Sexual healthcare preferences among gay and bisexual men: a qualitative study in San Francisco, California.

<h4>Background</h4>Research on gay and other men who have sex with men's (G/MSM) preferences for sexual healthcare services focuses largely on HIV testing and to some extent on sexually transmitted infections (STI). This research illustrates the frequency and location of where G/MSM...

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Autores principales:	Kimberly A Koester, Shane P Collins, Shannon M Fuller, Gabriel R Galindo, Steven Gibson, Wayne T Steward
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2013
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/b6dc7eca573248c99ab3c5e4ee359732
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spelling	oai:doaj.org-article:b6dc7eca573248c99ab3c5e4ee3597322021-11-18T08:59:08ZSexual healthcare preferences among gay and bisexual men: a qualitative study in San Francisco, California.1932-620310.1371/journal.pone.0071546https://doaj.org/article/b6dc7eca573248c99ab3c5e4ee3597322013-01-01T00:00:00Zhttps://www.ncbi.nlm.nih.gov/pmc/articles/pmid/23977073/pdf/?tool=EBIhttps://doaj.org/toc/1932-6203<h4>Background</h4>Research on gay and other men who have sex with men's (G/MSM) preferences for sexual healthcare services focuses largely on HIV testing and to some extent on sexually transmitted infections (STI). This research illustrates the frequency and location of where G/MSM interface with the healthcare system, but it does not speak to why men seek care in those locations. As HIV and STI prevention strategies evolve, evidence about G/MSM's motivations and decision-making can inform future plans to optimize models of HIV/STI prevention and primary care.<h4>Methods</h4>We conducted a phenomenological study of gay men's sexual health seeking experiences, which included 32 in-depth interviews with gay and bisexual men. Interviews were transcribed verbatim and entered into Atlas.ti. We conducted a Framework Analysis.<h4>Findings</h4>We identified a continuum of sexual healthcare seeking practices and their associated drivers. Men differed in their preferences for separating sexual healthcare from other forms of healthcare ("fragmentation") versus combining all care into one location ("consolidation"). Fragmentation drivers included: fear of being monitored by insurance companies, a desire to seek non-judgmental providers with expertise in sexual health, a desire for rapid HIV testing, perceiving sexual health services as more convenient than primary care services, and a lack of healthcare coverage. Consolidation drivers included: a comfortable and trusting relationship with a provider, a desire for one provider to oversee overall health and those with access to public or private health insurance.<h4>Conclusions</h4>Men in this study were likely to separate sexual healthcare from primary care. Based on this finding, we recommend placing new combination HIV/STI prevention interventions within sexual health clinics. Furthermore, given the evolution of the financing and delivery of healthcare services and in HIV prevention, policymakers and clinicians should consider including more primary care services within sexual healthcare settings.Kimberly A KoesterShane P CollinsShannon M FullerGabriel R GalindoSteven GibsonWayne T StewardPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 8, Iss 8, p e71546 (2013)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Kimberly A Koester Shane P Collins Shannon M Fuller Gabriel R Galindo Steven Gibson Wayne T Steward Sexual healthcare preferences among gay and bisexual men: a qualitative study in San Francisco, California.
description	<h4>Background</h4>Research on gay and other men who have sex with men's (G/MSM) preferences for sexual healthcare services focuses largely on HIV testing and to some extent on sexually transmitted infections (STI). This research illustrates the frequency and location of where G/MSM interface with the healthcare system, but it does not speak to why men seek care in those locations. As HIV and STI prevention strategies evolve, evidence about G/MSM's motivations and decision-making can inform future plans to optimize models of HIV/STI prevention and primary care.<h4>Methods</h4>We conducted a phenomenological study of gay men's sexual health seeking experiences, which included 32 in-depth interviews with gay and bisexual men. Interviews were transcribed verbatim and entered into Atlas.ti. We conducted a Framework Analysis.<h4>Findings</h4>We identified a continuum of sexual healthcare seeking practices and their associated drivers. Men differed in their preferences for separating sexual healthcare from other forms of healthcare ("fragmentation") versus combining all care into one location ("consolidation"). Fragmentation drivers included: fear of being monitored by insurance companies, a desire to seek non-judgmental providers with expertise in sexual health, a desire for rapid HIV testing, perceiving sexual health services as more convenient than primary care services, and a lack of healthcare coverage. Consolidation drivers included: a comfortable and trusting relationship with a provider, a desire for one provider to oversee overall health and those with access to public or private health insurance.<h4>Conclusions</h4>Men in this study were likely to separate sexual healthcare from primary care. Based on this finding, we recommend placing new combination HIV/STI prevention interventions within sexual health clinics. Furthermore, given the evolution of the financing and delivery of healthcare services and in HIV prevention, policymakers and clinicians should consider including more primary care services within sexual healthcare settings.
format	article
author	Kimberly A Koester Shane P Collins Shannon M Fuller Gabriel R Galindo Steven Gibson Wayne T Steward
author_facet	Kimberly A Koester Shane P Collins Shannon M Fuller Gabriel R Galindo Steven Gibson Wayne T Steward
author_sort	Kimberly A Koester
title	Sexual healthcare preferences among gay and bisexual men: a qualitative study in San Francisco, California.
title_short	Sexual healthcare preferences among gay and bisexual men: a qualitative study in San Francisco, California.
title_full	Sexual healthcare preferences among gay and bisexual men: a qualitative study in San Francisco, California.
title_fullStr	Sexual healthcare preferences among gay and bisexual men: a qualitative study in San Francisco, California.
title_full_unstemmed	Sexual healthcare preferences among gay and bisexual men: a qualitative study in San Francisco, California.
title_sort	sexual healthcare preferences among gay and bisexual men: a qualitative study in san francisco, california.
publisher	Public Library of Science (PLoS)
publishDate	2013
url	https://doaj.org/article/b6dc7eca573248c99ab3c5e4ee359732
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Sexual healthcare preferences among gay and bisexual men: a qualitative study in San Francisco, California.

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