A qualitative investigation of healthcare engagement among young adult gay men in New York City: A P18 cohort substudy

Marybec Griffin, Kristen D. Krause, Farzana Kapadia, Perry N. Halkitis

Research output: Contribution to journalArticle

Abstract

Purpose: We used in-depth interviews with a cohort of young adult gay men (YAGM) to provide a more detailed understanding of their current healthcare engagement, including experiences with the healthcare system, provider knowledge of healthcare needs, and desired provider characteristics. Methods: Qualitative interviews were conducted with a sample of 40 YAGM in New York City. The interview guide examined healthcare engagement across key developmental stages: Childhood (birth-12), adolescence (13-18), young adulthood (19-22), and the present (23-26). All transcripts were coded using a consensual qualitative research approach to identify crosscutting topics. The interviews were conducted between September and October 2015. Results: The following topics were identified: Experiences with the healthcare system, provider knowledge of healthcare needs, and desired provider characteristics. Common barriers to healthcare access were financial concerns, lack of insurance, and dissatisfaction with the care provided. Reasons for dissatisfaction with care were based on perceptions of providers' anti-gay attitudes, judgment of same-sex sexual behavior, and lack of provider knowledge about YAGM's health needs. This often led men in this study to seek sexual healthcare from providers other than their primary care provider. When asked about desired provider characteristics, participants noted that basic demographics were of less importance than skills-based characteristics such as rapport, comfort discussing sexual health issues, and knowledge of YAGM's health. Conclusion: YAGM have unique challenges to engaging in healthcare, including provider stigma and lack of provider knowledge of YAGM's health needs, which are not faced by other young adult populations. The results from this study highlight the need for more extensive and standardized training in medical school and as part of continuing medical education for healthcare providers.

Original languageEnglish (US)
Pages (from-to)368-374
Number of pages7
JournalLGBT Health
Volume5
Issue number6
DOIs
StatePublished - Aug 1 2018

Fingerprint

Young Adult
Health Personnel
Delivery of Health Care
Interviews
Sexual Behavior
Health
Continuing Medical Education
Qualitative Research
Reproductive Health
Sexual Minorities
Insurance
Medical Schools
Primary Health Care
Demography
Parturition
Population

Keywords

  • barriers
  • facilitators
  • gay men
  • healthcare engagement
  • provider characteristics

ASJC Scopus subject areas

  • Dermatology
  • Obstetrics and Gynecology
  • Public Health, Environmental and Occupational Health
  • Psychiatry and Mental health
  • Urology

Cite this

A qualitative investigation of healthcare engagement among young adult gay men in New York City : A P18 cohort substudy. / Griffin, Marybec; Krause, Kristen D.; Kapadia, Farzana; Halkitis, Perry N.

In: LGBT Health, Vol. 5, No. 6, 01.08.2018, p. 368-374.

Research output: Contribution to journalArticle

Griffin, Marybec ; Krause, Kristen D. ; Kapadia, Farzana ; Halkitis, Perry N. / A qualitative investigation of healthcare engagement among young adult gay men in New York City : A P18 cohort substudy. In: LGBT Health. 2018 ; Vol. 5, No. 6. pp. 368-374.
@article{6d9ae72a14054596b1e09c2a59a75bfb,
title = "A qualitative investigation of healthcare engagement among young adult gay men in New York City: A P18 cohort substudy",
abstract = "Purpose: We used in-depth interviews with a cohort of young adult gay men (YAGM) to provide a more detailed understanding of their current healthcare engagement, including experiences with the healthcare system, provider knowledge of healthcare needs, and desired provider characteristics. Methods: Qualitative interviews were conducted with a sample of 40 YAGM in New York City. The interview guide examined healthcare engagement across key developmental stages: Childhood (birth-12), adolescence (13-18), young adulthood (19-22), and the present (23-26). All transcripts were coded using a consensual qualitative research approach to identify crosscutting topics. The interviews were conducted between September and October 2015. Results: The following topics were identified: Experiences with the healthcare system, provider knowledge of healthcare needs, and desired provider characteristics. Common barriers to healthcare access were financial concerns, lack of insurance, and dissatisfaction with the care provided. Reasons for dissatisfaction with care were based on perceptions of providers' anti-gay attitudes, judgment of same-sex sexual behavior, and lack of provider knowledge about YAGM's health needs. This often led men in this study to seek sexual healthcare from providers other than their primary care provider. When asked about desired provider characteristics, participants noted that basic demographics were of less importance than skills-based characteristics such as rapport, comfort discussing sexual health issues, and knowledge of YAGM's health. Conclusion: YAGM have unique challenges to engaging in healthcare, including provider stigma and lack of provider knowledge of YAGM's health needs, which are not faced by other young adult populations. The results from this study highlight the need for more extensive and standardized training in medical school and as part of continuing medical education for healthcare providers.",
keywords = "barriers, facilitators, gay men, healthcare engagement, provider characteristics",
author = "Marybec Griffin and Krause, {Kristen D.} and Farzana Kapadia and Halkitis, {Perry N.}",
year = "2018",
month = "8",
day = "1",
doi = "10.1089/lgbt.2017.0015",
language = "English (US)",
volume = "5",
pages = "368--374",
journal = "LGBT Health",
issn = "2325-8292",
publisher = "Mary Ann Liebert Inc.",
number = "6",

