Auteur(s) : Lehr, Marina
Directeur : David Rey
Composante : MEDECINE
Date de création : 30-06-2023

Description : Médecine (médecine générale), Homosexuality, long considered a pathologypsychiatrist, is still stigmatized today. The number of homosexualsincreasing each year in France as well as HPV-induced cancers linked to risky sexual practices, require consideration of homosexuality men in general medicine. Yet the approach to sexual orientation in medicine general is not addressed often enough. The brakes are multiple and come from both patients (fear of being judged, personal coming out, homophobia) and doctors (intrusion,lack of time, lack of training).The main objective of this work is to collect the opinion of young male homosexuals aged 18 to 26 concerning the approach of their sexual orientation in general medical consultation. The secondary objective is to analyze the state of knowledge on HPV and the anti-HPV vaccine in this target population. This is a semi-directive qualitative study carried out with an interview guide submitted beforehand for validation by the Ethics Committee. A total of 15 participants were recruited until data saturation.The data was collected by individual telephone interview using a dictaphone, transcribed on a computer and then destroyed. Data analysis was done using axial coding and interviews were anonymized. This study highlights that our young MSM do not discuss their sexual orientation on their own with their general practitioner. When the approach to their sexual orientation was mentioned by the patients, this was done during an STI screening consultation with rather young female doctors.Few general practitioners have discussed homosexuality with our participants. Yet the systematic approach of sexual orientation by the general practitioner during a consultation for an appropriate reason (STI screening, vaccinations, pathologies of the genito-anal sphere , anxiety, depression) or by mentioning anti-HPV vaccination, is accepted by the majority of our participants. In addition, the doctor/patient care relationship would remain unchanged in the event of knowledge of their sexual orientation.This study also demonstrates that the majority of knowledge on HPV and its vaccination comes from CeGIDD. The place of the general practitioner in this state of knowledge is non-existent. The strong adherence to vaccination in our study is a driving force to further encourage general practitioners to address the sexual orientation of MSM patients. The young MSM in our study are in favor of having their sexual orientation discussed by their general practitioner in respect of their coming-out.To ask a question such as "Have you ever heard of the papillomavirus?" could make it possible to address the subject of homosexuality in an appropriate consultation framework. The promotion of the training of general practitioners in sexuality also seems essential to enable them to approach this subject more easily., Thèses et écrits académiques
Mots-clés libres : Homosexualité, Infections à papillomavirus, Vaccination, Médecine générale, Orientation sexuelle, 610
Couverture : FR