scholarly journals Sexual healthcare professionals’ views on the rapid provision of remote services at the beginning of COVID-19 pandemic: A mixed-methods study

2021 ◽  
pp. 095646242110230
Author(s):  
Alexandria Lunt ◽  
Carrie Llewellyn ◽  
Jake Bayley ◽  
Tom Nadarzynski
Keyword(s):  
Health Services ◽  
Sexual Health ◽  
Health Inequalities ◽  
Online Survey ◽  
Healthcare Professionals ◽  
Digital Tools ◽  
Future Research ◽  
Snowball Sampling ◽  
Remote Services ◽  
Sexual Healthcare

Introduction: The COVID-19 pandemic and social distancing measures forced sexual health services to engage with patients remotely. We aimed to understand perceived barriers and facilitators to the provision of digital sexual health services during the first months of the pandemic. Methods: An online survey and qualitative interviews with UK sexual healthcare professionals recruited online and via snowball sampling were conducted in May–July 2020. Results: Amongst 177 respondents (72% female, 86% White, mean age = 46, SD = 9), most utilised telephone and email as their main communication channels; however, their perceived effectiveness varied (94% and 66%, respectively). Most agreed that staff needed additional training (89%), the available technology was not adequate (66%) and health professionals were hesitant to provide online consultations (46%). They had positive attitudes towards digitalisation, improving service quality and cost-effectiveness but were concerned about exacerbating health inequalities. Discussion: The study identifies a need for clear guidelines and training around the use of digital tools as well as a demand for investment in hardware and software required for the provision of remote services. Future research needs to explore the acceptability, safety and effectiveness of various digital tools to narrow health inequalities in sexual health service users.

How do you warn them if they speak only Spanish? Challenges for organizations in communicating risk to Colonias residents in Texas, USA

2014 ◽  
Vol 23 (5) ◽  
pp. 533-550 ◽  
Author(s):  
Sudha Arlikatti ◽  
Hassan A. Taibah ◽  
Simon A. Andrew
Keyword(s):  
Nonprofit Organizations ◽  
Online Survey ◽  
Linguistically Diverse ◽  
Risk Information ◽  
Culturally And Linguistically Diverse ◽  
Future Research ◽  
Snowball Sampling ◽  
Content Type ◽  
Diverse Groups ◽  
Communicating Risk

Purpose – The purpose of this paper is to examine the information channels used by public and nonprofit organizations to communicate disaster risk information to Colonias residents in Hidalgo County, Texas. It seeks to find creative and proactive solutions for organizations to improve risk education to these constituents. Design/methodology/approach – Initially a snowball sampling technique was used to conduct six face-to-face interviews. This was followed by an online survey sent to 64 reputational referrals, of which 23 completed the survey, generating a response rate of 34 percent. A comparative analysis between public and nonprofit organizations and the Fischer's exact test were employed to analyze the data. Findings – Channel preferences for providing risk information varied with public organizations using the television (TV) and the nonprofit organizations using bilingual staff for outreach. The television, radio, public events, and bilingual staff were considered to be the most effective while social media (Facebook, Twitter, and city web sites) was not considered at all by both groups. Lack of funding and staffing problems were identified as the primary challenges. Research limitations/implications – One limitation is that the paper focusses on organizations serving Spanish speakers in the Texas Colonias. Future research needs to investigate how other localities at border sites where culturally and linguistically diverse groups might reside, receive and understand risk information. The role of cross-national organizations in creating internationally coordinated plans for disaster communication should also be explored. Originality/value – It highlights the challenges faced by organizations in communicating risk, especially in border communities where culturally and linguistically diverse groups reside.

scholarly journals Health Needs of Trans and Gender Diverse Adults in Australia: A Qualitative Analysis of a National Community Survey

2019 ◽  
Vol 16 (24) ◽  
pp. 5088 ◽  
Author(s):  
Sav Zwickl ◽  
Alex Wong ◽  
Ingrid Bretherton ◽  
Max Rainier ◽  
Daria Chetcuti ◽  
...  
Keyword(s):  
Health Services ◽  
Best Practice ◽  
Online Survey ◽  
Healthcare Professionals ◽  
Research Priorities ◽  
Health Service Delivery ◽  
Free Text ◽  
Healthcare Needs ◽  
Gender Diverse ◽  
And Gender

