrics & Gynecology and Women's Health, Albert Einstein College of Medicine, Bronx, New York, USA. 6. Department of Epidemiology and Biostatistics, Graduate School of Public Health and Health Policy, City University of New York, New York, USA.
Abstract
Purpose: Characteristics associated with having a primary care provider (PCP), patient-provider trust, and sexual behavior disclosure were examined among men who have sex with men (MSM). Methods: MSM (N = 4239) were surveyed regarding demographic, behavioral, and medical characteristics. Multivariable logistic regression analyses were used. Results: Among 86.3% of MSM with a PCP, characteristics associated with lower patient-provider trust included younger age, Asian, bisexual, HIV-negative-not-on-pre-exposure prophylaxis, HIV-unknown, and lower medical literacy; with nondisclosure: Asian, bisexual, straight, HIV-negative, HIV-unknown, fewer partners, recruitment source, lower medical literacy, and lower patient-provider trust. Conclusion: Medical literacy and patient-provider trust are promising points of intervention to improve health outcomes among MSM.
Purpose: Characteristics associated with having a primary care provider (PCP), patient-provider trust, and sexual behavior disclosure were examined among men who have sex with men (MSM). Methods: MSM (N = 4239) were surveyed regarding demographic, behavioral, and medical characteristics. Multivariable logistic regression analyses were used. Results: Among 86.3% of MSM with a PCP, characteristics associated with lower patient-provider trust included younger age, Asian, bisexual, HIV-negative-not-on-pre-exposure prophylaxis, HIV-unknown, and lower medical literacy; with nondisclosure: Asian, bisexual, straight, HIV-negative, HIV-unknown, fewer partners, recruitment source, lower medical literacy, and lower patient-provider trust. Conclusion: Medical literacy and patient-provider trust are promising points of intervention to improve health outcomes among MSM.
Entities:
Keywords:
disclosure; gay and bisexual men; men who have sex with men; patient–provider trust; primary care providers
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