Évolution, entre 1990 et 2002, des activités préventives des médecins de premier recours en Suisse dans le cadre de l'épidémie de VIH/sida

Meystre‐Agustoni, Giovanna; Jeannin, André; Dubois-Arber, Françoise

doi:10.1016/j.respe.2006.09.001

Cited by 3 publications

(2 citation statements)

References 19 publications

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“…In 2004, 81% of US clinicians in seven specialties that commonly provide STI diagnoses, treatments, and prevention services reported recording sexual histories [33]. In Switzerland, 63% of primary care physicians in 2002 reported that they would systematically assess HIV risk behaviour with their young adult patients [11]. An increasing number of STI diagnosed in general practice has been observed in the UK and may also reflect an increasing involvement of GPs with sexual health [34].…”

Section: Discussionmentioning

confidence: 99%

“…In Switzerland, individual advice on STI prevention by GPs is an essential component of the National AIDS Prevention Strategy and it is expected that they identify patients at risk for STIs and offer them prevention advice[6]. However, the current literature suggests that GPs' discussions with patients on sexuality issues and related prevention remain insufficient [7-11]. A lack of discussion on sexual matters with GPs was reported since the 1990 s, both in the US [12-14] and in Europe [10] in surveys among patients of primary care physicians [15].…”

Section: Introductionmentioning

confidence: 99%

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Sexual behaviour of men that consulted in medical outpatient clinics in Western Switzerland from 2005-2006: risk levels unknown to doctors?

Dubois-Arber

Meystre‐Agustoni

Jeannin³

et al. 2010

BMC Public Health

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BackgroundTo determine male outpatient attenders' sexual behaviours, expectations and experience of talking about their sexuality and sexual health needs with a doctor.MethodsA survey was conducted among all male patients aged 18-70, recruited from the two main medical outpatient clinics in Lausanne, Switzerland, in 2005-2006. The anonymous self-administered questionnaire included questions on sexual behaviour, HIV/STI information needs, expectations and experiences regarding discussion of sexual matters with a doctor.ResultsThe response rate was 53.0% (N = 1452). The mean age was 37.7 years. Overall, 13.4% of patients were defined as at STI risk - i.e. having not consistently used condoms with casual partners in the last 6 months, or with a paid partner during the last intercourse - regarding their sexual behaviour in the last year. 90.9% would have liked their physician to ask them questions concerning their sexual life; only 61.4% had ever had such a discussion. The multivariate analysis showed that patients at risk tended to have the following characteristics: recruited from the HIV testing clinic, lived alone, declared no religion, had a low level of education, felt uninformed about HIV/AIDS, were younger, had had concurrent sexual partners in the last 12 months. However they were not more likely to have discussed sexual matters with their doctor than patients not at risk.ConclusionRecording the sexual history and advice on the prevention of the risks of STI should become routine practice for primary health care doctors.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Sexual behaviour of men that consulted in medical outpatient clinics in Western Switzerland from 2005-2006: risk levels unknown to doctors?

Dubois-Arber

Meystre‐Agustoni

Jeannin³

et al. 2010

BMC Public Health

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Screening and prevention in Swiss primary care: a systematic review

Eisner

Zoller²,

Rosemann³

et al. 2011

IJGM

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Background and objectives Prevention is a challenging area of primary care. In Switzerland, little is known about attitudes to and performance of screening and prevention services in general practice. To implement prevention services in primary care it is important to know about not only potential facilitators but also barriers. Primary care encompasses the activities of general practitioners, including those with particular interest and/or specializations (eg, pediatrics, gynecology). The aim of this study was to review all studies with a focus on prevention services which have been conducted in Switzerland and to reveal barriers and facilitators for physicians to participate in any preventive measures. Methods The Cochrane Library, PubMed, EMBASE and BIOSIS were searched from January 1990 through December 2010. Studies focussing on preventive activities in primary care settings were selected and reviewed. The methodological quality of the identified studies was classified according to the guidelines in the Consolidated Standards of Reporting Trials (CONSORT) statement. Results We identified 49 studies including 45 descriptive studies and four randomised controlled trials (RCTs). Twelve studies addressed the prevention of epidemics, eleven out of them vaccinations. Further studies focused on lifestyle changes, physical activity counselling, smoking cessation, cardiovascular prevention and cancer screening. Perceived lack of knowledge/training and lack of time were the most commonly stated barriers. Motivation, feasibility and efficiency were the most frequently reported supporting factors for preventive activities. The methodological quality was weak, only one out of four RCTs met the applied quality criteria. Conclusion Most studies focussing on screening and prevention activities in primary care addressed vaccination, lifestyle modification or cardiovascular disease prevention. Identified barriers and facilitators indicate a need for primary-care-adapted education and training which are easy to handle, time-saving and reflect the specific needs of general practitioners. If new prevention programs are to be implemented in general practices, RCTs of high methodological quality are needed to assess their impact.

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

Meystre‐Agustoni¹,

Jeannin²,

Heller³

et al. 2011

Swiss Med Wkly

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Évolution, entre 1990 et 2002, des activités préventives des médecins de premier recours en Suisse dans le cadre de l'épidémie de VIH/sida

Cited by 3 publications

References 19 publications

Sexual behaviour of men that consulted in medical outpatient clinics in Western Switzerland from 2005-2006: risk levels unknown to doctors?

Sexual behaviour of men that consulted in medical outpatient clinics in Western Switzerland from 2005-2006: risk levels unknown to doctors?

Screening and prevention in Swiss primary care: a systematic review

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

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