Sexual Orientation and Patient-Provider Communication About Sexual Problems or Concerns Among US Adults
Sexual Orientation and Patient-Provider Communication About Sexual Problems or Concerns Among US Adults
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DOI：
10.1007/s11606-019-05300-3
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发表时间：
2019-11-01
影响因子：
5.7
通讯作者：
Weinfurt, Kevin P.
中科院分区：
文献类型：
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作者：
Flynn, Kathryn E.;Whicker, Dane;Weinfurt, Kevin P.
背景：在性健康方面，有限的医患沟通是患者接受性问题治疗的一个重要障碍，而关于患者的性取向与医患沟通之间的关系，我们所知甚少。目的描述性问题患者与提供者之间沟通的普遍程度，以及沟通与(1)持续性性问题和(2)女同性恋、男同性恋或双性恋者是否向临床医生透露过自己的性取向之间的关系。设计横断面在线调查参与者来自KnowledgePanel（右）的4325名说英语的美国成年人，这是一个基于概率的平民，非机构人口样本。主要措施性取向、向卫生保健提供者披露性取向（出柜）、与卫生保健提供者就性问题或性关切进行沟通，以及持续性的性问题或性关切。在过去的一年中，8-15%的美国成年人与卫生保健提供者讨论过性问题或性担忧。在过去的一年中，23%到42%的美国成年人报告了持续的性问题，其中，18%的男同性恋/女同性恋、20%的异性恋女性、22%的双性恋女性、30%的男同性恋、31%的异性恋男性和37%的双性恋男性曾与临床医生讨论过性问题。80%的男同性恋/女同性恋和70%的男同性恋向他们的常规医疗服务提供者透露了他们的性取向，而双性恋男女只有24%。在那些“出柜”的人中，30%的人曾经和临床医生谈论过性问题，而在那些没有“出柜”的人中，这一比例为17%。女同性恋者中接受过性问题护理或治疗的比例较小，为6%，而其他群体为14-23%。结论：在美国成年人中，在性问题或性担忧方面，患者与提供者之间的沟通存在显著的未满足需求。改善患者与提供者关于性健康的沟通至关重要。
BackgroundLimited patient-provider communication about sexual health is a crucial barrier to patients receiving treatment for sexual problems, and little is known about how patient sexual orientation is associated with patient-provider communication about sexual problems.ObjectiveTo describe the prevalence of patient-provider communication about sexual problems and the associations between communication and (1) persistent sexual problems and (2) whether those who identified as lesbian, gay, or bisexual had disclosed their sexual orientation to their clinicians.DesignCross-sectional, online surveyParticipants4325 English-speaking US adults from KnowledgePanel (R), a probability-based sample of the civilian, noninstitutionalized population.Main MeasuresSexual orientation, disclosure of sexual orientation (being "out") to a health care provider, communication with health care providers regarding sexual problems or concerns, and persistent sexual problems or concerns.Key ResultsIn the past year, 8-15% of US adults discussed a sexual problem or concern with a health care provider. Between 23 and 42% of US adults reported persistent sexual problem(s) in the past year, and of those, 18% of gay/lesbian women, 20% of heterosexual women, 22% of bisexual women, 30% of gay men, 31% of heterosexual men, and 37% of bisexual men had discussed a sexual concern with a clinician. Eighty percent of gay/lesbian women and 70% of gay men had disclosed their sexual orientation to their regular health care provider, versus only 24% of bisexual men and women. Among those who were "out," 30% had ever talked to a clinician about a sexual problem compared with 17% of those who were not "out." A smaller proportion of lesbian women had ever received care or treatment for a sexual problem, 6% compared with 14-23% in the other groups.ConclusionsThere are significant unmet needs among US adults with regard to patient-provider communication about sexual problems or concerns. Improving patient-provider communication about sexual health is critical.