Help-Seeking Behavior of Women with Self-Reported Distressing Sexual Problems
Help-Seeking Behavior of Women with Self-Reported Distressing Sexual Problems
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DOI：
10.1089/jwh.2008.1133
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发表时间：
2009-04-01
影响因子：
3.5
通讯作者：
Rosen, Ray
中科院分区：
文献类型：
--
作者：
Shifren, Jan L.;Johannes, Catherine B.;Rosen, Ray
目的：目的是描述一个大的，以人口为基础的美国研究中发现的自我报告的性问题和伴随性相关的个人痛苦的妇女的医疗保健和信息寻求行为。S. survey.Methods:通过对50，002名美国妇女的横断面邮寄调查，确定了3，239名年龄≥ 18岁的妇女，她们自我报告的性欲、性唤起和/或性高潮问题伴随着与性有关的个人痛苦。S.从一个国家研究小组抽样的家庭。医疗保健和寻求信息的行为被分为四个有序的类别：寻求正式的医疗建议，寻求非正式的建议，寻求匿名来源的信息，并没有寻求帮助或信息。寻求帮助的每一种类型的痛苦的性问题的相关性建模与多变量比例优势regression.Results：刚刚超过三分之一的妇女与任何痛苦的性问题寻求正式的护理，最常见的是从妇科医生或初级保健医生，约80%的时间，该名女子，而不是医生，发起了对话。只有6%的寻求医疗咨询的妇女专门为性问题安排了就诊。寻求帮助的相关因素是有一个当前的合作伙伴和与卫生保健系统的互动。障碍是自我感觉的健康状况不佳和与医生讨论性话题时的尴尬。S.医疗保健系统解决妇女的性问题。妇科医生和初级保健医生在例行访问中讨论性健康问题，可以增加提供适当护理的可能性。
Objective: The objective was to describe the healthcare and information-seeking behavior of women with self-reported sexual problems and accompanying sexually related personal distress identified from a large, population-based U. S. survey.Methods: Women (n = 3,239) aged >= 18 years with self-reported sexual problems of desire, arousal, and/or orgasm accompanied by sexually related personal distress were identified from a cross-sectional mailed survey of 50,002 U. S. households sampled from a national research panel. Healthcare and information-seeking behavior was examined as four ordered categories: sought formal medical advice, sought informal advice, sought information from anonymous sources, and did not seek help or information. Correlates of help seeking for each type of distressing sexual problem were modeled with multivariable proportional odds regression.Results: Just over a third of women with any distressing sexual problems had sought formal care, most often from a gynecologist or primary care physician; about 80% of the time, the woman, rather than the physician, initiated the conversation. Only 6% of women who sought medical advice scheduled a visit specifically for a sexual problem. Factors related to help seeking were having a current partner and interacting with the heathcare system. Barriers were poor self-perceived health and embarrassment about discussing sexual topics with a physician.Conclusions: Our results suggest inadequacies in the U. S. medical care system in addressing sexual problems in women. Gynecologists and primary care physicians, by including discussions about sexual health during routine visits, can increase the likelihood that adequate care can be offered.