Abstract

This study investigates the experience of communicating sexual orientation by gay, bisexual and men who have sex with men (GBM) to physicians involved in their prostate cancer care. Methodology consisted of qualitative analysis conducted on 30 in-depth interviews of GBM recruited from a national online cancer support site. Results revealed four key strategies around sexual disclosure. These ranged from explicitly outing themselves to selective or non-disclosure. Disclosures had unpredictable multiple outcomes ranging from increased trust in the patient-physician relationship to seeking alternate treatment. We concluded competent care is achieved when physicians know their patient’s sexual orientation, and are trained in them.

摘要

这项研究调查了同性恋、双性恋和男男性行为者 (GBM) 向参与其前列腺癌护理的医生传达性取向的经历。方法包括对从国家在线癌症支持网站招募的 30 次 GBM 深度访谈进行的定性分析。结果揭示了围绕性披露的四个关键策略。这些范围从明确地公开自己到选择性或不公开。披露具有不可预测的多种结果，从增加对医患关系的信任到寻求替代治疗。我们得出的结论是，当医生了解患者的性取向并接受过相关培训时，就可以实现称职的护理。