Patient–Provider Communication About Sexual Health: The Relationship with Gender, Age, Gender-Stereotypical Beliefs, and Perceptions of Communication Inappropriateness

Emmers‐Sommer, Tara M.; Nebel, Sarah; Allison, Mae-Li; Cannella, Michele L.; Cartmill, Desiree; Ewing, Sarah W. Feldstein; Horvath, Daniel; Osborne, Jonathan K.; Wojtaszek, Brittney

doi:10.1007/s11199-008-9577-1

Cited by 16 publications

(11 citation statements)

References 18 publications

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“…In the general population, there is evidence that women are more likely than men to discuss sexual health concerns [148], and that absence of relationship communication on the part of male partners causes greater distress for women [149]. It has also been suggested that women’s wellbeing is more strongly associated with relational factors than men’s [150,151].…”

Section: Discussionmentioning

confidence: 99%

Feeling well and talking about sex: psycho-social predictors of sexual functioning after cancer

2014

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BackgroundChanges to sexual wellbeing are acknowledged to be a long-term negative consequence of cancer and cancer treatment. These changes can have a negative effect on psychological well-being, quality of life and couple relationships. Whilst previous conclusions are based on univariate analysis, multivariate research can facilitate examination of the complex interaction between sexual function and psycho-social variables such as psychological wellbeing, quality of life, and relationship satisfaction and communication in the context of cancer, the aim of the present study.MethodSix hundred and fifty seven people with cancer (535 women, 122 men) and 148 partners (87 women, 61 men), across a range of sexual and non-sexual cancers, completed a survey consisting of standardized measures of sexual functioning, depression and anxiety, quality of life, relationship satisfaction, dyadic sexual communication, and self-silencing, as well as ratings of the importance of sex to life and relationships.ResultsMen and women participants, reported reductions in sexual functioning after cancer across cancer type, for both people with cancer and partners. Multiple regression analysis examined psycho-social predictors of sexual functioning. Physical quality of life was a predictor for men and women with cancer, and for male partners. Dyadic sexual communication was a predictor for women with cancer, and for men and women partners. Mental quality of life and depression were also predictors for women with cancer, and the lower self-sacrifice subscale of self-silencing a predictor for men with cancer.ConclusionThese results suggest that information and supportive interventions developed to alleviate sexual difficulties and facilitate sexual renegotiation should be offered to men and women with both sexual and non-sexual cancers, rather than primarily focused on individuals with sexual and reproductive cancers, as is the case currently. It is also important to include partners in supportive interventions. Interventions aimed at improving sexual functioning should include elements aimed at improving physical quality of life and sexual communication, with a focus on psychological wellbeing also being important for women with cancer.

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Section: Discussionmentioning

confidence: 99%

Feeling well and talking about sex: psycho-social predictors of sexual functioning after cancer

2014

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“…For example, female general practitioners (GPs) use more affective behaviour (giving attention, reassurance) and male GPs use more instrumental behaviour (giving information) when communicating fatigue‐ or HIV‐specific information; the first strategy results in more effective or higher‐quality communication 12,14 . Male patients hold stronger gender‐stereotypical beliefs towards sexuality than female patients and are less likely to initiate conversations about sexual issues with their doctor 15 . Moreover, whether the doctor is a man or a woman has significant bearing when it comes to (non‐)dominating behaviour within the doctor–patient relationship.…”

Section: Introductionmentioning

confidence: 99%

“…Over the last decade, there has been considerable interest in gender as a domain in doctor–patient communication education. Doctor competency frameworks and consensus statements on communication curricula have acknowledged and incorporated gender as a domain of clinical communication 2,3,12,15 . Recently, gender competencies have been determined for medical curricula (CanMEDS roles) to help educators to build and plan a competency framework that includes gender 18 .…”

Section: Introductionmentioning

confidence: 99%

“…Doctor competency frameworks and consensus statements on communication curricula have acknowledged and incorporated gender as a domain of clinical communication. 2,3,12,15 Recently, gender competencies have been determined for medical curricula (CanMEDS roles) to help educators to build and plan a competency framework that includes gender. 18 Gender-sensitive communication has been defined within the CanMEDS role of 'communicator' as requiring: 'the ability in clinical communication to elicit and synthesise information from a patient, family or community from a gender perspective, outline sex-and gender-based influences on health, and describe approaches for dealing with them.…”

Section: Introductionmentioning

confidence: 99%

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Attention to gender in communication skills assessment instruments in medical education: a review

et al. 2011

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Medical Education 2011: 45: 239–248 Context Gender is increasingly regarded as an important factor in doctor–patient communication education. This review aims to assess if and how gender is addressed by current assessment instruments for communication skills in medical education. Methods In 2009 at Radboud University Nijmegen Medical Centre, an online search was conducted in the bibliographic databases PubMed, PsycINFO and ERIC for references about communication skills assessment instruments designed to be completed by trained faculty staff and used in medical education. The search strategy used the following search terms: ‘consultation skills’; ‘doctor–patient communication’; ‘physician–patient relations’; ‘medical education’; ‘instruments’; ‘measurement’, and ‘assessment’. Papers published between January 1999 and June 2009 were included. The assessment instruments identified were analysed for gender‐specific content. Results The search yielded 21 communication skills assessment instruments. Only two of the 17 checklists obtained explicitly considered gender as a communication‐related issue. Only six of 21 manuals considered gender in any way and none gave specific details to explain which aspects of communication behaviour should be assessed with regard to gender. Conclusions Very few communication assessment instruments in medical education focus on gender. Nevertheless, interest exists in using gender in communication skills assessment. The criteria for and purpose of assessing gender in communication skills in medical education are yet to be clarified.

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“…We initially recruited them by contacting people we knew had sought infertility treatment or who were referred to us by friends. We used snowball sampling to expand our informant pool-a technique found in many marketing studies, including those focusing on health care issues (e.g., Emmers-Sommer et al 2009). …”

Section: Context and Methodsmentioning

confidence: 99%

The Nature and Implications of Consumers’ Experiential Framings of Failure in High-Risk Service Contexts

Zayer

Otnes

Fischer

2014

Journal of Service Research

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Many services, particularly those related to health care, can be considered high-risk in that despite service providers' best efforts, consumers may not attain the outcomes they hope to achieve. Recent research highlights how cultural models regarding service providers influence the ways consumers experience and respond to failure. What bears investigating is how these cultural models and consumers' related framings of failure shape consumer experience in high-risk contexts. Analyzing data from informants engaged with various types of infertility services, we develop a typology of four consumer experiential framings of failure that explore their experiences across three dimensions. These are as follows: the implicit cultural model that shapes relationships with service providers, the implicit cultural model regarding goal pursuit, and consumers' tacit understandings regarding their appropriate courses of action in response to failure. We link each distinct type of experiential framing to consumers' distinct set of expectations related to service recovery. And we offer insights for service providers on how to manage their relationships with consumers and (in the tradition of transformative services research) how to enhance consumer well-being.

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Patient–Provider Communication About Sexual Health: The Relationship with Gender, Age, Gender-Stereotypical Beliefs, and Perceptions of Communication Inappropriateness

Cited by 16 publications

References 18 publications

Feeling well and talking about sex: psycho-social predictors of sexual functioning after cancer

Feeling well and talking about sex: psycho-social predictors of sexual functioning after cancer

Attention to gender in communication skills assessment instruments in medical education: a review

The Nature and Implications of Consumers’ Experiential Framings of Failure in High-Risk Service Contexts

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