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Sexual History Taking in Clinical Settings: A Narrative Review
Kathryn A Brookmeyer1, Alexandra Coor1, Rachel E Kachur1
1From the Division of STD Prevention, National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention, Centers for Disease Control and Prevention, Atlanta, GA.
Healthcare providers rarely take comprehensive sexual histories, potentially influenced by patient and provider demographics. Discussing sexual history is linked to increased preventive care, including sexually transmitted disease testing.
Area of Science:
- Public Health
- Clinical Practice Guidelines
- Sexual Health
Background:
- Gaps exist between Centers for Disease Control and Prevention (CDC) sexual history guidelines and actual clinical practice.
- Patient, provider, and setting characteristics may influence comprehensive sexual history taking.
- Patient outcomes associated with sexual history taking require examination.
Purpose of the Study:
- To explore discrepancies between CDC sexual history guidelines and clinical practice.
- To investigate factors influencing comprehensive sexual history acquisition.
- To examine patient outcomes related to sexual history taking.
Main Methods:
- A narrative review of studies on clinical practice and sexual history taking was conducted across 8 databases.
- A two-level inclusion protocol involved abstract and full-text review.
- Data were abstracted using a standardized tool.
Main Results:
- None of the 10 included studies reported comprehensive sexual history taking.
- Eight studies indicated demographic differences in how providers obtain sexual histories.
- Three studies showed a positive association between discussing sexual history and sexually transmitted disease testing.
Conclusions:
- Sexual histories are often not comprehensive in clinical practice.
- Providers may vary their approach to sexual history taking based on demographic factors.
- Engaging in discussions about sexual history may correlate with increased provision of preventive sexual healthcare.
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