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. 2013 Mar 1;10(1):35-42.
doi: 10.1007/s13178-012-0105-2. Epub 2012 Nov 29.

Patterns and Predictors of Disclosure of Sexual Orientation to Healthcare Providers among Lesbians, Gay Men, and Bisexuals

Laura E Durso  1 , Ilan H Meyer
Affiliations

Patterns and Predictors of Disclosure of Sexual Orientation to Healthcare Providers among Lesbians, Gay Men, and Bisexuals

Laura E Durso et al. Sex Res Social Policy. .

Abstract

The present study sought to identify patterns and predictors of disclosure of sexual orientation to healthcare providers among lesbian, gay, and bisexual (LGB) adults.

Methods: Respondents were 396 self-identified LGB individuals ages 18-59, recruited from diverse community venues in New York City, with equal numbers of men and women and Whites, Blacks, and Latinos. Respondents were interviewed at baseline and 1-year follow-up. We assessed the relationships among disclosure of sexual orientation, demographic characteristics, health, and minority stress.

Results: Rates of nondisclosure to healthcare providers were significantly higher among bisexual men (39.3%) and bisexual women (32.6%) compared with gay men (10%) and lesbians (12.9%). Bivariate and multivariate logistic regression models predicting disclosure of sexual orientation indicated that patient age, level of education, immigration status, medical history, level of internalized homophobia, and degree of connectedness to the LGB community were significant factors, along with sexual identity. Nondisclosure of sexual orientation was related to poorer psychological wellbeing at one year follow-up.

Conclusion: Our findings suggest that interventions targeting sexual minorities ought to carefully tailor messages to subpopulations. In particular, interventionists and clinicians ought to be mindful of differences between bisexually- and gay/lesbian-identified individuals.

Keywords: bisexuals; doctor-patient communications; gay men; healthcare; lesbians.

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Conflict of interest statement

The authors report no conflicts of interest.

References

    1. American Association for Public Opinion Research. Standard definitions: Final dispositions of case codes and outcome rates for sur-veys. Deerfield, IL: Author; 2005. Retrieved from http://www.aapor.org/pdfs/standarddefs_3.1.pdf.
    1. Barbara AM, Quandt SA, Anderson RT. Experiences of lesbians in the health care environment. Women and Health. 2001;34:45–62.
    1. Bernstein KT, Liu K, Begier EM, Koblin B, Karpati A, Murrill C. Same-sex attraction disclosure to health care providers among New York City men who have sex with men: Implications for HIV testing approaches. Archives of Internal Medicine. 2008;168:1458–1464. - PubMed
    1. Boehmer U, Case P. Physicians don’t ask, sometimes patients tell: Disclosure of sexual orientation among women with breast carcinoma. Cancer. 2004;101:1882–1889. - PubMed
    1. Conger RD, Wallace LE, Sun Y, Simmons RL, McLoyd VC, Brody GH. Economic pressure in African American families: A replication and extension of the family stress model. Developmental Psychology. 2002;38:179–193. - PubMed