Evidence map›Paper›PMID 38308157›Full record

ArticleJournal of general internal medicine2024

Lack of Informed and Affirming Healthcare for Sexual Minority Men: A Call for Patient-Centered Care.

Kevin Hascher, Jessica Jaiswal, Caleb LoSchiavo, Jerel Ezell, Danika Duffalo, Richard E Greene, Amanda Cox, Wanda M Burton, Marybec Griffin, Tejossy John and 2 more

Open access · hybridAbstract read
In one paragraph

Article in Journal of general internal medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
6.4field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 1 synthesis or guideline pooled it, 10 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors at 8 institutions in 1 country.

Kevin HascherFeinberg School of Medicine, Northwestern University, Chicago, IL, 60611, USA.
Jessica JaiswalDepartment of Family and Community Medicine, University of Alabama, Birmingham School of Medicine, Birmingham, AL, 35294, USA. jessicajaiswal@uabmc.edu.ORCID 0000-0002-4880-0205
Caleb LoSchiavoCenter for Health, Identity, Behavior and Prevention Studies (CHIBPS), Rutgers School of Public Health, Newark, NJ, 07102, USA.
Jerel EzellDepartment of Community Health Sciences, UC Berkeley, Berkeley, CA, 94720, USA.
Danika DuffaloSchool of Medicine, Creighton University, Phoenix, AZ, USA.
Richard E GreeneDepartment of Medicine, New York University Grossman School of Medicine, New York, NY, 10001, USA.
Amanda CoxCulverhouse College of Business, University of Alabama, Tuscaloosa, AL, USA.
Wanda M BurtonCapstone College of Nursing, University of Alabama, Tuscaloosa, AL, 35401, USA.
Marybec GriffinDepartment of Health Behavior, Society and Policy, Rutgers School of Public Health, Piscataway, NJ, 08854, USA.
Tejossy JohnDepartment of Family and Community Medicine, University of Alabama, Birmingham School of Medicine, Birmingham, AL, 35294, USA.
Benjamin GrinDepartment of Primary Care, Kansas City University College of Osteopathic Medicine, Kansas City, MO, 64106, USA.
Perry N HalkitisCenter for Health, Identity, Behavior and Prevention Studies (CHIBPS), Rutgers School of Public Health, Newark, NJ, 07102, USA.
Rutgers, The State University of New Jersey · USUniversity of Alabama · USBerkeley College · USCreighton University · USKansas City University · USNew York University · USNorthwestern University · USUniversity of Alabama at Birmingham · US

Funding

BEHAVIORAL SCI TRAINING IN DRUG ABUSE RESEARCHT32DA007233 · NIDA · PUBLIC HEALTH SOLUTIONS · PI GOLDSAMT, LLOYD A · 1985 to 2023
$20.2M
Syndemic Production in Emergent Adult MenR01DA025537 · NIDA · RBHS-SCHOOL OF PUBLIC HEALTH · PI HALKITIS, PERRY N · 2009 to 2018
$6.0M
CTSA K12 Program at the University of Alabama at BirminghamK12TR004769 · NCATS · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI Renee A. Heffron, Lucio Miele · 2024 to 2026
$4.8M
Research Education Institute for Dynamic Scholars (REIDS)R25MH087217 · NIMH · YALE UNIVERSITY · PI Jasmine Abrams, Trace S Kershaw · 2010 to 2026
$3.9M
NCATS NIH HHS K12 TR004769NIDA NIH HHS 2R01DA025537NIDA NIH HHS R01 DA025537NIDA NIH HHS R01DA025537NIDA NIH HHS T32 DA007233NIDA NIH HHS T32DA007233NIMH NIH HHS 25MH087217NIMH NIH HHS R25 MH087217
6 · The paper itself

Abstract

backgroundSexual minority men (SMM) face severe health inequities alongside negative experiences that drive avoidance of medical care. Understanding how SMM experience healthcare is paramount to improving this population's health. Patient-centered care, which emphasizes mutual respect and collaboration between patients and providers, may alleviate the disparaging effects of the homophobia that SMM face in healthcare settings.

objectiveTo explore how SMM perceive their experiences with healthcare providers and how care can most effectively meet their needs.

designSemi-structured qualitative interviews focused on healthcare experiences, pre-exposure prophylaxis (PrEP), and HIV-related beliefs were conducted between July and November 2018.

participantsThe study included a sample of 43 young adult SMM (ages 25-27), representing diverse socioeconomic, racial, and ethnic backgrounds, in New York City. APPROACH: Researchers utilized a multiphase, systematic coding method to identify salient themes in the interview transcripts. KEY

resultsAnalyses revealed three main themes: (1) SMM perceived that their clinicians often lack adequate skills and knowledge required to provide care that considers participants' identities and behaviors; (2) SMM desired patient-centered care as a way to regain agency and actively participate in making decisions about their health; and (3) SMM felt that patient-centered care was more common with providers who were LGBTQ-affirming, including many who felt that this was especially true for LGBTQ-identified providers.

conclusionsSMM expressed a clear and strong desire for patient-centered approaches to care, often informed by experiences with healthcare providers who were unable to adequately meet their needs. However, widespread adoption of patient-centered care will require improving education and training for clinicians, with a focus on LGBTQ-specific clinical care and cultural humility. Through centering patients' preferences and experiences in the construction of care, patient-centered care can reduce health inequities among SMM and empower healthcare utilization in a population burdened by historic and ongoing stigmatization.

Indexed as

HIV InfectionsPatient-Centered CareSexual and Gender MinoritiesAdultHealthcare DisparitiesHealth Knowledge, Attitudes, PracticeHumansMaleNew York CityQualitative Research

Identifiers

PMID38308157
PMCPMC11306825
OpenAlexW4391469107

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.