Sexual Identity Disclosure and Awareness of HIV Prevention Methods Among Black Men Who Have Sex With Men

Abstract Background. To evaluate whether Chinese men who have sex with men (MSM) select an STI test (rectal vs urethral) appropriate for their sexual behavior (insertive and/or receptive role in anal sex). Methods. We studied uptake of gonorrhea and chlamydia testing among Chinese MSM (N=431) in a multi-site RCT (December 2018 to January 2019). We collected socio-demographics, relevant medical and sexual history, and disclosure of sexual identity (outness). We estimated the decision to test and test choice, and the extent to which disclosure plays a role in decision-making. Results. Among 431 MSM, mean age was 28 years (SD=7.10) and 65% were out to someone. MSM who indicated the versatile role and were out to someone had a 26.8% (95%CI=6.1, 47.5) increased likelihood for selecting the rectal test vs the urethral test, compared to those versatile and not out. Versatile MSM out to their health provider outside of the study context had a 29.4% (95%CI=6.3, 52.6) greater likelihood for selecting the rectal STI test vs the urethral test, compared to versatile MSM not out to their health provider. Conclusions. Anal sex role and identity disclosure may affect gonorrhea and chlamydia testing provision. Apart from clinicians, community-based efforts may reduce stigma-based barriers to testing.

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Sexual Identities in the Workplace

Impact of Organizational Trauma on Workplace Behavior and Performance - Advances in Human Resources Management and Organizational Development ◽

10.4018/978-1-5225-2021-4.ch008 ◽

2017 ◽

pp. 188-220

Author(s):

Robert A. Cleve ◽

İdil Işık ◽

Viviane de Castro Pecanha

Keyword(s):

Sexual Identity ◽

Policy Development ◽

Case Analysis ◽

Marginalized Communities ◽

Sexual Identities ◽

Identity Disclosure ◽

Sexual Identity Disclosure ◽

Organizational Trauma ◽

Smooth Transitions ◽

The U.S

The global progression of human rights advocating for marginalized communities, especially LGBTQ, has seen tremendous change over the past several decades, including the conditions for disclosure of sexual identity in the workplace. The decision-making process of disclosure and the necessity for others to know is key to understanding how best to support and address the potential organizational trauma that may result. Not all disclosure of minority identity is negative and the availability of positive policy development within organizations can assist in smooth transitions toward more equal inclusion and dispel previous heteronormative and heterosexist ideologies. Through increased knowledge about the LGBTQ community and case analysis, a cross cultural lens will be utilized from Brazil, Turkey and the U.S.; prominent sexual identity disclosure perspectives for numerous occupations, as well as recommendations for systemic awareness and change will be offered.

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Sexual Identities in the Workplace

Discrimination and Diversity ◽

10.4018/978-1-5225-1933-1.ch091 ◽

2017 ◽

pp. 1965-1997

Author(s):

Robert A. Cleve ◽

İdil Işık ◽

Viviane de Castro Pecanha

Keyword(s):

Sexual Identity ◽

Policy Development ◽

Case Analysis ◽

Marginalized Communities ◽

Sexual Identities ◽

Identity Disclosure ◽

Sexual Identity Disclosure ◽

Organizational Trauma ◽

Smooth Transitions ◽

The U.S

The global progression of human rights advocating for marginalized communities, especially LGBTQ, has seen tremendous change over the past several decades, including the conditions for disclosure of sexual identity in the workplace. The decision-making process of disclosure and the necessity for others to know is key to understanding how best to support and address the potential organizational trauma that may result. Not all disclosure of minority identity is negative and the availability of positive policy development within organizations can assist in smooth transitions toward more equal inclusion and dispel previous heteronormative and heterosexist ideologies. Through increased knowledge about the LGBTQ community and case analysis, a cross cultural lens will be utilized from Brazil, Turkey and the U.S.; prominent sexual identity disclosure perspectives for numerous occupations, as well as recommendations for systemic awareness and change will be offered.

Download Full-text