Talking about sexuality with the physician: are patients receiving what they wish?

Details

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State: Public
Version: author
Serval ID
serval:BIB_582F2A698426
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Talking about sexuality with the physician: are patients receiving what they wish?
Journal
Swiss Medical Weekly
Author(s)
Meystre-Agustoni G., Jeannin A., de Heller K., Pécoud A., Bodenmann P., Dubois-Arber F.
ISSN
1424-3997[electronic]
ISSN-L
0036-7672
Publication state
Published
Issued date
2011
Peer-reviewed
Oui
Volume
141
Pages
w13178
Language
english
Notes
Texte intégral: http://www.smw.ch/index.php?id=smw-2011-13178
Abstract
QUESTIONS UNDER STUDY/PRINCIPLES: Little is known concerning patients' expectations regarding sexual history taking by doctors: to ascertain expectations and actual experience of talking about sexuality among male patients attending outpatient clinics, and their sexual behaviour.
METHODS: Patients consecutively recruited from two outpatient clinics in Lausanne, Switzerland were provided with an anonymous self-administered questionnaire. Survey topics were: patients' expectations concerning sexual history taking, patients' lifetime experience of sexual history taking, and patients' sexual behaviour.
RESULTS: The response rate was 53.0% (N = 1452). Among respondents, 90.9% would like their physician to ask them questions regarding their sexual history in order to receive advice on prevention (60.0% yes, 30.9% rather yes). Fifteen percent would be embarrassed or rather embarrassed if asked such questions. Nevertheless, 76.2% of these individuals would like their physician to do so. Despite these wishes, only 40.5% reported ever having a discussion "on their sexual life in general" with a doctor. Only one patient out of four to five was asked about previous sexually transmitted infections (STIs), the number of sexual partners and their sexual orientation. No feature of their sexual life distinguishes those who had discussed sexual issues with a doctor from those who had not, except a history of previous consultation for health problems related to sexuality. Conversely, being embarrassed about conducting this discussion was significantly associated with lack of discussion regarding sexuality.
CONCLUSIONS: This study highlights the gap existing in the field of STI prevention in terms of doctors' advice and patients' wishes.
Keywords
Coitus/psychology , Communication* , Health Knowledge, Attitudes, Practice , Humans , Male , Medical History Taking , Physician-Patient Relations* , Physicians , Questionnaires , Sexual Behavior/psychology* , Sexual Behavior/statistics & numerical data , Sexual Partners/psychology , Sexually Transmitted Diseases/prevention & control , Sexually Transmitted Diseases/psychology , Switzerland
Pubmed
Web of science
Open Access
Yes
Create date
24/02/2011 16:11
Last modification date
20/08/2019 15:12
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