Sexual health counselling by Dutch HIV care providers: A cross-sectional survey among physicians and nurses in the Netherlands

ABSTRACTPrimary care physicians are in a position to recognize sexuality as a core component of health. Data examining the sexual behaviours of Canadians over the age of 50 and the role of primary care in this domain is lacking. A cross-sectional survey was administered to patients over the age of 50, which assessed the importance of sexual activity, problems, and preferences in discussing sexual health with their primary care providers. A total of 39 per cent of patients indicated ongoing sexual activity and 52% of male participants reported current sexual activity compared with 25 per cent of females (p < 0.01). More males reported sexual activity as important than did females (69% vs. 45%, p < 0.01). Participants identifying sexual health concerns discussed physical dysfunctions more than emotional, social, or global health concerns (p < 0.01). More male participants discussed sexual health concerns with their family physician than did females (p < 0.01). The results of our study indicate that many individuals over the age of 50 continue to be sexually active, and that physical and non-physical concerns directly impact participation in sexual activity.

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Oral Health Status, Knowledge, and Behaviours of People with Diabetes in Sydney, Australia

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph18073464 ◽

2021 ◽

Vol 18 (7) ◽

pp. 3464

Author(s):

Prakash Poudel ◽

Rhonda Griffiths ◽

Amit Arora ◽

Vincent W. Wong ◽

Jeff R. Flack ◽

...

Keyword(s):

Health Status ◽

Oral Health ◽

Diabetes Care ◽

Health Knowledge ◽

Oral Health Status ◽

Care Providers ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Oral Health Knowledge ◽

Sydney Australia

This study assessed self-reported oral health status, knowledge, and behaviours of people living with diabetes along with barriers and facilitators in accessing dental care. A cross sectional survey of 260 patients from four public diabetes clinics in Sydney, Australia was undertaken using a 35-item questionnaire. Data were analysed using SPSS software with descriptive and logistic regression analyses. More than half (53.1%) of respondents reported having dental problems which negatively impacted their related quality of life. Less than half (45%) had adequate oral health knowledge. Only 10.8% reported receiving any oral health information in diabetes care settings, which had higher odds of demonstrating adequate oral health knowledge (AOR, 2.60; 95% CI, 1.06–6.34). Similarly, 62.7% reported seeing a dentist in the last 12 months. Having private health insurance (AOR, 3.70; 95% CI, 1.85–7.40) had higher odds of seeing a dentist in the past 12 months. Dental costs were a major contributor to avoiding or delaying dental visit. Patients living with diabetes have unmet oral health needs particularly around the awareness of its importance and access to affordable dental services. Diabetes care providers can play a crucial role in this area by promoting oral health to their patients.

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Hidden bedside rationing in the Netherlands: a cross-sectional survey among physicians in internal medicine

BMC Health Services Research ◽

10.1186/s12913-021-06229-2 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Ursula W. de Ruijter ◽

Hester F. Lingsma ◽

Willem A. Bax ◽

Johan Legemaate

Keyword(s):

Internal Medicine ◽

The Netherlands ◽

Patient Choice ◽

Cross Sectional Survey ◽

Online Questionnaire ◽

Cross Sectional ◽

Physician Characteristics ◽

Distribution Of Resources ◽

Healthcare Rationing ◽

Do So

Abstract Background Healthcare rationing can be defined as withholding beneficial care for cost reasons. One form in particular, hidden bedside rationing, is problematic because it may result in conflicting loyalties for physicians, unfair inequality among patients and illegitimate distribution of resources. Our aim is to establish whether bedside rationing occurs in the Netherlands, whether it qualifies as hidden and what physician characteristics are associated with its practice. Methods Cross-sectional online questionnaire on knowledge of -, experience with -, and opinion on rationing among physicians in internal medicine within the Dutch healthcare system. Multivariable ordinal logistic regression was used to explore relations between hidden bedside rationing and physician characteristics. Results The survey was distributed among 1139 physicians across 11 hospitals with a response rate of 18% (n = 203). Most participants (n = 129; 64%) had experience prescribing a cheaper course of treatment while a more effective but more expensive alternative was available, suggesting bedside rationing. Subsequently, 32 (24%) participants never disclosed this decision to their patient, qualifying it as hidden. The majority of participants (n = 153; 75%) rarely discussed treatment cost. Employment at an academic hospital was independently associated with more bedside rationing (OR = 17 95%CI 6.1–48). Furthermore, residents were more likely to disclose rationing to their patients than internists (OR = 3.2, 95%CI 2.1–4.7), while salaried physicians were less likely to do so than physicians in private practice (OR = 0.5, 95%CI 0.4–0.8). Conclusion Hidden bedside rationing occurs in the Netherlands: patient choice is on occasion limited with costs as rationale and this is not always disclosed. To what extent distribution of healthcare should include bedside rationing in the Netherlands, or any other country, remains up for debate.

