Teaching sexual history taking to health care professionals in primary care

Skelton, John; Matthews, Philippa

doi:10.1046/j.1365-2923.2001.00926.x

Cited by 70 publications

(58 citation statements)

References 14 publications

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“…Skelton and Matthews (2001) reported specifically on teaching the sexual history in ( postgraduate) primary care, and while other periodic references exist (Wenrich et al 1997), the work is not prolific. TempleSmith et al (1999) reported on attitudes to sexual history taking in GP, with focus on working practises.…”

Section: Practice Pointsmentioning

confidence: 99%

The impact of discussing a sexual history in role-play simulation teaching on pre-clinical student attitudes towards people who submit for STI testing

2011

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Sex, sexuality and sexual health beliefs are individual, impacting on physical and mental health. Sexual history taking is rarely taught in General Practice (GP). However, 'sex' is routinely relevant in this setting. Birmingham students practice discussing sexual history with a simulated-patient in GP. Simulated-patient inclusion in teaching/assessment is well-documented, but no study evaluating the impact of role play on attitudes to people who need STI testing was identified. We aimed to identify whether facilitated simulations featuring a sexual history scenario effected change in students' attitudes towards people who need STI testing. A randomised-controlled-trial was used to compare attitudinal scores between students exposed to an STI role play and a control group who did not receive the role-play teaching until after data capture. There were no significant differences in attitude, either in negative or positive direction, observed between control and intervention groups. Ethnicity was a significant variable, with white-British students self-reporting more positive attitudes. Twenty five percent students admitted personal STI exposure. Again response varied significantly between ethnic groups (the white-British group reporting 4Â the exposure). Females reported more positive attitudes than males, most marked in relation to 'willingness to date' someone who admitted to STI testing.

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Section: Practice Pointsmentioning

confidence: 99%

The impact of discussing a sexual history in role-play simulation teaching on pre-clinical student attitudes towards people who submit for STI testing

2011

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“…When patient SH is in question, "obtaining a history" is the most important method to establish an accurate finding (18). In the present study, the most frequent method for diagnosing an STI or SD was "obtaining a history", followed by "physical examination" and "diagnostic tests."…”

Section: Discussionmentioning

confidence: 63%

Sexual Health Services among Primary Healthcare Units in İstanbul

Babaoğlu¹,

Karabey²,

Topuzoğlu³

2015

Erciyes Med J

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Objective: To evaluate factors that influence the frequency and quality of sexual health examinations performed by physicians working in Istanbul primary healthcare units and to develop auxiliary strategies based on these factors that would improve sexual healthcare. Materials and Methods:In this cross-sectional study, a postal questionnaire was administered to a representative group of physicians working in primary healthcare units (i.e., family health centers) in Istanbul between January and February 2007.Results: The response rate was 84.9%. While 84% of the physicians questioned the history of sexual health in their patients in case of a presence of a sexual health problem, only 8% questioned even if their patients reported any sexual health problems.Major barriers in obtaining a patient's sexual health history included language and comprehension problems, lack of time, presence of the patient's mother or other relatives during the evaluation, low level of patient education, and strong religious beliefs. Forty-two percent of the responding physicians shared the opinion that their pre-graduate training provided inadequate preparation for sexual health counseling, and 55.1% did not perform such counseling. Conclusion:Major advancements toward the prevention of sexual disease and improvement of the population's sexual health can be made by emphasizing the importance of sexual health in both pre-and post-graduate medical training, encouraging physicians to routinely ask their patients about their sexual health during examinations, and providing qualified consultancy services in primary healthcare units.

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“…It is clear that sexuality is a meaningful part of early adult women's lives; however, few medical professionals ever ask about sex during office visits, citing concerns about time, embarrassment, and being ill-equipped to answer specific questions (Nusbaum et al 2002;Skelton and Matthews 2001). In turn, many individuals do not initiate sexual conversations with their doctors (Sadovsky and Nusbaum 2006).…”

Section: Implications For Policy and Researchmentioning

confidence: 99%

Picturing Sexual Spaces in Everyday Life: Exploring the Construction of Sexuality and Sexual Behavior among Early Adult Women

et al. 2011

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Despite an increased public and behavioral health emphasis on research which explores the link between individual sexual context and sexual decision making, most studies have yet to adequately explore the needs and purposes that sex fulfills among women. The current project employed photo-elicitation interviewing (PEI) as a means of generating a visual and narrative person-centered understanding of the ways in which women orchestrate spaces for sexuality within their day-to-day lives. Sexual spaces were created by rescripting the ordinary meaning associated with everyday locations, objects, and language to contain sexual meaning; these spaces serve as vehicles to integrate sexuality and sexual behavior within everyday experiences. Spaces also conferred sexual privacy and comfort for women, driving sexual desire and encouraging, as well as discouraging, contraception and condom use in individual and complex ways. PEI provided an effective tool for magnifying this complexity through the women's eyes and voices, suggesting important information for the correct design of future research, intervention, and education programs.

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Teaching sexual history taking to health care professionals in primary care

Cited by 70 publications

References 14 publications

The impact of discussing a sexual history in role-play simulation teaching on pre-clinical student attitudes towards people who submit for STI testing

The impact of discussing a sexual history in role-play simulation teaching on pre-clinical student attitudes towards people who submit for STI testing

Sexual Health Services among Primary Healthcare Units in İstanbul

Picturing Sexual Spaces in Everyday Life: Exploring the Construction of Sexuality and Sexual Behavior among Early Adult Women

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