}

TY - JOUR

T1 - A qualitative investigation of healthcare engagement among young adult gay men in New York City

T2 - A P18 cohort substudy

AU - Griffin, Marybec

AU - Krause, Kristen D.

AU - Kapadia, Farzana

AU - Halkitis, Perry N.

PY - 2018/8/1

Y1 - 2018/8/1

N2 - Purpose: We used in-depth interviews with a cohort of young adult gay men (YAGM) to provide a more detailed understanding of their current healthcare engagement, including experiences with the healthcare system, provider knowledge of healthcare needs, and desired provider characteristics. Methods: Qualitative interviews were conducted with a sample of 40 YAGM in New York City. The interview guide examined healthcare engagement across key developmental stages: Childhood (birth-12), adolescence (13-18), young adulthood (19-22), and the present (23-26). All transcripts were coded using a consensual qualitative research approach to identify crosscutting topics. The interviews were conducted between September and October 2015. Results: The following topics were identified: Experiences with the healthcare system, provider knowledge of healthcare needs, and desired provider characteristics. Common barriers to healthcare access were financial concerns, lack of insurance, and dissatisfaction with the care provided. Reasons for dissatisfaction with care were based on perceptions of providers' anti-gay attitudes, judgment of same-sex sexual behavior, and lack of provider knowledge about YAGM's health needs. This often led men in this study to seek sexual healthcare from providers other than their primary care provider. When asked about desired provider characteristics, participants noted that basic demographics were of less importance than skills-based characteristics such as rapport, comfort discussing sexual health issues, and knowledge of YAGM's health. Conclusion: YAGM have unique challenges to engaging in healthcare, including provider stigma and lack of provider knowledge of YAGM's health needs, which are not faced by other young adult populations. The results from this study highlight the need for more extensive and standardized training in medical school and as part of continuing medical education for healthcare providers.

AB - Purpose: We used in-depth interviews with a cohort of young adult gay men (YAGM) to provide a more detailed understanding of their current healthcare engagement, including experiences with the healthcare system, provider knowledge of healthcare needs, and desired provider characteristics. Methods: Qualitative interviews were conducted with a sample of 40 YAGM in New York City. The interview guide examined healthcare engagement across key developmental stages: Childhood (birth-12), adolescence (13-18), young adulthood (19-22), and the present (23-26). All transcripts were coded using a consensual qualitative research approach to identify crosscutting topics. The interviews were conducted between September and October 2015. Results: The following topics were identified: Experiences with the healthcare system, provider knowledge of healthcare needs, and desired provider characteristics. Common barriers to healthcare access were financial concerns, lack of insurance, and dissatisfaction with the care provided. Reasons for dissatisfaction with care were based on perceptions of providers' anti-gay attitudes, judgment of same-sex sexual behavior, and lack of provider knowledge about YAGM's health needs. This often led men in this study to seek sexual healthcare from providers other than their primary care provider. When asked about desired provider characteristics, participants noted that basic demographics were of less importance than skills-based characteristics such as rapport, comfort discussing sexual health issues, and knowledge of YAGM's health. Conclusion: YAGM have unique challenges to engaging in healthcare, including provider stigma and lack of provider knowledge of YAGM's health needs, which are not faced by other young adult populations. The results from this study highlight the need for more extensive and standardized training in medical school and as part of continuing medical education for healthcare providers.

KW - barriers

KW - facilitators

KW - gay men

KW - healthcare engagement

KW - provider characteristics

UR - http://www.scopus.com/inward/record.url?scp=85053118809&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85053118809&partnerID=8YFLogxK

U2 - 10.1089/lgbt.2017.0015

DO - 10.1089/lgbt.2017.0015

M3 - Article

C2 - 30048197

AN - SCOPUS:85053118809

VL - 5

SP - 368

EP - 374

JO - LGBT Health

JF - LGBT Health

SN - 2325-8292

IS - 6

ER -