Disclosure of Sexual Behavior Is Significantly Associated With Receiving a Panel of Health Care Services Recommended for Men Who Have Sex With Men

Details

• Alternative Title:
  Sex Transm Dis
• Personal Author:
  Singh, Vidisha ; Crosby, Richard A. ; Gratzer, Beau ; Gorbach, Pamina M. ; Markowitz, Lauri E. ; Meites, Elissa
• Description:
  Background:
  
  Men who have sex with men (MSM) are at high risk for sexually transmitted infections (STIs). National guidelines recommend that MSM receive HIV, syphilis, gonorrhea, and chlamydia screening at least annually, and hepatitis A and B and human papillomavirus vaccinations. We investigated associations between disclosure of male-male sexual orientation/behavior and receipt of this panel of services.
  
  Methods:
  
  Gay, bisexual, and other MSM aged 18 through 26 years were enrolled from health clinics serving lesbian, gay, bisexual, and transgender communities in Los Angeles and Chicago during 2012 to 2014. Participants completed a computer-assisted self-interview regarding health care services, disclosure of sexual orientation/behavior, and recent HIV test results. Proportions receiving recommended care, prevalence ratios (PRs), and 95% confidence intervals (CIs) were calculated using SAS 9.4.
  
  Results:
  
  Overall, 817 participants visited a provider within the past year. Of these, 525 (64.3%) had disclosed, and 749 (91.7%) felt they could disclose if important to health. In total, 548 (67.1%) received all STI screenings, and 74 (9.1%) received all vaccinations. Only 105 (12.9%) received any human papillomavirus vaccination. More disclosing participants received all recommended screenings (adjusted PR [aPR],1.4; 95% CI, 1.3–1.6) and all recommended care components (aPR, 2.2; 95% CI, 1.4–4.3) than nondisclosing participants.
  
  Conclusions:
  
  Despite national recommendations, receipt of a complete panel of STI care services was low among young MSM. Vaccine uptake was lower than STI screening. However, most participants visited a health care provider in the past year and most disclosed, suggesting opportunities to improve services. Providers might encourage disclosure by improving sexual history taking and education, which could increase opportunities for MSM to receive recommended care.
  
  
• Subjects:
  Adolescent Adult Article Chicago Community Health Services Disclosure Female Gonorrhea Homosexuality, Female Homosexuality, Male Humans Los Angeles Male Mass Screening Papillomavirus Infections Risk-Taking Sexual Behavior Sexually Transmitted Diseases Sexual Partners Syphilis Transgender Persons Young Adult

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• Source:
  Sex Transm Dis. 45(12):803-807
• Pubmed ID:
  29944645
• Pubmed Central ID:
  PMC8507165
• Document Type:
  Journal Article
• Funding:
  CC999999/ImCDC/Intramural CDC HHSUnited States/
• Volume:
  45
• Issue:
  12
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:f84bdfafd3aad4606f706c8b6534f0bdef999d48d82edbdbaaf4a923d8824453
• Download URL:
  https://stacks.cdc.gov/view/cdc/110742/cdc_110742_DS1.pdf
• File Type:
  [PDF - 474.21 KB ]