scholarly journals Assessing the Impacts of Integrated Decision Support Software on Sexual Orientation Recording, Comprehensive Sexual Health Testing, and Detection of Infections Among Gay and Bisexual Men Attending General Practice: Observational Study

10.2196/10808 ◽  
2018 ◽  
Vol 6 (4) ◽  
pp. e10808
Author(s):  
Denton Callander ◽  
Christopher Bourne ◽  
Handan Wand ◽  
Mark Stoové ◽  
Jane S Hocking ◽  
...  
Keyword(s):  
General Practice ◽  
Decision Support ◽  
Sexual Orientation ◽  
Observational Study ◽  
Sexual Health ◽  
Gay And Bisexual Men ◽  
Bisexual Men ◽  
And Bisexual ◽  
Support Software

scholarly journals Assessing the Impacts of Integrated Decision Support Software on Sexual Orientation Recording, Comprehensive Sexual Health Testing, and Detection of Infections Among Gay and Bisexual Men Attending General Practice: Observational Study (Preprint)

2018 ◽  
Author(s):  
Denton Callander ◽  
Christopher Bourne ◽  
Handan Wand ◽  
Mark Stoové ◽  
Jane S Hocking ◽  
...  
Keyword(s):  
General Practice ◽  
Decision Support ◽  
Sexual Orientation ◽  
Sexual Health ◽  
Gay And Bisexual Men ◽  
Bisexual Men ◽  
Data Feedback ◽  
And Bisexual ◽  
Support Software ◽  
The Impact

BACKGROUND Gay and bisexual men are disproportionately affected by HIV and other sexually transmissible infections (STIs), yet opportunities for sexual health testing of this population are often missed or incomplete in general practice settings. Strategies are needed for improving the uptake and completeness of sexual health testing in this setting. OBJECTIVES The goal of the research was to evaluate the impact of an intervention centered around integrated decision support software and routine data feedback on the collection of sexual orientation data and sexual health testing among gay and bisexual men attending general practice. METHODS A study using before/after and intervention/comparison methods was undertaken to assess the intervention’s impact in 7 purposively sampled Australian general practice clinics located near the urban centers of Sydney and Melbourne. The software was introduced at staggered points between April and August 2012; it used patient records to prompt clinicians to record sexual orientation and accessed pathology testing history to generate prompts when sexual health testing was overdue or incomplete. The software also had a function for querying patient management system databases in order to generate de-identified data extracts, which were used to report regularly to participating clinicians. We calculated summary rate ratios (SRRs) based on quarterly trends and used Poisson regression analyses to assess differences between the 12-month preintervention and 24-month intervention periods as well as between the intervention sites and 4 similar comparison sites that did not receive the intervention. RESULTS Among 32,276 male patients attending intervention clinics, sexual orientation recording increased 19% (from 3213/6909 [46.50%] to 5136/9110 [56.38%]) during the intervention period (SRR 1.10, 95% CI 1.04-1.11, P<.001) while comprehensive sexual health testing increased by 89% (305/1159 [26.32%] to 690/1413 [48.83%]; SRR 1.38, 95% CI 1.28-1.46, P<.001). Comprehensive testing increased slightly among the 7290 gay and bisexual men attending comparison sites, but the increase was comparatively greater in clinics that received the intervention (SRR 1.12, 95% CI 1.10-1.14, P<.001). In clinics that received the intervention, there was also an increase in detection of chlamydia and gonorrhea that was not observed in the comparison sites. CONCLUSIONS Integrated decision support software and data feedback were associated with modest increases in sexual orientation recording, comprehensive testing among gay and bisexual men, and the detection of STIs. Tests for and detection of chlamydia and gonorrhea were the most dramatically impacted. Decision support software can be used to enhance the delivery of sexual health care in general practice.

scholarly journals General practitioner awareness of sexual orientation among a community and internet sample of gay and bisexual men in New Zealand

2015 ◽  
Vol 7 (3) ◽  
pp. 204 ◽  
Author(s):  
Adrian Ludlam ◽  
Peter Saxton ◽  
Nigel Dickson ◽  
Anthony Hughes
Keyword(s):  
General Practice ◽  
Sexual Orientation ◽  
Gay And Bisexual Men ◽  
Anal Intercourse ◽  
Bisexual Men ◽  
Transmitted Infection ◽  
Missed Opportunities ◽  
Hiv Test ◽  
And Bisexual ◽  
Sex With Men

