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Talking about S-E-X in Healthcare Settings: Let's Get Clinical.
1Founder & CEO, The Center CD.
Delaware Journal of Public Health
|August 11, 2025
Summary
Healthcare providers often avoid sexual health discussions, leading to harm, especially for LGBTQIA+ individuals. Normalizing these conversations is crucial for patient wellbeing and equitable care.
Area of Science:
- Medical Education
- Public Health
- Sociology
Background:
- Sexual health is integral to overall wellbeing.
- Many healthcare providers lack training and experience discussing sexuality.
- Discomfort and avoidance perpetuate health inequities, particularly for marginalized groups.
Purpose of the Study:
- To explore the impact of provider avoidance of sexual health conversations.
- To identify how silence around sexuality harms patients and drives them from care.
- To offer strategies for clinicians to initiate and normalize these discussions.
Main Methods:
- Review of clinical experience.
- Synthesis of current research on sexual health communication.
- Analysis of systemic barriers and provider biases.
Main Results:
- Inadequate training and systemic discomfort lead to missed diagnoses and patient harm.
- Silence deepens shame, perpetuates inequities, and alienates patients.
- LGBTQIA+ individuals and sexually marginalized communities are disproportionately affected.
Conclusions:
- Healthcare professionals must integrate routine, respectful sexual health discussions into practice.
- Addressing provider values, biases, and knowledge gaps is essential.
- Normalizing these conversations is key to affirming care and improving patient outcomes.
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