Shared decision-making around anal cancer screening among black bisexual and gay men in the USA
Datos Bibliográficos
| ID | 15098660 |
|---|---|
| Autores | Mary Ellen Acree (0000-0002-0726-7221, University of Chicago Medical Center, Chicago, IL, USA), Moira C Mcnulty (0000-0002-9651-254X, Indo-American Center), Moira McNulty (University of Chicago Medical Center, Chicago, IL, USA), Olivia Blocker (Chicago Center for HIV Elimination, Chicago, IL, USA), J A Schneider (0000-0002-7870-5639, Indo-American Center, autor de correspondencia), John Schneider (University of Chicago Medical Center, Chicago, IL, USA), H “Herukhuti” Sharif Williams (Goddard College), H ‘Herukhuti’ Sharif Williams (Goddard College) |
| Año | 2020 |
| Volumen | 22 |
| Número | 2 |
| Páginas | 201-216 |
| Fecha de publicación | 2020-02-01 |
| Peer Reviewed | Sí |
| Open Access | No |
| Tipo | ARTICLE |
| Revista | Culture Health & Sexuality (JOURNAL) |
| Identificadores de la revista | ISSN: 1369-1058 • E-ISSN: 1464-5351 |
| Editorial | Informa UK Limited (PUBLISHER • GB) |
| DOI | 10.1080/13691058.2019.1581897 |
| PMID | 30931831 |
| OpenAlex | W2933072157 |
| Idioma | EN |
| Citas recibidas | 3 |
| Referencias citadas | 36 |
Shared decision-making is a strategy to achieve health equity by strengthening patient-provider relationships and improve health outcomes. There is a paucity of research examining these factors among patients who identify as sexual or gender minorities and racial/ethnic minorities. Through intrapersonal, interpersonal and societal lenses, this project evaluates the relationship between intersectionality and shared decision-making around anal cancer screening in Black gay and bisexual men, given their disproportionate rates of anal cancer. Thirty semi-structured, one-on-one interviews and two focus groups were conducted during 2016-2017. Participants were asked open-ended questions regarding intersectionality, relationships with healthcare providers and making shared decisions about anal cancer screening. Forty-five individuals participated - 30 in individual interviews and 15 in focus groups. All participants identified as Black and male; 13 identified as bisexual and 32 as gay. Analysis revealed that the interaction of internalised racism, biphobia/homophobia, provider bias and medical apartheid led to reduced healthcare engagement and discomfort with discussing sexual practices, potentially hindering patients from engaging in shared decision-making. Non-judgemental healthcare settings and provider relationships in which patients communicate openly about each aspect of their identity will promote effective shared decision-making about anal cancer screening, and thus potentially impact downstream anal cancer rates
Anal cancer · Cancer · Cancer screening · Family medicine · Human sexuality · Sociology · Cervical Cancer and HPV Research · Gender Studies · Genital Health and Disease · Medicine · Psychology
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| Obras citantes distintas | 3 |
|---|---|
| Citas por año | 0,5 |
| Intervalo de citas | 2020 - 2025 (6) |
| Velocidad de citación | recent |
| Altamente citado | No |
| Tipos de cita | Neutras: 3 |