INTRODUCTION: General practitioners (GPs) can improve HIV and sexually transmitted infection (STI) screening, vaccination and wellbeing among gay, bisexual and other men who have sex with men (GBM) if they are aware of a patient?s sexual orientation. AIM: To estimate GP awareness of their GBM patients' sexual orientation and examine whether HIV and STI screening was associated with this. METHODS: We analysed anonymous, self-completed data from 3168 GBM who participated in the community-based Gay Auckland Periodic Sex Survey (GAPSS) and internet-based Gay men's Online Sex Survey (GOSS) in 2014. Participants were asked if their usual GP was aware of their sexual orientation or that they had sex with men. RESULTS: Half (50.5%) believed their usual GP was aware of their sexual orientation/behaviour, 17.0% were unsure, and 32.6% believed he/she was unaware. In multivariate analysis, GP awareness was significantly lower if the respondent was younger, Asian or an 'Other' ethnicity, bisexual-identified, had never had anal intercourse or had first done so very recently or later in life, and had fewer recent male sexual partners. GBM whose GP was aware of their sexual orientation were more likely to have ever had an HIV test (91.5% vs 57.9%; p<0.001), specific STI tests (91.7% vs 68.9%; p<0.001), and were twice as likely to have had an STI diagnosed. DISCUSSION: Lack of sexual orientation disclosure is resulting in missed opportunities to reduce health inequalities for GBM. More proactive, inclusive and safe environments surrounding the care of sexual orientation minorities are needed in general practice to encourage disclosure. KEYWORDS: Culturally competent care; general practice; HIV; HPV; sexual health; sexual orientation

scholarly journals P17.11 Public sexual health clinics increase access, hiv testing and re-testing among higher risk gay and bisexual men

2015 ◽  
Vol 91 (Suppl 2) ◽  
pp. A227.1-A227
Author(s):  
MS Jamil ◽  
D Callander ◽  
H Ali ◽  
G Prestage ◽  
V Knight ◽  
...  
Keyword(s):  
Sexual Health ◽  
Hiv Testing ◽  
Gay And Bisexual Men ◽  
Bisexual Men ◽  
Health Clinics ◽  
And Bisexual ◽  
Sexual Health Clinics

scholarly journals Family Relationships and Sexual Orientation Disclosure to Family by Gay and Bisexual Men in Jamaica

2016 ◽  
Vol 28 (4) ◽  
pp. 306-317 ◽  
Author(s):  
Yohann White ◽  
Theo Sandfort ◽  
Kai Morgan ◽  
Karen Carpenter ◽  
Russell Pierre
Keyword(s):  
Sexual Orientation ◽  
Family Relationships ◽  
Gay And Bisexual Men ◽  
Bisexual Men ◽  
And Bisexual ◽  
Sexual Orientation Disclosure

scholarly journals Victimization of Traditional and Cyber Bullying During Childhood and Their Correlates Among Adult Gay and Bisexual Men in Taiwan: A Retrospective Study

2019 ◽  
Vol 16 (23) ◽  
pp. 4634 ◽  
Author(s):  
Wang ◽  
Hsiao ◽  
Yen
Keyword(s):  
Sexual Orientation ◽  
Family Support ◽  
Coming Out ◽  
Early Identification ◽  
Gay And Bisexual Men ◽  
Cyber Bullying ◽  
Bisexual Men ◽  
Traditional Bullying ◽  
Related Factors ◽  
And Bisexual

This study examined the associations of timing of sexual orientation developmental milestones, gender role nonconformity, and family-related factors with victimization of traditional and cyber sexuality-related bullying during childhood among gay and bisexual men in Taiwan, in addition to the moderating effects of family-related factors on these associations. A total of 500 homosexual or bisexual men aged between 20 and 25 years were recruited into this study. The associations of early identification of sexual orientation, early coming out, level of masculinity, parental education levels, and perceived family support with victimization of traditional and cyber sexuality-related bullying were evaluated. Early identification of sexual orientation, low self-rated masculinity, and low family support were significantly associated with victimization of traditional bullying. Moreover, low family support, early coming out, and traditional bullying victimization were significantly associated with victimization of cyber bullying. Family support did not moderate the associations of early identification of sexual orientation and low masculinity with victimization of traditional bullying or cyberbullying. The factors associated with victimization of traditional and cyber sexuality-related bullying should be considered when mental health and educational professionals develop prevention and intervention strategies to reduce sexuality-related bullying.

scholarly journals Sharing solutions for a reasoned and evidence-based response: chemsex/party and play among gay and bisexual men

Sexual Health ◽  
2018 ◽  
Vol 15 (2) ◽  
pp. 99 ◽  
Author(s):  
Adam Bourne ◽  
Jason Ong ◽  
Mark Pakianathan
Keyword(s):  
Sexual Health ◽  
Gay And Bisexual Men ◽  
Evidence Based ◽  
Bisexual Men ◽  
Special Issue ◽  
Quality Health Care ◽  
Healthcare Practice ◽  
Quality Health ◽  
And Bisexual ◽  
Sex With Men

This Special Issue of Sexual Health examines research and healthcare practice relating to sexualised drug use among gay, bisexual and other men who have sex with men (GBMSM), colloquially known as ‘chemsex’ or ‘party and play’ (PnP). It draws together evidence relating to the epidemiology, sociology and psychology of chemsex, as well as the policy, community and clinical interventions that are required to ensure men have access to high-quality health care that meets their needs and reduces harm. Findings and discussions within the Issue emphasise the need to sensitively, non-judgementally and meaningfully engage with gay men about their engagement in chemsex in order to help improve their sexual health and wider wellbeing.

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