Patient–Provider Communication About Sexual Health Among Unmarried Middle-aged and Older Women

Politi, Mary C.; Clark, Melissa A.; Armstrong, Gene; McGarry, Kelly; Sciamanna, Christopher N.

doi:10.1007/s11606-009-0930-z

Cited by 54 publications

(48 citation statements)

References 38 publications

(38 reference statements)

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“…In this sample, women were more knowledgeable than men; however, this is not consistent with results found by Langer-Most and Langer (Langer-Most & Langer, 2010), who found that provider gender did not affect knowledge. Middle aged and older women have been found to be more comfortable talking about sexual health to female providers (Politi, Clark, Armstrong, McGarry, & Sciamanna, 2009). Perhaps this factor is influencing more female providers to learn about aging sexuality.…”

Section: Discussionmentioning

confidence: 99%

Aging Sexuality: Knowledge and Perceptions of Preparation Among U.S. Primary Care Providers

Hughes

Wittmann

2014

Journal of Sex & Marital Therapy

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Primary care providers are expected to address the sexual health concerns of older adults. This study aimed to assess knowledge of aging sexuality and adequacy of formal sexual health education in a sample of U.S. physicians and nurse practitioners in primary care. Response rate was 24.9% (N = 278). Knowledge scores reflected good knowledge; however, only 3% of the sample felt that they had adequate knowledge of older adult sexuality. Training was found to be adequate for 11% of the sample. U.S. providers in primary care are interested in learning more about aging sexuality but feel ill-prepared for it.

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Section: Discussionmentioning

confidence: 99%

Aging Sexuality: Knowledge and Perceptions of Preparation Among U.S. Primary Care Providers

Hughes

Wittmann

2014

Journal of Sex & Marital Therapy

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“…Although patients generally feel that clinical settings are an appropriate place to discuss sexual health and would like their providers to initiate such discussions, providers often have difficulty adequately addressing sexual health issues for a number of reasons, including provider reticence and a lack of training. 25,28 In many cases, current training and educational materials may benefit from revision to help providers navigate the difficult balance between acknowledging the seriousness of sexual health issues and avoiding overemphasis of negative consequences. 29 When patients do experience sexual health problems, it may be helpful for providers to encourage them to move away from blaming others and to focus on enhancing their own health and reducing future risks.…”

Section: Education and Training Of Health-care Providersmentioning

confidence: 99%

Sexual Health Training and Education in the U.S.

et al. 2013

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In 2011, both the National Prevention Strategy and Healthy People 2020 recognized "reproductive and sexual health" as a key area for improving the lives of Americans.1,2 This increasing national emphasis on sexual health provides an important opportunity to refocus the efforts of U.S. health-care professionals. While reproductive health has historically been considered a U.S. public health priority, 3 the addition of sexual health to the short list of national priorities has important implications for clinicians and patients. Broadly embracing the concept of sexual health in health-care settings has the potential to reduce redundancy in care compared with current, more categorical approaches and to minimize the stigma associated with some aspects of sexuality and related adverse outcomes. These changes could increase both clinical efficiency and the proportion of the population receiving sexual health services.To foster sexual health, the National Prevention Strategy and Healthy People 2020 recommend increasing access to sexual health services, emphasizing sexual health education and encouraging screening for sexually transmitted infections (STIs) including human immunodeficiency virus (HIV).1,2 To be most effective, these activities should involve both health-care providers (physicians, nurses, and related clinical providers) and patient audiences. Although this new national emphasis represents an opportunity to improve sexual health throughout the country, it also represents a challenge for the health-care community. The approach to patient care in matters of sexuality and sexual behavior will need to be reframed in subtle but critical ways. To meet this challenge, educational efforts for both health-care providers and patients will need to shift to support a more comprehensive approach to understanding and promoting sexual health throughout the life span.

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“…Perceptions of relevancy tended to be associated with gynecological or sexual health complaints. In contrast, complaints that were non-gynecological in nature (e.g., sore throat, broken leg) were perceived by some as irrelevant to disclosure (Edwards & van Roekel, 2009;Politi et al, 2009; see Table 2 for patient attributes).…”

Section: Perceived Relevancymentioning

confidence: 99%

“…It may be important for HCPs asking for sensitive information such as sexual orientation to explain why it is essential for them to know about this, and to what use this information will be put, in order to alleviate privacy concerns. Importantly, these discussions may influence lesbian patients' perceptions regarding the relevancy of their disclosure, particularly in situations that do not involve gynecological or sexual health problems (see Politi et al, 2009 for a qualitative analysis focusing on the experiences of older women, some of whom preferred health professionals to inquire about sexual history only when relevant).…”

Section: Implications For Primary Healthcare Providersmentioning

confidence: 99%

Under What Conditions do Lesbians Disclose Their Sexual Orientation to Primary Healthcare Providers? A Review of the Literature

Pierre

2012

Journal of Lesbian Studies

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Under what conditions do lesbians disclose their sexual orientation to primary healthcare providers? A review of the literature was undertaken to answer this question and to provide insight into the ways healthcare professionals can play an active role assisting their lesbian patients in "coming out." Thirty empirical studies met the inclusion criteria and were reviewed. Collectively, these separate studies have found that a myriad of internal (patient attributes) and external (healthcare context, patient-provider relationship) factors influence disclosure. The discussion highlights the critical role of healthcare professionals in supporting disclosure.

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Patient–Provider Communication About Sexual Health Among Unmarried Middle-aged and Older Women

Cited by 54 publications

References 38 publications

Aging Sexuality: Knowledge and Perceptions of Preparation Among U.S. Primary Care Providers

Aging Sexuality: Knowledge and Perceptions of Preparation Among U.S. Primary Care Providers

Sexual Health Training and Education in the U.S.

Under What Conditions do Lesbians Disclose Their Sexual Orientation to Primary Healthcare Providers? A Review of the Literature

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