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Prevalence, risk factors and sources of anxiety among Emergency Department healthcare workers in Pakistan during COVID-19 pandemic: A single center survey

Experimental Results ◽

10.1017/exp.2020.68 ◽

2021 ◽

Vol 2 ◽

Author(s):

N. Haroon ◽

S. S. Owais ◽

A. S. Khan ◽

J. Amin

Keyword(s):

Risk Factors ◽

Emergency Department ◽

Health Care Providers ◽

Healthcare Workers ◽

Work Performance ◽

Nonparametric Tests ◽

Care Providers ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Frontline Workers

Summary COVID-19 has challenged the mental health of healthcare workers confronting it world-wide. Our study identifies the prevalence and risk of anxiety among emergency healthcare workers confronting COVID-19 in Pakistan. We conducted a cross-sectional survey in an Emergency Department using the Generalized Anxiety Scale (GAD-7), and questions about sources of anxiety. Of 107 participants, 61.7% were frontline workers. The prevalence of anxiety was 50.5%. Nonparametric tests determined that nurses, younger and inexperienced staff, developed significant anxiety. Multivariate ordinal regression determined independent risk factors for developing anxiety were younger age (OR 2.11, 95% CI 0.89–4.99) and frontline placement (OR 1.34, 95% CI 0.33–1.66). Significant sources of stress were fear of infecting family (P = 0.003), lack of social support when the health care providers were themselves unwell (P = 0.02) and feelings of inadequate work performance (P = 0.05). Our study finds that HCWs’ anxiety is considerable. Appropriate measures for its alleviation and prevention are required.

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Danish Health Professional Students' Attitudes Toward Addressing Sexual Health: A Cross-Sectional Survey

Sexual Medicine ◽

10.1016/j.esxm.2021.100323 ◽

2021 ◽

Vol 9 (2) ◽

pp. 100323

Author(s):

Helle Gerbild ◽

Camilla Marie Larsen ◽

Tina Junge ◽

Birgitte Schantz Laursen ◽

Kristina Areskoug-Josefsson

Keyword(s):

Sexual Health ◽

Health Professional ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Professional Students ◽

Danish Health ◽

Health Professional Students ◽

Students Attitudes

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Factors associated with early resumption of sexual intercourse among women during extended postpartum period in Northwest Ethiopia: a cross sectional study

Contraception and Reproductive Medicine ◽

10.1186/s40834-020-00124-7 ◽

2020 ◽

Vol 5 (1) ◽

Author(s):

Birye Dessalegn Mekonnen

Keyword(s):

Sexual Health ◽

Sexual Activity ◽

Sexual Intercourse ◽

Postnatal Care ◽

Cross Sectional Study ◽

Northwest Ethiopia ◽

Postpartum Women ◽

Care Providers ◽

Sectional Study ◽

Cross Sectional

Abstract Background Postpartum sexual health and practice need to be integrated in the current maternal healthcare services to address sexual health problems. However, postpartum sexual practice has received little attention, and was not often discussed by healthcare providers during prenatal and postnatal care. Thus, this study was aimed to assess early resumption of sexual intercourse and associated factors among postpartum women in Gondar city, Northwest Ethiopia. Methods A community based cross-sectional study was conducted from January 20 to February 20, 2020. A systematic random sampling technique was used to select 634 postpartum women. A pretested, structured and interviewer-administered questionnaire was used to collect data. Data were entered into Epi Info 7.2.2 and exported to SPSS version 20 for analysis. Bivariable and multivariable logistic regressions analysis were done. Variables with p- value of < 0.05 were considered as statistically significant. Results The magnitude of early resumption of sexual intercourse after childbirth was found to be 26.9% (95% CI: 23.2, 30.8). Urban resident (AOR = 6.12, 95% CI: 2.41, 15.66), parity of one (AOR = 2.26, 95% CI: 1.66, 7.78), husband demand (AOR = 2.66, 95% CI: 1.72, 4.11), postnatal care (AOR = 1.45, 95% CI: 1.06, 2.18) and use of family planning (AOR = 2.72, 95% CI: 1.51, 3.43) were factors significantly associated with early resumption of sexual intercourse. Conclusion The study found that more than one fourth of women had resumed sexual intercourse within six weeks of following childbirth. The finding of this study suggests the need of integrating discussions of postpartum sexual activity into routine prenatal, intrapartum and postnatal care with collaborative effort of policy makers, program planners, health care providers and other stakeholders. Moreover, spousal communication on postpartum sexual activity should be encouraged.

