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Primary Care Perceptions and Practices on Discussion and Advice Regarding Sexual Practices.

George G A Pujalte¹, Isaac I Effiong¹, Livia Yumi Maruoka Nishi¹

¹From the Department of Family Medicine, Mayo Clinic, Jacksonville, Florida.

Southern Medical Journal

|July 4, 2020

Summary

Physician-patient communication barriers hinder discussions on safe sexual practices and sexually transmitted infections (STIs). Addressing these challenges through improved training is crucial for STI prevention.

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Area of Science:

Public Health
Medical Education
Family Medicine

Background:

Rising rates of sexually transmitted infections (STIs) in the U.S. over the past decade.
Potential link between communication gaps and increased STI prevalence.
Need to understand physician perspectives on STI prevention and patient counseling.

Purpose of the Study:

Identify barriers to discussing safe sexual practices and STIs.
Understand family physicians' perceived roles in STI prevention.
Explore effective methods for initiating sexual health conversations.

Main Methods:

Written surveys administered to family physicians.
Survey period: April 30, 2016, to September 1, 2016.
Assessed physician demographics, barriers, and communication strategies.

Main Results:

Time constraints and patient's companions (spouse, parents, siblings) cited as primary barriers.
Physicians reported fear of patient embarrassment and knowledge gaps regarding LGBTQ+ sexual practices.
Patients rarely objected to discussing sexual behaviors.

Conclusions:

Identified significant barriers for family physicians in discussing safe sexual practices.
Emphasized improving physician-patient communication to overcome barriers and prevent STIs.
Recommended continuous learning opportunities for healthcare professionals on sexual health counseling.