Interface of Internalized Homophobia and Community Connectedness on Frequency of Doctor's Visits for Rural and Urban MSM in Oklahoma.
Joseph M CurrinZachary GianoRandolph D HubachPublished in: The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association (2020)
Study findings have implications for future public health research and for health promotion interventions, practices, and policies for MSM in rural areas. Social exclusion reinforces the invisibility of lesbian, gay, bisexual, and transgender (LGBT) populations, particularly in rural areas. Stigma and marginalization of MSM promote structural barriers inhibiting care. Our results give evidentiary support for programs which inform the work of clinicians on mechanisms to create LGBT-inclusive practice settings.
Keyphrases
- men who have sex with men
- hiv testing
- healthcare
- hiv positive
- mental health
- health promotion
- public health
- primary care
- palliative care
- physical activity
- signaling pathway
- quality improvement
- south africa
- emergency department
- current status
- mental illness
- pain management
- hiv aids
- depressive symptoms
- hiv infected
- electronic health record