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A survey of Cambodian health-care providers' HIV knowledge, attitudes and intentions to take a sexual history

International Journal of STD & AIDS ◽

10.1258/ijsa.2008.008390 ◽

2009 ◽

Vol 20 (5) ◽

pp. 346-350 ◽

Cited By ~ 5

Author(s):

G Webber ◽

N Edwards ◽

I D Graham ◽

C Amaratunga ◽

I Gaboury ◽

...

Keyword(s):

Health Care ◽

Health Care Providers ◽

Theory Of Planned Behaviour ◽

Sexual History ◽

People Living With Hiv ◽

Care Providers ◽

Hiv Knowledge ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Planned Behaviour

Cambodia has one of the highest prevalence rates of HIV in Asia and is scaling up HIV testing. We conducted a cross-sectional survey with 358 health care providers in Phnom Penh, Cambodia to assess readiness for voluntary testing and counselling for HIV. We measured HIV knowledge and attitudes, and predictors of intentions to take a sexual history using the Theory of Planned Behaviour. Over 90% of health care providers correctly answered knowledge questions about HIV transmission, but their attitudes were often not positive towards people living with HIV. The Theory of Planned Behaviour constructs explained 56% of the variance in intention to take a sexual history: the control providers perceive they have over taking a sexual history was the strongest contributor (51%), while social pressure explained a further 3%. Attitudes about taking a sexual history did not contribute to intention. Interventions with Cambodian health care providers should focus on improving skills in sexual history-taking.

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P206 Sexual health risks, service use, and views of rapid point-of-care testing among men-who-have-sex-with-menattending saunas: a cross sectional survey

Sexually Transmitted Infections ◽

10.1136/sextrans-2015-052126.250 ◽

2015 ◽

Vol 91 (Suppl 1) ◽

pp. A84.3-A84

Author(s):

Jeremy Horwood ◽

Suzanne Ingle ◽

David Burton ◽

Adam Woodman-Bailey ◽

Paddy Horner ◽

...

Keyword(s):

Sexual Health ◽

Health Risks ◽

Service Use ◽

Point Of Care ◽

Point Of Care Testing ◽

Cross Sectional Survey ◽

Cross Sectional

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131 Sexual Health Influences in Women: A Cross-Sectional Survey

Journal of Sexual Medicine ◽

10.1016/j.jsxm.2021.01.150 ◽

2021 ◽

Vol 18 (3) ◽

pp. S70-S71

Author(s):

J. Dubin ◽

N. Balaji ◽

Q. Rainer ◽

W.A. Wyant ◽

I. Efimenko ◽

...

Keyword(s):

Sexual Health ◽

Cross Sectional Survey ◽

Cross Sectional

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Assessment of U.S. health care personnel (HCP) attitudes towards COVID-19 vaccination in a large university health care system

Clinical Infectious Diseases ◽

10.1093/cid/ciab054 ◽

2021 ◽

Author(s):

Jana Shaw ◽

Telisa Stewart ◽

Kathryn B Anderson ◽

Samantha Hanley ◽

Stephen J Thomas ◽

...

Keyword(s):

Health Care ◽

Vaccine Development ◽

Direct Care ◽

Healthcare Personnel ◽

Care Providers ◽

Cross Sectional Survey ◽

Allied Health Professionals ◽

Cross Sectional ◽

Vaccination Programs ◽

To Receive

Abstract Background As a priority group, healthcare personnel (HCP) will be key to success of COVID-19 vaccination programs. The purpose of this study was to assess HCP willingness to get vaccinated and identify specific concerns that would undermine vaccination efforts. Methods We conducted a cross-sectional survey of HCP, including clinical and non-clinical staff, researchers, and trainees between November 23 rd ,2020 and December 5 th ,2020. The survey evaluated attitudes, beliefs and willingness to get vaccinated. Results A total of 5287 respondents had a mean age of 42.5 years (SD=13.56), and were 72.8% female (n=3842). Overall 57.5 % of individuals expressed intent to receive COVID-19 vaccine. 80.4% were physicians and scientists representing the largest group. 33.6% of registered nurses, 31.6% of allied health professionals, and 32% of master’s level clinicians were unsure they would take the vaccine (p<.001). Respondents who were older, males, White, or Asian were more likely to get vaccinated compared to other groups. Vaccine safety, potential adverse events, efficacy and speed of vaccine development dominated concerns listed by participants. Fewer (54.0%) providers of direct care vs. non-care providers (62.4%), and 52.0% of those who had provided care for COVID-19 patients (vs. 60.6% of those who had not) indicated they would take the vaccine if offered (p<.001). Conclusions We observed that self-reported willingness to receive vaccination against COVID-19 differs by hospital roles, with physicians and research scientists showing the highest acceptance. These findings highlight important heterogeneity in personal attitudes among HCPs around COVID-19 vaccines and highlight a need for tailored communication strategies.

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