'I daresay I might find it embarrassing': general practitioners' perspectives on discussing sexual health issues with lesbian and gay patients
'I daresay I might find it embarrassing': general practitioners' perspectives on discussing sexual health issues with lesbian and gay patients
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DOI：
10.1111/j.1365-2524.2005.00566.x
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发表时间：
2005-07-01
影响因子：
2.4
通讯作者：
Galena, E
中科院分区：
文献类型：
--
作者：
Hinchliff, S;Gott, M;Galena, E
本文探讨了全科医生（GP）的观点，他们所面临的困难时，讨论性健康问题与女同性恋和男同性恋患者在初级保健咨询。它利用从一个定性访谈研究与22个全科医生年龄在34岁至57岁之间谁是执业在英国谢菲尔德的数据。访谈内容逐字记录，数据按主题进行分析。结果表明，（非异性恋）性取向可能会对几乎一半的GP样本谈论性健康问题构成障碍。困难主要涉及对男女同性恋生活方式和性行为的无知，还包括对使用适当语言的关切和对男同性恋关系性质的假设。在少数样本中也发现了仇视同性恋的态度。与会者建议改善与女同性恋和男同性恋患者的性健康沟通。这些措施包括在本科和研究生一级进行培训，在咨询期间发挥积极作用，不对病人的性取向作出假设，并对他们的做法采取非歧视性政策。
The present paper explores general practitioners' (GPs') perspectives on the difficulties which they face when discussing sexual health issues with lesbian and gay patients in primary care consultations. It draws upon data obtained from a qualitative interview study with 22 GPs aged between 34 and 57 years who were practising in Sheffield, UK. Interviews were transcribed verbatim and the data were analysed thematically. The results indicate that (non-hetero)sexual orientation could form a barrier to talking about sexual health matters for almost half of this GP sample. Difficulties related primarily to ignorance of lesbian and gay lifestyles and sexual practices, and also included concerns about the appropriate language to use and assumptions about the nature of gay men's relationships. Homophobic attitudes were also identified in a minority of the sample. Participants suggested improvements around improving communication about sexual health with lesbian and gay patients. These included training at undergraduate and postgraduate levels, taking a proactive role during consultations, not making assumptions about patients' sexual orientation and having a non-discriminatory policy for their practice.