{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,21]],"date-time":"2026-05-21T10:44:32Z","timestamp":1779360272784,"version":"3.51.4"},"reference-count":42,"publisher":"CSIRO Publishing","issue":"5","license":[{"start":{"date-parts":[[2025,5,5]],"date-time":"2025-05-05T00:00:00Z","timestamp":1746403200000},"content-version":"vor","delay-in-days":1635,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2020,11,13]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Black gay, bisexual, and other sexual minority men (BSMM) account for 39.1% of new HIV infections among men who have sex with men and 78.9% of newly diagnosed cases among Black men. Health care access, health care utilisation and disclosing sexuality to providers are important factors in HIV prevention and treatment. This study explored the associations among sexual orientation disclosure, health care access and health care utilisation among BSMM in the Deep South. Methods:Secondary analysis of existing data of a population-based study in Jackson, Mississippi, and Atlanta, Georgia, was conducted among 386 BSMM. Poisson regression models were used to estimate prevalence ratios (PR) between sexual orientation disclosure to healthcare providers, health care access and health care utilisation. Results:The mean (\u00b1s.d.) age of participants was 30.5 \u00b1 11.2 years; 35.3% were previously diagnosed with HIV and 3.7% were newly diagnosed with HIV. Two-thirds (67.2%) self-identified as homosexual or gay; 70.6% reported being very open about their sexual orientation with their healthcare providers. After adjustment, BSMM who were not open about their sexual orientation had a lower prevalence of visiting a healthcare provider in the previous 12 months than those who were very open with their healthcare provider (PR 0.42; 95% confidence interval 0.18\u20130.97). Conclusion:Clinics, hospitals and other healthcare settings should promote affirming environments that support sexuality disclosure for BSMM.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1071\/sh20051","type":"journal-article","created":{"date-parts":[[2020,11,12]],"date-time":"2020-11-12T00:51:00Z","timestamp":1605142260000},"page":"421-428","source":"Crossref","is-referenced-by-count":11,"title":["Health care access, health care utilisation and sexual orientation disclosure among Black sexual minority men in the Deep South"],"prefix":"10.1071","volume":"17","author":[{"given":"Ying","family":"He","sequence":"first","affiliation":[{"name":"AMy Brother\u2019s Keeper, Inc., 407 Orchard Park, Ridgeland, MS 39157, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2473-3183","authenticated-orcid":true,"given":"Derek T.","family":"Dangerfield II","sequence":"additional","affiliation":[{"name":"BJohns Hopkins School of Nursing, 525 N Wolfe Street, Baltimore, MD 21205, USA."},{"name":"CUs Helping Us, People Into Living, Inc., 3636 Georgia Avenue NW, Washington, DC 20010, USA."},{"name":"JCorresponding author. Email: ddanger2@jhu.edu"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Errol L.","family":"Fields","sequence":"additional","affiliation":[{"name":"DDivision of General Pediatrics and Adolescent Medicine, Department of Pediatrics, Johns Hopkins University School of Medicine, 200 N Wolfe Street, Baltimore, MD 21287, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Milton R.","family":"Dawkins","sequence":"additional","affiliation":[{"name":"AMy Brother\u2019s Keeper, Inc., 407 Orchard Park, Ridgeland, MS 39157, USA."},{"name":"EDepartment of Psychology, Jackson State University, Jackson, MS 39213, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0457-5584","authenticated-orcid":true,"given":"Rodman E.","family":"Turpin","sequence":"additional","affiliation":[{"name":"FSchool of Public Health, University of Maryland, 4200 Valley Drive #2242, College Park, MD 20742, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Damon","family":"Johnson","sequence":"additional","affiliation":[{"name":"GUSA National AIDS and Education Services for Minorities, Inc., 2140 Martin Luther King Jr Drive SW, Atlanta, GA 30310, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dorothy C.","family":"Browne","sequence":"additional","affiliation":[{"name":"HDepartment of Maternal and Child Health, Gillings School of Public Health, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599, USA."},{"name":"IUniversity of Duy Tan, 254 Nguyen Van Linh, Thanh Khe District, Da Nang, Vietnam."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"DeMarc A.","family":"Hickson","sequence":"additional","affiliation":[{"name":"AMy Brother\u2019s Keeper, Inc., 407 Orchard Park, Ridgeland, MS 39157, USA."},{"name":"CUs Helping Us, People Into Living, Inc., 3636 Georgia Avenue NW, Washington, DC 20010, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"67","published-online":{"date-parts":[[2020,11,12]]},"reference":[{"key":"2025111813061840000_R1","doi-asserted-by":"publisher","first-page":"424","DOI":"10.1071\/SH18057","article-title":"Exploring the preferences of a culturally congruent, peer-based HIV prevention intervention for black men who have sex with men.","volume":"15","author":"Dangerfield","year":"2018","journal-title":"Sex Health"},{"key":"2025111813061840000_R2","doi-asserted-by":"publisher","first-page":"1144","DOI":"10.2105\/AJPH.2004.046714","article-title":"The trouble with \u2018MSM\u2019 and \u2018WSW\u2019: erasure of the sexual-minority person in public health discourse.","volume":"95","author":"Young","year":"2005","journal-title":"Am J Public Health"},{"key":"2025111813061840000_R3","doi-asserted-by":"publisher","first-page":"81","DOI":"10.15585\/mmwr.mm6804a2","article-title":"HIV partner service delivery among Blacks or African Americans \u2013 United States, 2016.","volume":"68","author":"Rao","year":"2019","journal-title":"MMWR Morb Mortal Wkly Rep"},{"key":"2025111813061840000_R4","doi-asserted-by":"publisher","first-page":"238","DOI":"10.1016\/j.annepidem.2017.02.003","article-title":"Lifetime risk of a diagnosis of HIV infection in the United States.","volume":"27","author":"Hess","year":"2017","journal-title":"Ann Epidemiol"},{"key":"2025111813061840000_R5","doi-asserted-by":"publisher","first-page":"844","DOI":"10.1007\/s10900-017-0325-8","article-title":"State of HIV in the US Deep South.","volume":"42","author":"Reif","year":"2017","journal-title":"J Community Health"},{"key":"2025111813061840000_R6","doi-asserted-by":"publisher","first-page":"224","DOI":"10.1007\/s10461-019-02659-6","article-title":"Characteristics of and trends in HIV diagnoses in the Deep South region of the United States, 2012\u20132017.","volume":"23","author":"Watson","year":"2019","journal-title":"AIDS Behav"},{"key":"2025111813061840000_R7","unstructured":"Centers for Disease Control and Prevention. 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