Sexual history taking in general practice: managing sexually transmitted infections for female sex workers by doctors and assistant doctors in Vietnam

Do, Khoi; Minichiello, Victor; Hussain, Rafat; Khan, Asaduzzaman

doi:10.1177/0956462414529553

Cited by 8 publications

(8 citation statements)

References 66 publications

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“…The use of job aid such as flipcharts, flowchart may be effective and feasible in developing countries [ 69 – 71 ] and the physicians should be well equipped with these during their interactions with patients. Since sexual history taking can be time-consuming and often not well implemented [ 24 , 41 , 72 ], improvement in this aspect is important to improve quality of STI service and to save physicians’ time. To help physicians save time taking a patient’s sexual history, the use of patient-administered sexual history taking instrument to help screen patients for STI risk has been successfully utilised elsewhere [ 73 , 74 ].…”

Section: Discussionmentioning

confidence: 99%

“…Full ethics approval for undertaking the study was granted by the Human Research Ethics Committee of the University of New England, Australia (HE10/148). Additional information about survey arrangement and health setting in Vietnam have been presented in a previously published paper [ 24 ].…”

Section: Methodsmentioning

confidence: 99%

“…The emergence of sex work, together with inconsistent condom use, might have contributed to the increase in STI cases in Vietnam [ 19 – 21 ]. As for the health services, inconsistencies in physicians’ practice such as insufficient risk assessment, improper diagnosis and treatment, inefficient behavioural change counselling could also be linked to the increase of STI cases [ 22 – 24 ].…”

Section: Introductionmentioning

confidence: 99%

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Physicians’ perceived barriers to management of sexually transmitted infections in Vietnam

Minichiello

Hussain

et al. 2014

BMC Public Health

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BackgroundSexually transmitted infections (STIs) are a public health problem in Vietnam with sub-optimal care in medical practice. Identifying practitioners’ perceived barriers to STI care is important to improve care for patients with STIs.MethodsA cross-sectional survey was conducted among 451 physicians. These physicians were dermatology and venereology (D&V) doctors, obstetrical/gynaecological (Ob/Gyn) doctors, general practitioners, and assistant doctors working in health facilities at provincial, district and communal levels in three provinces in Vietnam.ResultsAlmost all (99%) respondents mentioned at least one barrier to STI care. The barriers were “lack of STI training” (57%), “lack of professional resources” (41%), “lack of time” (38%), “lack of reimbursement” (21%), “lack of privacy/confidentiality” (17%), “lack of counselling” (15%), and “not the role of primary care provider” (7%). Multivariable logistic regression analysis showed that “lack of professional resources” was associated with respondents being in medical practice for ten years or under (vs. 11–20 years), and working at district or communal health facilities (vs. provincial facilities); “lack of time” were associated with respondents being female, seeing more than 30 patients a week (vs. <15 patients/week); and “lack of privacy/confidentiality” was associated with physicians’ seeing more than 30 patients a week (vs. <15 patients/week).ConclusionThe study has identified several barriers to STI care in medical practice in Vietnam. Results of the study can be used to improve areas in STI care including policy and practice implications.

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Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Physicians’ perceived barriers to management of sexually transmitted infections in Vietnam

Minichiello

Hussain

et al. 2014

BMC Public Health

Self Cite

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“…Providers have also acknowledged discomfort in dealing with patients more at risk of acquiring STDs (e.g., those who inject drugs and sex workers) and are less likely to obtain sexual histories from them (Khan, Plummer, Hussain, & Minichiello, 2008). When SHT is performed, the content varies (Do, Minichiello, Hussain, & Khan, 2015; Guerry et al, 2005).…”

Section: Introductionmentioning

confidence: 99%

Factors Affecting Sexual History Taking in a Health Center Serving Homeless Persons

Sowicz

Bradway

2018

Qual Health Res

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Low rates of documentation of sexual histories have been reported and research on sexual history taking (SHT) has focused on the content of, barriers to collecting, and interventions to improve documentation of sexual histories. Absent from this literature is an understanding of the contextual factors affecting SHT. To address this gap, a focused ethnography of one health center was conducted. Data were collected through observations of health care encounters and interviews with health care providers (HCPs). No SHT was observed and this was likely influenced by patients' characteristics, communication between patients and HCPs, the prioritization of patients' basic needs, and time constraints imposed upon encounters. Given that the health center studied serves patients experiencing homelessness, behavioral health concerns, and opioid use disorder, findings illuminate areas for future inquiry into a patient population affected by social as well as physiologic determinants of health and potentially at high risk for adverse sexual health outcomes.

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“…Research on sex work focuses predominantly on female sex workers (FSW), and research in Vietnam has highlighted some of the existing limitations in providing STI services to FSW (Do et al, 2015). It is widely acknowledged, however, that MSW differ from FSW in important ways.…”

Section: Introductionmentioning

confidence: 99%

Human Trafficking and Emerging Sex Risk Environments in Vietnam: A Preliminary Profile of a Sex Work “Shared House”

Goldsamt

Clatts

et al. 2016

Journal of Human Trafficking

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Young male sex workers (YMSW) in Vietnam have high rates of HIV and STIs, yet have poor access to healthcare due low knowledge, stigma, and economic constraints. In the process of implementing a Sexual Health Promotion intervention to engage YMSW in Ho Chi Minh City in healthcare, we identified a unique sex work venue, known as a “Shared House,” in which YMSW provide sex under the direction of a manager who negotiates the terms of the transaction directly with the client. Survey data reveal that compared with YMSW recruited in other locations, those interviewed in Shared Houses reported lower levels of substance use, less contact with the police, and fewer nights spent sleeping in pubic places. However, observational data and informal interviews with YMSW in Shared Houses revealed that the majority were trafficked through third-party brokers who connect youth with Shared House managers for the explicit purpose of sex work. These YMSW had little or no control over their sex work transactions and very low levels of knowledge regarding transmission of HIV and STIs. Further research is needed in these and other venues in which young men are trafficked for sex work.

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Sexual history taking in general practice: managing sexually transmitted infections for female sex workers by doctors and assistant doctors in Vietnam

Cited by 8 publications

References 66 publications

Physicians’ perceived barriers to management of sexually transmitted infections in Vietnam

Physicians’ perceived barriers to management of sexually transmitted infections in Vietnam

Factors Affecting Sexual History Taking in a Health Center Serving Homeless Persons

Human Trafficking and Emerging Sex Risk Environments in Vietnam: A Preliminary Profile of a Sex Work “Shared House”

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