MP19-18 SEXUAL ORIENTATION SIGNIFICANTLY INFLUENCES PATIENT-PROVIDER DISCUSSIONS OF SEXUAL HEALTH TOPICS: A MULTIVARIATE ANALYSIS OF THE NATIONAL SURVEY FOR FAMILY GROWTH

Abstract

You have accessJournal of UrologyHealth Services Research: Practice Patterns, Quality of Life and Shared Decision Making II (MP19)1 Sep 2021MP19-18 SEXUAL ORIENTATION SIGNIFICANTLY INFLUENCES PATIENT-PROVIDER DISCUSSIONS OF SEXUAL HEALTH TOPICS: A MULTIVARIATE ANALYSIS OF THE NATIONAL SURVEY FOR FAMILY GROWTH Jesse Persily, Jenna Reich, Lamont Barlow, and Bobby Najari Jesse PersilyJesse Persily More articles by this author , Jenna ReichJenna Reich More articles by this author , Lamont BarlowLamont Barlow More articles by this author , and Bobby NajariBobby Najari More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000002004.18AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: There is increasing awareness of the impact of minority stress on the LTGBQ community, and studies suggest clinicians struggle to provide adequate sexual health services to LGBTQ patients. Little is known about the LGBTQ patient-provider relationship from the patient perspective. Utilizing the National Survey for Family Growth (NSFG), we assessed the impact of sexual orientation on patient-provider discussions pertaining to sexual health, controlling for baseline sexual health risk factors. METHODS: The NSFG is a nationally representative survey of men aged 18-49 in the United States. All analyses were conducted using the provided sample. The 2011-2017 waves were combined for analysis. Men were classified based on whether they self-identified as heterosexual/straight, homosexual/gay, or bisexual. Men who did not respond were excluded. Questions related to health services usage and patient-provider discussions of sexual health were compared between groups. In addition to controlling for demographic factors, sexual risk was assessed and controlled for using five yes-or-no questions: 5 or more partners, sex for money HIV-positive partner, illicit drug use, and frequency of condom usage in the past year. Statistical analysis included chi-squared and ANOVA where appropriate. Significance was set to p<0.05. RESULTS: 13,657 men met inclusion criteria, equating to 60 million men. There were minimal significant differences in age, average income, and education level, but no differences in race between the groups. Results of the multivariable analysis are presented in the table. Men who identified as gay were more likely to be asked about number of sexual partners, condom use, and types of sexual practices. They were also more often tested and treated for STIs. CONCLUSIONS: This is the first nationally representative, controlled assessment of the influence of sexual orientation on physician discussions surroundings sexual health. Men who identified as gay or bisexual had significantly different interactions with providers, but contrary to published data, sexual health counseling and discussion were more common in this population, even after controlling for baseline sexual health risk. Source of Funding: None © 2021 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 206Issue Supplement 3September 2021Page: e334-e335 Advertisement Copyright & Permissions© 2021 by American Urological Association Education and Research, Inc.MetricsAuthor Information Jesse Persily More articles by this author Jenna Reich More articles by this author Lamont Barlow More articles by this author Bobby Najari More articles by this author Expand All Advertisement Loading ...