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Related Experiment Videos

Discussing STIs: doctors are from Mars, patients from Venus.

V Verhoeven1, K Bovijn, A Helder

  • 1Academic Centre for General Practice, University of Antwerp, Belgium. verhoeven@uia.ua.ac.be

Family Practice
|January 2, 2003
PubMed
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Physicians face numerous barriers, including language, cultural differences, and lack of time, hindering discussions about sexually transmitted infections (STIs) in primary care. Addressing these obstacles through improved training is crucial for enhancing sexual health services.

Area of Science:

  • Public Health
  • General Practice
  • Sexual Health

Background:

  • Primary care settings are vital for sexual health promotion.
  • Counselling on sexually transmitted infections (STIs) is infrequently provided and often insufficient in primary care.

Purpose of the Study:

  • To identify and quantify the barriers encountered by primary care physicians when discussing STIs with patients.
  • To understand the challenges in integrating STI prevention into routine primary care.

Main Methods:

  • A postal questionnaire survey was distributed to a random sample of 200 primary care physicians in Antwerp, Belgium.
  • A response rate of 68% was achieved, with 122 physicians completing the survey.

Main Results:

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  • Only 44.3% of responding physicians regularly counselled on STIs, safe sex, or sexual history.
  • Key barriers included language/comprehension issues (74.2%), ethnic differences (68.4%), insufficient training (69.4%), time constraints (60.8%), patient's companion presence (up to 94.2%), and treating asymptomatic patients (71.4%).
  • Approximately 50% of physicians failed to counsel at-risk asymptomatic patients or provide safe sex advice during initial contraception consultations.

    • Conclusions:

    • Physicians encounter diverse and significant barriers to discussing STIs in primary care.
    • Current STI counselling practices are suboptimal, necessitating targeted interventions.
    • Prioritizing education and training for healthcare providers is essential to improve STI prevention and management in primary care settings.