P102 Primary care supported by level 3 sexual health can provide a highly acceptable STI service to men who have sex with men (MSM)

Aim This study’s objectives were to collate General Practitioners’ (GPs) views and experiences on the barriers and facilitators for providing HIV and sexual health screening in primary care to men who have sex with men. Background Men who have sex with men (MSM) are disproportionately effected by sexually transmitted infections and HIV. Some MSM may not attend for testing and primary care may come in contact with this group. There may be varying barriers for MSM accessing services. Primary care can provide an opportunity to offer testing but with limited GPs views on this topic, it is important to understand the potential barriers and facilitators. Method A structured online survey was used to gather data and the survey link was emailed to all General Practices in the City of Edinburgh. The total available sample of GPs was 485. The survey used a combination of multiple choice questions and Likert scales rating from 1 to 5. Friedman’s two-way analysis of variation rank was used for data analysis. Findings In total, 62 GPs from the City of Edinburgh completed the survey with the majority of the sample having over 10 years’ experience in primary care. The most significant barrier was patient preference to access specialist services. The highest rated method to promote HIV and sexual health screening was the use of external promotion.

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Introduction of a sexual health practice nurse is associated with increased STI testing of men who have sex with men in primary care

BMC Infectious Diseases ◽

10.1186/1471-2334-13-298 ◽

2013 ◽

Vol 13 (1) ◽

Cited By ~ 10

Author(s):

Anthony F Snow ◽

Lenka A Vodstrcil ◽

Christopher K Fairley ◽

Carol El-Hayek ◽

Rosey Cummings ◽

...

Keyword(s):

Primary Care ◽

Sexual Health ◽

Practice Nurse ◽

Health Practice ◽

Sti Testing ◽

Sex With Men

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The Invisible "Other": Sexual Health and Mental Health Vulnerabilities of Female Partners of Men Who Have Sex with Men (MSM)

PsycEXTRA Dataset ◽

10.1037/e506052012-114 ◽

2010 ◽

Author(s):

Apurva B. Pandya ◽

Siddhi A. Pandya ◽

Bharat Patil

Keyword(s):

Mental Health ◽

Sexual Health ◽

Female Partners ◽

Sex With Men ◽

The Invisible

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Sexual Health Communication of Black Men Who Have Sex With Men Who Met On or Offline: A Secondary Data Analysis (Preprint)

10.2196/preprints.17916 ◽

2020 ◽

Author(s):

Jacob D Gordon ◽

Andre L Brown ◽

Darren L Whitfield

Keyword(s):

Sexual Health ◽

Health Communication ◽

Black Men ◽

Sexual Partner ◽

Secondary Data ◽

Sexual Partners ◽

Hiv Status ◽

Sexual Health Communication ◽

Sex With Men ◽

Traditional Masculinity

BACKGROUND Black men who have sex with men (BMSM) continue to experience disproportionate rates of HIV/STI infection despite advances in effective prevention tools. Over the last decade the method of finding sexual partners has evolved, with BMSM increasingly using geospatial dating applications to find sexual partners. Sexual health communication between partners has been associated with safer sex practices by previous scholars, but it is unclear how sexual health communication of BMSM differs for sex partners found on or offline. OBJECTIVE The current study explored sexual health communication in relationship to how one found their last sexual partner and factors associated with poorer sexual health communication. METHODS This study used secondary data in the form of a self-administered national survey. BMSM were recruited online and in-person and answered questions about their sexual health behaviors regarding their last sexual partner. RESULTS In total, 403 individuals were included in the analysis. The majority of respondents 55.8% (225/403) were more likely to have found their last sexual partner through geospatial dating applications and online websites than offline venues 44.3% (178/225). There was not a significant difference in scores of sexual health communication between those who found their last sexual partner on or offline (P=.49). Additionally, sexual health communication was also not significantly associated (P = .25) based on the venue of their last sexual partner after controlling for covariates. Significant predictors of lower sexual health communication of BMSM were found: positive HIV status (P = .003), a casual partner type (P < .001), and endorsement of traditional masculinity ideologies (P = .01). CONCLUSIONS Findings from this study confirm high rates of sexual partner seeking via online venues among BMSM. The significant predictors of lower sexual health communication, endorsement of traditional masculinity ideologies and positive HIV status, suggest that stigma is a barrier to effective sexual health communication of BMSM.

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Patient-Centered Medical Home Knowledge and Attitudes of Residents and Faculty: Certification Is Just the First Step

Journal of Graduate Medical Education ◽

10.4300/jgme-d-14-00597.1 ◽

2015 ◽

Vol 7 (4) ◽

pp. 580-588 ◽

Cited By ~ 4

Author(s):

Fadya El Rayess ◽

Roberta Goldman ◽

Christopher Furey ◽

Rabin Chandran ◽

Arnold R. Goldberg ◽

...

