患有前列腺癌的男同性恋和男性双性恋向提供者出柜的挑战

The Challenge of Coming Out to Providers by Gay and Bisexual Men with Prostate Cancer

—《国际性健康杂志》（网络版）2021年8月13日刊出—

 <International Journal of Sexual Health>

【摘要】本研究调查了同性恋、双性恋和男男性行为者 (GBM) 向参与前列腺癌治疗的医生传达性取向的经验。方法包括对从国家在线癌症支持网站招募的 GBM 进行的 30 次深入访谈进行的定性分析。 结果揭示了围绕性披露的四个关键策略。 这些范围从明确公开自己到选择性或不公开。 披露有不可预测的多重结果，从增加对医患关系的信任到寻求替代治疗。我们得出的结论是，当医生了解患者的性取向并接受相关培训时，就可以实现称职的护理。

【关键词】前列腺癌，男同性恋，双性恋癌症患者，健康交流  

[Abstract] This study investigates the experience of communicating sexual orientation by gay, bisexual and men who have sex with men (GBM) to physicians involved in their prostate cancer care. Methodology consisted of qualitative analysis conducted on 30 in-depth interviews of GBM recruited from a national online cancer support site. Results revealed four key strategies around sexual disclosure. These ranged from explicitly outing themselves to selective or non-disclosure. Disclosures had unpredictable multiple outcomes ranging from increased trust in the patient-physician relationship to seeking alternate treatment. We concluded competent care is achieved when physicians know their patient’s sexual orientation, and are trained in them.

[Key words] Prostate cancer; gay; bisexual cancer patients; health communication

    论文原文：William West, Maria Beatriz Torres, Darryl Mitteldorf, Benjamin D.Capistrant, Badrinath R. Konety, Elizabeth Polter & B. R. Simon Rosser (2021).The Challenge of Coming Outto Providers by Gay and Bisexual Men with Prostate Cancer: Qualitative Results from the Restore Study. International Journal of Sexual Health, 33, Published online: August 13, 2021.

https://doi.org/10.1080/19317611.2021.1924335