scholarly journals General practitioners’ self-reported competence in the management of sexual health issues – a web-based questionnaire study from Finland

Author(s):  
Sanna-Mari Manninen ◽  
Katja Kero ◽  
Katariina Perkonoja ◽  
Tero Vahlberg ◽  
Päivi Polo-Kantola
Author(s):  
Benjamin Mills ◽  
Indiran Govender ◽  
Jannie Hugo

Background: Sexual problems are common. Many patients with sexual health dysfunction use self-help literature or are often managed in general practice. However, many general practitioners (GPs) find it difficult to discuss sexual health issues because they feel uncomfortable with this and lack training in these matters. These GPs are now referring patients with sexual dysfunction to specialists.Aim: We sought to explore how GPs working in the Mabopane and Ga-Rankuwa areas of handle sexual problems of their patients.Setting: The setting was the Mabopane and Ga-Rankuwa areas of North-West Tshwane, in Gauteng Province.Methods: A qualitative study comprising eight free attitude interviews with purposefully selected four male and four female GPs. All interviews were conducted in English and tape-recorded. Field notes in the form of a detailed diary was kept. The tapes were transcribed verbatim, and the transcriptions were checked against the tapes for omissions and inaccuracies.Results: Six themes emerged from the interviews: causes of sexual problems; presentation of sexual problems to the doctor; management of sexual health problems; sex is a taboo topic; society’s need for sexual health discussions, and these discussions have already begun; previous limited exposure and training, and a need for more sexual health training.Conclusion: This study confirms earlier findings that patients could be either reluctant to discuss their problems or are open about them when presenting to doctors with sexual dysfunction. GPs were not exposed to sexual health training at medical school and, because of this shortcoming, felt that training in sexual medicine should be part of the curriculum.


2011 ◽  
Vol 126 (2) ◽  
pp. 163-167 ◽  
Author(s):  
J Manickavasagam ◽  
S Ali ◽  
M S Quraishi

AbstractAims:We undertook a study to ascertain what factors general practitioners consider important when referring children for tonsillectomy, and to compare these views with those of consultant ENT surgeons.Methods:Web-based questionnaire study.Results:A total of 141 general practitioners and 146 consultants responded. Tonsillectomy in children was regarded as a useful operation by 65 per cent of general practitioners and 98 per cent of consultant ENT surgeons. This difference was statistically significant (p < 0.001, chi-square test). In 1994, Donnelly et al. found that 92 per cent of general practitioners considered tonsillectomy in children a useful operation; our results were significantly different (p < 0.001, chi-square test).Conclusions:There is a good level of awareness and agreement on the currently accepted indications for paediatric tonsillectomy in both groups. However, there were important areas of difference between the two groups with regard to ‘glue ear’, recurrent ear infections and snoring. Standardised indications for tonsillectomy should be effectively disseminated to general practitioners.


2011 ◽  
Author(s):  
Wendy Davis ◽  
Mark Gilbert ◽  
Jean Shoveller

2018 ◽  
Author(s):  
Nikola Komlenac ◽  
Heidi Siller ◽  
Harald R. Bliem ◽  
Margarethe Hochleitner

2013 ◽  
Vol 10 (4) ◽  
pp. 1065-1073 ◽  
Author(s):  
Drew A. Helmer ◽  
Gregory R. Beaulieu ◽  
Cheryl Houlette ◽  
David Latini ◽  
Heather H. Goltz ◽  
...  

