Sexual identity disclosure and the potential for increasing HIV and STI testing rates

Background: Sexual orientation may influence the type of specific screenings recommended by health care providers (HCP). This study examined gay men and bisexual men and women's disclosure of sexual orientation to their HCP to see if any differences could be seen in HIV and STD testing behaviors. Methods: A community-based participatory research approach was utilized to develop an online anonymous survey. Participants (N=500) were recruited via advertisements, press releases, fliers, and e-mail listserves. Participants were individuals who lived, worked, or "played" in Nebraska. Chi-squared analyses were conducted, using PASW 18.0. Results: Gay men who were out to their HCP were more likely to have been tested in the last year for STDs, χ²(1,n=310)=8.22, p≤.00, and ever for HIV, χ²(1,n=316)=25.9, p≤.00. Similar results for bisexual women were found for ever having had an HIV test, χ²(2,n=62)=4.23, p=.04. No significant differences for bisexual men were found. Conclusion: This study found that disclosure of sexual orientation with individuals' HCP did carry with it a greater likelihood of testing. For patients this means understanding that it is important to have an open dialogue about sexual orientation with providers. HPCs have a role and responsibility in developing and nurturing healthy and open relationships with their patients as well. Further training for HPC should focus on this communication and the role of cultural competency in their practice. Patient education literature should include the importance of being open about sexual identity with their providers.