Sexual Orientation Question - page 9
I have been thinking about this lately...and I am being serious when I ask this; but, with all the advancements in knowing about risk factors for various diseases (especially STIs), what does sexual... Read More
0Apr 9, '13 by KelRN215, BSN, RNQuote from SadalaMy pediatrician asked me this when I was a teenager and I've been asked it by all PCPs that I've had since then- they don't ask it annually, just the first time they meet me because they assume it hasn't changed. I've never been asked it by my oncologist, neurologist, nephrologist, endocrinologist or ophthalmologist because it's not something that's relevant to them. They're specialists and seeing me for specific reasons.I'll bet I've seen more physicians/nurses and assorted medical professionals then a lot of people on this board and NEVER have I had anyone ask me my sexual orientation. EVER.
I have had many people at ERs ask the are you safe at home question, I'm asked about my "cycle," etc. but never my sexual orientation. In what context are we asking these questions?
0Apr 9, '13 by ParkerBC,MSN,RNQuote from theatredorkFrom where did you receive this information?In 2010, men who sleep with men (MSM) accounted for 63% of new infections and 78% of new infections among males. This is still a predominantly disease affecting gay men. Even scarier, this represented a 12% uptick in the estimated number new infetions from 2008 to 2010 among MSM. So, absolutely, it still matters.
To also comment on the unsafe sex practices during the beginning of the AIDS crisis: heterosexuals also had unsafe sex practices as well. Oral contraceptives became available to women in the United States in the early 70s. The fact that it wasn't seen among the heterosexual population is because, as someone said earlier, it was easier to get via anal intercourse. Bareback sex is not limited to just gay people, but the risks are different.
You can say HIV is HIV, but you're at greater risk if you're a man that sleeps with men, and even more so if you're unsafe.
0Apr 9, '13 by DoGoodThenGoQuote from wish_me_luckYes, the query about which gender a pt has relations with is very relevant.Hidden, I am asking what everyone's (who reads this) opinion is on the whole question of "do you sleep with men, women, or both?". Is it even relevant? If so, why do you think that?
My opinion is that it should not be asked because it is irrelevant due to the fact that most diseases/education/health promotion activities are universal--does not matter sexual orientation. I cannot think of anything good coming out of asking it, only discrimination.
Now, what's your opinion?
If you frame questions based upon sexuality "are you gay or straight?" for instance will illicit various responses at least from males based upon factors such as race, demographics, and several other factors.
In the Latino/Hispanic, African American, Arab and Muslim, Latin (French, Italian, etc..) male populations there is a stigma attached to being "gay" or "homosexual" which is often defined by living a certain lifestyle. OTHO hooking up and or otherwise simply having relations with a man or boy often is either given a pass or kept quiet about (aka: on the Down Low).
There is also not a small population of males who are attracted to and or at least have relations with MTF transgender women. Because what they are having relations with looks like or in theory is supposed to be female many of these men do not consider such relations homosexual in nature.
Therefore if you ask many of these males only if they are "gay" they will respond "no", and in their minds there is no question about their sexuality. However from a public and personal health point of view *any* male same sex relations raises the possibilty of not only HIV but several other sexually transmitted diseases as well.
Finally there are former inmates correctional institutions who society has long given a pass (due to the absence of women) for homosexual relations. However again whatever such a man's true sexual preferences are if he engaged in those acts during his time again from a health point if view certain questions must be asked.
0Apr 10, '13 by BostonFNP ModeratorQuote from grownuprosieTrue.
gay men are not the only demographic that has anal sex.
I don't have the statistics on-hand, but I am willing to make a fairly educated guess that they are the largest population that does. Correct me if wrong?
0Apr 10, '13 by BostonFNP ModeratorQuote from SadalaIt doesn't have to go over well, if often doesn't here either. In the past few years I have had two patients that have looked at me like I was crazy and, after our relationship developed, have admitted to sexual actions with a different gender. The point is that by asking the question it established a base to build on as our patient-provider relationship developed.
I live in the southeast. That may explain a lot. If you asked every primary care patient here that question it would go over like a pregnant polevaulter.