Proportion of patients who disclose their sexual orientation to healthcare providers and its relationship to patient outcomes: A meta-analysis and review

Patient Education and Counseling
Mollie A Ruben, Madeline Fullerton

Abstract

Patient-centered care emphasizes the need to form a therapeutic and trusting relationship between patients and providers in which patients feel comfortable disclosing health-relevant and personal information. It is still unknown how many patients disclose their sexual orientation to providers, under what circumstances and what it is related to in terms of outcomes. The present meta-analysis and review sought to identify the overall proportion of sexual orientation disclosure to healthcare providers, facilitators and barriers of disclosure, patient populations less likely to disclose, and the relationship between disclosure and outcomes. Thirty-five studies met the inclusion criteria yielding 38 independent proportions. Characteristics of patients, providers, location, and disclosure were extracted. Sexual orientation disclosure proportions to healthcare providers ranged from .29 to .98. The random-effects pooled estimate was .63 (95% CI: .58, .68). Disclosure compared to nondisclosure was related to more positive direct and indirect health outcomes including higher satisfaction, more healthcare seeking and screenings and better self-reported health and psychological wellbeing. The overall proportion of disclosure to healthcare ...Continue Reading

Citations

Jun 11, 2019·The Nurse Practitioner·Damon B Cottrell
May 19, 2020·Current Treatment Options in Psychiatry·Nicholas A LivingstonJillian C Shipherd
Jan 13, 2021·LGBT Health·Humberto López CastilloCelia M Lescano
Aug 24, 2019·Journal of Obstetric, Gynecologic, and Neonatal Nursing : JOGNN·Marit L Bovbjerg, Sabrina Pillai
Jan 17, 2021·Patient Education and Counseling·Sarah A GioiaJoshua G Rosenberger
Jan 18, 2021·Journal of Medical Imaging and Radiation Sciences·Samantha ChanAshley Ayume
Apr 3, 2021·Medical Care·Mollie A RubenJillian C Shipherd

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