Health & Health care
Going to a doctor in the event of illness, accident or a health-related query is one of the most common ways people take care of their health. All health population studies show that men go to the doctor less often and later than women when a problem arises. This is not true for gay men in the Lake Geneva area who do go to the doctor often. The fact they are generally in worse health than men in the general population would seem to suggest a problem with the relevance and appropriateness of care.
2002
Respondents matched by age, region and nationality. Source: Swiss Federal Statistical Office, ESS 2002
Gay men go to their primary care physician more often, receive more ambulatory care and take more medication than men in the general population. This partially reflects their poor state of health and multiple health problems that are difficult to heal, but it could also point to problems in the doctor-patient relationship. It is rather paradoxical that people who receive so much health care would be in such poor health.
2002
Satisfaction with the primary care physician
Source: Europep-Suisse
In all of the population surveys in Western countries, patients show a high rate of satisfaction with their primary care physician. Our results are much lower, which is a sign of trust issues in the doctor-gay patient relationship. Being able to openly talk about one’s life to a doctor and feeling understood are indispensable for appropriate care. You should always be able to talk to your doctor about your sexual orientation, your wishes and your difficulties. If as a patient, you cannot establish a trusting relationship with your physician or do not feel properly cared for, it is best to change doctors. Since 2017, Checkpoint has provided the services of a general practitioner.
2002
Sexual Orientation and Primary Care Physician
Comparison between gays and lesbians in the USA and Canada and gay men in Geneva
Gays et lesbiennes USA/Canada (2000)
Gay men (2002)
I disclosed my sexual orientation to my doctor
64%
62%
My doctor asked me about my sexual orientation
44%
36%
My doctor asked me about my sexual behaviors
59%
36%
Health professionals are well trained to meet the needs of gay men
37%
36%
I want access to specific services for gay men
52%
49%
I prefer to see a gay or gay-friendly health professional
-
57%
Source: Inside-OUT 2000 and Three-Cities Project 2000
doctor. Less than 40% of Swiss doctors have asked their patients about their sexual orientation or sexual behavior and less than 40% of gay men consider health care providers well-educated around the health problems of gay men. The situation is slightly better in the USA and Canada. Given the particular health challenges posed to gay men, these findings paint an alarming picture. The lack of communication over crucial life areas as well as the lack of specific training for caretakers are possibly a partial explanation for the poor health of these men.
50% of gay men would like access to services specifically-tailored for the gay community. Over 60% of gay men say they would like access to gay or gay-friendly health care providers. This is one of the findings that led to the creation of the gay-friendly health providers list and the Checkpoint health center.