Shared decision-making around anal cancer screening among black bisexual and gay men in the USA.

Shared decision-making around anal cancer screening among black bisexual and gay men in the USA. Cult Health Sex. 2019 Apr 01;:1-16 Authors: Acree ME, McNulty M, Blocker O, Schneider J, Williams H'S Abstract 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 s...
Source: Culture, Health and Sexuality - Category: International Medicine & Public Health Authors: Tags: Cult Health Sex Source Type: research