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Attitudes and Performance of Cardiologists Toward Sexual Issues in Cardiovascular Patients
Razieh Salehian1, Fatemeh Khodaeifar2, Morteza Naserbakht1
1School of Behavioral Science and Mental Health, Tehran Institute of Psychiatry, Tehran, Iran.
Insights
Cardiologists recognize the importance of discussing sexual health with cardiovascular disease patients but lack confidence and frequently fail to address these issues. Professional responsibility is key to improving their performance in managing patient sexual concerns.
Area of Science:
- Cardiology
- Sexual Health
- Patient Care
Background:
- Cardiovascular diseases significantly impact patients' sexual health.
- Addressing sexual issues is crucial for comprehensive patient care in cardiology.
Purpose of the Study:
- To evaluate cardiologists' attitudes and performance regarding sexual health in cardiovascular disease patients.
- To identify barriers influencing discussions on sexual issues in this patient population.
Main Methods:
- A nationwide survey was conducted among Iranian cardiologists in 2015.
- Questionnaires assessed cardiologists' attitudes, performance, and perceived barriers related to sexual health discussions.
Main Results:
- 93% of cardiologists acknowledged the importance of discussing sexual issues.
- Despite awareness, only 33% felt confident in their knowledge, and 10.6% frequently assessed sexual problems.
- A significant association was found between perceived responsibility and actual performance.
Conclusions:
- A notable gap exists between cardiologists' attitudes and their performance in addressing patients' sexual health concerns.
- Emphasizing professional responsibility can enhance cardiologists' performance in managing sexual issues for cardiovascular disease patients.
Introduction:
The aim of the present study was to evaluate the attitudes and performance of cardiologists regarding sexual issues in patients with cardiovascular diseases.
Methods:
A nationwide survey was conducted in a sample of cardiologists, representative of Iranian cardiologists, in 2015.
Main Outcome Measures:
Appropriate questionnaires were developed and used to ask participants about their attitudes, performance, and barriers regarding discussing sexual issues with patients with cardiovascular disease.
Results:
The study population consisted of 202 cardiologists (138 men and 63 women) with a mean age of 44.25 years (SD = 8.45). Overall, 93.15% of cardiologists agreed with the importance of discussing sexual issues with their patients with cardiovascular diseases. Almost 76.7% of cardiologists agreed they had a responsibility to deal with patients' sexual problems, and 79.9% of them were aware of the association of cardiovascular disease with sexual problems of cardiac patients, but only 33% of them were confident in their knowledge and skills in this regard. Only 10.6% of cardiologists reported they frequently or always assessed sexual problems with their patients, but 51.50% of them stated they were responding to patients' questions about sexual problems. There was a significant association between performance and responsibility.
Conclusion:
The results of this study indicate a gap between cardiologist's attitudes and their actual performance and that their professional responsibility to address patients' sexual issues is a significant parameter for better performance.
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