Keyword(s):

Primary Care ◽

Situated Learning ◽

Medical Home ◽

Patient Centered Medical Home ◽

Patient Centered ◽

Individual Interviews ◽

Knowledge And Attitudes ◽

Positive Attitudes ◽

Level 3 ◽

The Impact

ABSTRACT Background The patient-centered medical home (PCMH) is an accepted framework for delivering high-quality primary care, prompting many residencies to transform their practices into PCMHs. Few studies have assessed the impact of these changes on residents' and faculty members' PCMH attitudes, knowledge, and skills. The family medicine program at Brown University achieved Level 3 PCMH accreditation in 2010, with training relying primarily on situated learning through immersion in PCMH practice, supplemented by didactics and a few focused clinical activities. Objective To assess PCMH knowledge and attitudes after Level 3 PCMH accreditation and to identify additional educational needs. Methods We used a qualitative approach, with semistructured, individual interviews with 12 of the program's 13 postgraduate year 3 residents and 17 of 19 core faculty. Questions assessed PCMH knowledge, attitudes, and preparedness for practicing, teaching, and leading within a PCMH. Interviews were analyzed using the immersion/crystallization method. Results Residents and faculty generally had positive attitudes toward PCMH. However, many expressed concerns that they lacked specific PCMH knowledge, and felt inadequately prepared to implement PCMH principles into their future practice or teaching. Some exceptions were faculty and resident leaders who were actively involved in the PCMH transformation. Barriers included lack of time and central roles in PCMH activities. Conclusions Practicing in a certified PCMH training program, with passive PCMH roles and supplemental didactics, appears inadequate in preparing residents and faculty for practice or teaching in a PCMH. Purposeful curricular design and evaluation, with faculty development, may be needed to prepare the future leaders of primary care.

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Sexual health norms and communication patterns within the close social networks of men who have sex with men and transgender women in Lima, Peru: a 2017 cross-sectional study

BMC Public Health ◽

10.1186/s12889-021-11091-2 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Amrita Ayer ◽

Eddy R. Segura ◽

Amaya Perez-Brumer ◽

Susan Chavez-Gomez ◽

Rosario Fernandez ◽

...

Keyword(s):

Social Networks ◽

Social Network ◽

Sexual Health ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional ◽

Sti Prevention ◽

Sti Testing ◽

Trans Women ◽

Sex With Men

Abstract Background Social networks, norms, and discussions about sexual health may inform sexual practices, influencing risk of human immunodeficiency virus (HIV) or sexually transmitted infection (STI) acquisition. To better understand social networks of Peruvian men who have sex with men (MSM) and transgender women (trans women), we examined key social network members (SNMs), participant perceptions of these network members’ opinions toward sexual health behaviors, and associations between network member characteristics and condomless anal intercourse (CAI). Methods In a 2017 cross-sectional study, a convenience sample of 565 MSM and trans women with HIV-negative or unknown serostatus was asked to identify three close SNMs; describe discussions about HIV and STI prevention with each; and report perceived opinions of condom use, HIV/STI testing, and partner notification of STIs. Generalized estimating equations evaluated relationships between SNM characteristics, opinions, and discussions and participant-reported CAI. Results Among participants who identified as MSM, 42.3% of key SNMs were perceived to identify as gay. MSM “never” discussed HIV and STI prevention concerns with 42.4% of heterosexual SNMs, but discussed them “at least once weekly” with 16.9 and 16.6% of gay- and bisexual- identifying SNMs, respectively. Among participants who identified as trans women, 28.2% of key SNMs were perceived as heterosexual; 25.9%, as bisexual; 24.7%, as transgender; and 21.2%, as gay. Trans women discussed HIV/STI prevention least with cis-gender heterosexual network members (40.2% “never”) and most with transgender network members (27.1% “at least once weekly”). Participants perceived most of their close social network to be completely in favor of condom use (71.2% MSM SNMs, 61.5% trans women SNMs) and HIV/STI testing (73.1% MSM SNMs, 75.6% trans women SNMs), but described less support for partner STI notification (33.4% MSM SNMs, 37.4% trans women SNMs). Most participants reported CAI with at least one of their past three sexual partners (77.5% MSM, 62.8% trans women). SNM characteristics were not significantly associated with participant-reported frequency of CAI. Conclusions Findings compare social support, perceived social norms, and discussion patterns of Peruvian MSM and trans women, offering insight into social contexts and sexual behaviors. Trial registration The parent study from which this analysis was derived was registered at ClinicalTrials.gov (Identifier: NCT03010020) on January 4, 2017.

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