Attitudes to taking a sexual history in general practice in Victoria, Australia
Attitudes to taking a sexual history in general practice in Victoria, Australia
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DOI：
10.1136/sti.75.1.41
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发表时间：
1999-02-01
影响因子：
3.6
通讯作者：
Keogh, L
中科院分区：
文献类型：
--
作者：
Temple-Smith, MJ;Mulvey, G;Keogh, L
目的：方法：对澳大利亚维多利亚州的600名全科医生进行性病知识、态度和行为的随机调查。大多数全科医生通常询问患者安全性行为（79%），性伴侣数量（63%），和注射毒品（60%），而很少有人问及最近的海外旅行（50%）和与性工作者发生性关系（31%）。每天或每周进行性健康咨询的全科医生确定的性史障碍比那些不经常进行此类咨询的人更少受到关注。大多数全科医生（92%）会从一个与受感染伴侣发生性接触的男性那里收集性史，但只有不到三分之一的人会这样做，因为病人经常要求避孕药（28%），巴氏涂片（30%）或在海外旅行前关于免疫接种的建议（30%）。女性全科医生比男性全科医生更有可能采取的性史，在这些临床情况下，涉及女性患者，并认为这些患者经历较少的embarrass.Conclusions：这项研究强调了缺乏机会性的性史采取和性史的主要障碍，一般做法在维多利亚，澳大利亚。教育患者和全科医生关于性史采取的重要性进行了讨论。
Objective: To examine general practitioners' (GPs') attitudes towards taking a sexual history.Methods: Questions on sexual history taking were included in a random survey on the STD knowledge, attitudes, and practices of 600 GPs practising in Victoria, Australia.Results: Most GPs commonly asked patients about safe sex (79%), number of sex partners (63%), and injecting drug use (60%) while fewer asked about recent overseas travel (50%) and sex with sex workers (31%). GPs who performed sexual health consultations daily or weekly identified barriers to sexual history taking to be of less concern than those who performed such consultations infrequently. Most GPs (92%) would take a sexual history from a man presenting as the sexual contact of an infected partner, but less than a third would do so for a patient routinely requesting the contraceptive pill (28%), a Papanicolaou (Pap) smear (30%), or advice about immunisation before overseas travel (30%). Female GPs were significantly more likely than male GPs to take a sexual history in those clinical situations involving a female patient and also to perceive these patients as experiencing less embarrassment.Conclusions: This study highlights both the lack of opportunistic sexual history taking and the main barriers to sexual history taking in general practice in Victoria, Australia. The importance of educating both patients and GPs about sexual history taking are discussed.