Skip to main content
The British Journal of General Practice logoLink to The British Journal of General Practice
. 1994 Feb;44(379):80–82.

Perceptions of general practice among homosexual men.

R Fitzpatrick 1, J Dawson 1, M Boulton 1, J McLean 1, G Hart 1, M Brookes 1
PMCID: PMC1238788  PMID: 8179951

Abstract

BACKGROUND. Primary care has an important role to play in the prevention and management of the human immunodeficiency virus (HIV). It has been suggested that homosexual men experience a variety of problems in relation to primary care. AIM. As part of a larger study, it was decided to examine the extent to which a sample of homosexually active men experienced difficulties in general practice and whether they consulted their general practitioner for problems related to HIV or the acquired immune deficiency syndrome (AIDS). METHOD. Homosexual men were recruited for interview in 1991-92 from a variety of sources including genitourinary clinics and homosexual organizations. RESULTS. Of 623 men registered with a general practitioner 44% had not informed their general practitioner of their sexual orientation and 44% of the 77 men who were HIV antibody positive, as confirmed by the study, had not informed their general practitioner of this fact. Men who viewed their practice as unsympathetic towards homosexual men were less likely to have informed their general practitioner of their sexual orientation or HIV status. The majority of men (87%) nevertheless viewed primary care as an appropriate source of HIV/AIDS advice. CONCLUSION. There is considerable scope for improvement in the acceptability of general practice to homosexual men.

Full text

PDF
80

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Bhugra D., King M. Controlled comparison of attitudes of psychiatrists, general practitioners, homosexual doctors and homosexual men to male homosexuality. J R Soc Med. 1989 Oct;82(10):603–605. doi: 10.1177/014107688908201013. [DOI] [PMC free article] [PubMed] [Google Scholar]
  2. Blendon R. J., Donelan K. Discrimination against people with AIDS: the public's perspective. N Engl J Med. 1988 Oct 13;319(15):1022–1026. doi: 10.1056/NEJM198810133191522. [DOI] [PubMed] [Google Scholar]
  3. Boyton R., Scambler G. Survey of general practitioners' attitudes to AIDS in the North West Thames and East Anglian regions. Br Med J (Clin Res Ed) 1988 Feb 20;296(6621):538–540. doi: 10.1136/bmj.296.6621.538. [DOI] [PMC free article] [PubMed] [Google Scholar]
  4. Gallagher M., Foy C., Rhodes T., Philips P., Setters J., Moore M., Naji S., Donaldson C., Bond J. HIV infection and AIDS in England and Wales: general practitioners' workload and contact with patients. Br J Gen Pract. 1990 Apr;40(333):154–157. [PMC free article] [PubMed] [Google Scholar]
  5. Helbert M. AIDS and medical confidentiality. Br Med J (Clin Res Ed) 1987 Aug 29;295(6597):552–552. doi: 10.1136/bmj.295.6597.552. [DOI] [PMC free article] [PubMed] [Google Scholar]
  6. Hunt A. J., Davies P. M., McManus T. J., Weatherburn P., Hickson F. C., Christofinis G., Coxon A. P., Sutherland S. HIV infection in a cohort of homosexual and bisexual men. BMJ. 1992 Sep 5;305(6853):561–562. doi: 10.1136/bmj.305.6853.561. [DOI] [PMC free article] [PubMed] [Google Scholar]
  7. King M. B. AIDS and the general practitioner: psycho-social issues. Health Trends. 1987 Nov;19(4):1–3. [PubMed] [Google Scholar]
  8. King M. B. AIDS and the general practitioner: views of patients with HIV infection and AIDS. BMJ. 1988 Jul 16;297(6642):182–184. doi: 10.1136/bmj.297.6642.182. [DOI] [PMC free article] [PubMed] [Google Scholar]
  9. King M. B. Psychological and social problems in HIV infection: interviews with general practitioners in London. BMJ. 1989 Sep 16;299(6701):713–717. doi: 10.1136/bmj.299.6701.713. [DOI] [PMC free article] [PubMed] [Google Scholar]
  10. Mansfield S. J., Singh S. The general practitioner and human immunodeficiency virus infection: an insight into patients' attitudes. J R Coll Gen Pract. 1989 Mar;39(320):104–105. [PMC free article] [PubMed] [Google Scholar]
  11. Milne R. I., Keen S. M. Are general practitioners ready to prevent the spread of HIV? Br Med J (Clin Res Ed) 1988 Feb 20;296(6621):533–535. doi: 10.1136/bmj.296.6621.533. [DOI] [PMC free article] [PubMed] [Google Scholar]
  12. Morton A. D., McManus I. C. Attitudes to and knowledge about the acquired immune deficiency syndrome: lack of a correlation. Br Med J (Clin Res Ed) 1986 Nov 8;293(6556):1212–1212. doi: 10.1136/bmj.293.6556.1212. [DOI] [PMC free article] [PubMed] [Google Scholar]
  13. Smits A., Mansfield S., Singh S. Facilitating care of patients with HIV infection by hospital and primary care teams. BMJ. 1990 Jan 27;300(6719):241–243. doi: 10.1136/bmj.300.6719.241. [DOI] [PMC free article] [PubMed] [Google Scholar]
  14. Wadsworth E., McCann K. Attitudes towards and use of general practitioner services among homosexual men with HIV infection or AIDS. Br J Gen Pract. 1992 Mar;42(356):107–110. [PMC free article] [PubMed] [Google Scholar]
  15. Waight P. A., Rush A. M., Miller E. Surveillance of HIV infection by voluntary testing in England. Commun Dis Rep CDR Rev. 1992 Jul 17;2(8):R85–R90. [PubMed] [Google Scholar]

Articles from The British Journal of General Practice are provided here courtesy of Royal College of General Practitioners

RESOURCES