There is an increasing demand for trans and gender diverse (TGD) health services worldwide. Given the unique and diverse healthcare needs of the TGD community, best practice TGD health services should be community-led. We aimed to understand the healthcare needs of a broad group of TGD Australians, how health professionals could better support TGD people, and gain an understanding of TGD-related research priorities. An anonymous online survey received 928 eligible responses from TGD Australian adults. This paper focuses on three questions out of that survey that allowed for free-text responses. The data were qualitatively coded, and overarching themes were identified for each question. Better training for healthcare professionals and more accessible transgender healthcare were the most commonly reported healthcare needs of participants. Findings highlight a pressing need for better training for healthcare professionals in transgender healthcare. In order to meet the demand for TGD health services, more gender services are needed, and in time, mainstreaming health services in primary care will likely improve accessibility. Evaluation of training strategies and further research into optimal models of TGD care are needed; however, until further data is available, views of the TGD community should guide research priorities and the TGD health service delivery.

Sexual health and learning disability

2013 ◽  
Vol 6 (3) ◽  
pp. 140-146
Author(s):  
Elizabeth Shiner ◽  
Anne-Marie Skitt ◽  
Will Mackintosh ◽  
Shawn Sacks
Keyword(s):  
General Population ◽  
Sexual Health ◽  
Learning Disability ◽  
Healthcare Professionals ◽  
Third Party ◽  
Communication Problems ◽  
The Subject ◽  
Sexual Healthcare

It is well recognised that the healthcare of those with learning disability (LD) has traditionally fallen behind the care received by the general population. It may be argued that sexual health is among the most difficult and challenging areas for healthcare professionals to address. Difficulties arise from unique communication problems, establishing consent and third party involvement from families and carers. GPs are ideally positioned to provide holistic sexual healthcare for those with learning disability; this article aims to set out some of the areas of difficulty and offer guidance to ensure the subject can be approached with confidence.

Schools

2016 ◽  
Vol 33 (2) ◽  
pp. 109-115 ◽  
Author(s):  
India D. Rose ◽  
Daniela B. Friedman
Keyword(s):  
Health Education ◽  
Health Services ◽  
Sexual Health ◽  
School Nurses ◽  
Future Research ◽  
Health Issues ◽  
Sexual Health Education ◽  
Sexually Transmitted ◽  
Integral Role ◽  
And Gender

Sexual and gender minority (SGM) youth are at disproportionate risk for HIV. Schools play an integral role in educating young people about sexual health in addition to providing sexual health services. This qualitative study examined SGM youths’ perception of school sexual health education and services. A total of 42 self-identified African American SGM males participated in focus groups or in an in-depth interview. Qualitative findings revealed that schools are missing the opportunity to educate SGM youth about sexual health. Youth participants noted several barriers to accessing sexual health education and services at schools including limited, targeted health information and school nurses not being knowledgeable of health issues that impact SGM youth. Participants noted that school sexual health services are not adequately marketed to students and sometimes do not include testing for HIV and other sexually transmitted diseases. Suggestions for future research and implications for school nurses and sexual health services are discussed.

Private sex workers’ engagement with sexual health services: an online survey

Sexual Health ◽  
2018 ◽  
Vol 15 (1) ◽  
pp. 93
Author(s):  
C. Thng ◽  
E. Blackledge ◽  
R. McIver ◽  
L. Watchirs Smith ◽  
A. McNulty
Keyword(s):  
Health Services ◽  
Sexual Health ◽  
Sex Work ◽  
Sex Workers ◽  
Online Survey ◽  
Throat Swab ◽  
Cervical Screening ◽  
Health Needs ◽  
Health Clinic ◽  
Gp Services

This study examined where private sex workers (PSW) present for sexual health services, disclosure, services received, and their satisfaction with care. An online anonymous survey was conducted via SurveyMonkey (surveymonkey.com). Among the 53 participants, 42% attended a sexual health clinic, 24% attended a general practitioner (GP) and 34% attended both. Participants attending GPs were less likely to be offered a throat swab and opportunities for cervical screening, contraception and vaccination were often missed in both service models. Participants attending GPs were less likely to disclose sex work and were less satisfied. Better awareness of the sexual health needs of PSWs is important in GP services.

scholarly journals Can the provision of sexual healthcare for oncology patients be improved? A literature review of educational interventions for healthcare professionals

2020 ◽  
Vol 14 (6) ◽  
pp. 858-866 ◽  
Author(s):  
L.F. