title: Disclosure of Sexual Orientation and Uptake of HIV Testing and Hepatitis Vaccination for Rural Men Who Have Sex With Men.
abstract: OBJECTIVE
  The decision and ability of primary care clinician to make recommendations for routine human immunodeficiency virus (HIV) testing and hepatitis A virus (HAV) and hepatitis B virus (HBV) vaccines are shaped by knowledge of their patient's risk behaviors. For men who have sex with men, such knowledge requires disclosure of same-sex sexual behavior or sexual identity.
  
  
  METHODS
  Data were analyzed from a national survey of rural men who have sex with men (N = 319) to understand whether the disclosure of sexual identity to clinicians was associated with increased uptake of HIV testing and hepatitis vaccinations.
  
  
  RESULTS
  We found that disclosure of sexual identity to clinicians was significantly associated (OR = 1.26; 95% CI, 1.08-1.47) with uptake of routine HIV testing and HAV/HBV vaccination.
  
  
  CONCLUSIONS
  Our finding reinforces the need for safe, nonjudgmental settings for patients to discuss their sexual identities freely with their clinicians.
authors.affiliation: Department of Health Behavior and Biological Sciences, School of Nursing and Center for Sexuality and Health Disparities, University of Michigan, Ann Arbor, Michigan metheny@umich.edu.
authors.forename: Nicholas
authors.initials: N
authors.lastname: Metheny
authors.affiliation: Department of Health Behavior and Biological Sciences, School of Nursing and Center for Sexuality and Health Disparities, University of Michigan, Ann Arbor, Michigan.
authors.forename: Rob
authors.initials: R
authors.lastname: Stephenson
mesh_terms: D000293:Adolescent; D000328:Adult; D030881:Disclosure; D015658:HIV Infections / Q000175:diagnosis / Q000517:prevention & control*; D018451:Homosexuality, Male; D006801:Humans; D016015:Logistic Models; D008297:Male; D010817:Physician-Patient Relations; D012309:Risk-Taking; D012424:Rural Population; D012725:Sexual Behavior; D014481:United States; D014611:Vaccination / Q000706:statistics & numerical data*; D014761:Viral Hepatitis Vaccines / Q000627:therapeutic use; D055815:Young Adult
chemical_list: D014761:Viral Hepatitis Vaccines
keywords: HIV; bisexuality; homosexuality; prevention & control; viral hepatitis vaccines