The interaction of sexual orientation and provider-patient communication on sexual and reproductive health in a sample of US women of diverse sexual orientations

PATIENT EDUCATION AND COUNSELING

卷:105

Article

Tabaac, Ariella R.^1,2,3  Sutter, Megan E.^4,5  Haneuse, Sebastien⁶  Agenor, Madina^7,8  Austin, S. Bryn^1,3,9,10  Guss, Carly E.^1,3  Charlton, Brittany M.^1,3,10,11 

[1] Boston Childrens Hosp, Div Adolescent Young Adult Med, 1 Autumn St,Rm 514, Boston, MA 02115 USA

[2] Boston Childrens Hosp, Ctr Gender Surg, Boston, MA USA

[3] Harvard Med Sch, Dept Pediat, Boston, MA 02115 USA

[4] NYU, Dept Populat Hlth, Grossman Sch Med, New York, NY USA

[5] NYU, Dept Obstet & Gynecol, Grossman Sch Med, New York, NY 10016 USA

[6] Harvard TH Chan Sch Publ Hlth, Dept Biostat, Boston, MA USA

[7] Tufts Univ, Dept Community Hlth, Medford, MA 02155 USA

[8] Tufts Univ, Sch Med, Dept Obstet Gynecol, Boston, MA 02111 USA

[9] Harvard TH Chan Sch Publ Hlth, Dept Social & Behav Sci, Boston, MA USA

[10] Brigham & Womens Hosp, Dept Med, Channing Div Network Med, 75 Francis St, Boston, MA 02115 USA

[11] Harvard TH Chan Sch Publ Hlth, Dept Epidemiol, Boston, MA USA

关键词: Sexual and gender minorities;    Health communication;    Reproductive health services;    Sexual health;   

DOI  :  10.1016/j.pec.2021.05.022

来源: Elsevier

【 摘 要 】

Objective: Our goal was to examine associations among provider-patient communication, past-year contraceptive use and lifetime sexually transmitted infection. Methods: Data were analyzed cross-sectionally from 22,554 women in the Growing Up Today Study and Nurses' Health Study 3 between the follow-up period of 1996-2020. We used multivariable Poisson regression models adjusted for race/ethnicity, age in years, study cohort, and region of residence to obtain risk ratio (RR) associations and 95% confidence intervals (CI). Results: Provider-patient communication was associated with higher likelihood of using all methods of past-year contraceptive use (RRs ranging from 1.11 to 1.63) and lifetime STI diagnosis (RRs ranging from 1.18 to 1.96). Completely heterosexual women with no same-sex partners (referent) were 13% more likely than lesbians and 4% less likely than other groups to report a provider ever discussed their SRH. Significant interactions emerged between sexual minority status and provider-patient communication. Sexual minority women whose providers discussed their SRH were less likely to report contraceptive non-use in the past year (p < .0001). Conclusion: Provider-patient communication may benefit sexual minority women's contraceptive practices and engagement with STI testing. Practice implications: Differences in provider-patient SRH discussion by sexual orientation indicate lesbian women are not receiving the same attention in clinical encounters. 0 2021 Elsevier B.V. All rights reserved.

【 授权许可】

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