2019 ◽  
Author(s):  
Devan Richard Tchir ◽  
Michael Lorne Szafron

BACKGROUND Office workers face workplace-related health issues, including stress and back pain, resulting in considerable cost to businesses and health care systems. Workplace health promotion attempts to prevent these health issues, and the internet can be used to deliver workplace health promotion interventions to office workers. Data were provided by Fitbase GmbH, a German company, which specializes in workplace health promotion via the internet (Web-based health). The Web-based health intervention allowed workers to focus on different health categories by using information modules (reading health information) and/or completing practical exercises (guided, interactive health tutorials). OBJECTIVE This study aimed to identify the extent to which office workers have workplace-related health issues, assess whether office workers who differ in their health focus also differ in their improved well-being, and assess whether completing practical exercises is associated with improved well-being compared with reading information modules. METHODS Fitbase GmbH collected data for the period of February 2016 to May 2017 from health insurance employees undergoing Web-based health training in Hamburg, Germany. The data consisted of a needs assessment examining health issues faced by office workers, a wellness questionnaire regarding one’s perception of the Web-based health intervention, and activity logs of information modules and practical exercises completed. Through logistic regression, we determined associations between improved well-being from Web-based health training and differences in a worker’s health focus and a worker’s preferred intervention method. RESULTS Nearly half of the office workers had chronic back pain (1532/3354) and felt tense or irritated (1680/3348). Over four-fifth (645/766) of the office workers indicated that the Web-based health training improved their well-being (<i>P</i>&lt;.001). Office workers who preferred practical exercises compared with information modules had 2.22 times greater odds of reporting improved well-being from the Web-based health intervention (<i>P</i>=.01; 95% CI 1.20-4.11). Office workers with a focus on practical exercises for back health had higher odds of improved well-being compared with other health foci. Office workers focused on practical exercises for back pain had at least two times the odds of having their well-being improved from the Web-based health intervention compared with those focused on stress management (<i>P</i>&lt;.001), mindfulness (<i>P</i>=.02), stress management/mindfulness (<i>P</i>=.005), and eye health (<i>P</i>=.003). No particular health focus was associated with improved well-being for the information modules. CONCLUSIONS Office workers frequently report having back pain and stress. A focus on Web-based health training via practical exercises and practical exercises for back health predict an improvement in office workers’ reported well-being. CLINICALTRIAL


10.2196/10171 ◽  
2019 ◽  
Vol 21 (1) ◽  
pp. e10171 ◽  
Author(s):  
Dan Wu ◽  
Weiming Tang ◽  
Haidong Lu ◽  
Tiange P Zhang ◽  
Bolin Cao ◽  
...  

2018 ◽  
Author(s):  
Michelle Templeton ◽  
Carmel Kelly ◽  
Maria Lohan

BACKGROUND The sexual health of young men in prisons is often among the poorest in any given country. They may have developed sexual behaviors that, from a public health perspective, are considered problematic and burdensome. These include poorer use of condoms and engaging in more frequent casual sex, resulting in higher rates of sexually transmitted infections, including HIV and viral hepatitis. Thus, young incarcerated men are a highly marginalized and socially excluded high-risk group, in greater need of sexual health education and services. OBJECTIVE The aim of this study was to create an innovative sexual health promotion intervention, made for and with young men in prisons, to encourage them to avail of regular sexual health checkups. This included developing a Web-based animated-style sexual health promotion intervention (1.42 min) coupled with upskilling the prison nurses to offer a partnership approach to prison health care. This paper focuses on the development of the intervention and the importance of the underpinning rights-based (RB) participatory intervention design. METHODS We employed an RB participatory approach and recruited 14 participants who attended 3 coproduction workshops held within a prison site in Northern Ireland, United Kingdom. A bespoke 3-day training for nurses beforehand, ensured they gained a deeper understanding of the determinants of poor sexual health. The coproduction team comprised young men, prison nurses, nurse sexual health consultant, media company representatives, and facilitator. Workshops focused on content, design, tone and medium of communication for a Web-based intervention that would be appealing and engaging for young incarcerated men. RESULTS A 1.42-min animation Dick loves Doot was created to promote a positive attitude toward sexual health checkups. The RB approach enabled the young men to participate, have their voices heard and see their stories reflected through the animation. The nurses’ capacities to protect, fulfill, and respect the young men’s rights to appropriate sexual health services and education was also enhanced. Evaluations confirmed that we successfully provided accurate sexual health information in a way that was engaging and accessible and that encouraged the young men to avail of the new prison sexual health services that were set up in the prison and now provided by nurses. CONCLUSIONS The RB participatory approach to health advanced in this study provided a means to (1) gain invaluable insider knowledge to understand the impact of structural determinants on health and health inequalities and strategies by which to target young incarcerated men (2) create inclusive opportunities for developing bespoke targeted interventions, and (3) galvanize collaborative partnerships to disrupt the structures and processes that lead to and encourage health inequities. To reduce future risk, effective treatment, coupled with coproduced interventions that transmit relevant health messages in a relevant and meaningful way, is key to success.


Sign in / Sign up

Export Citation Format

Share Document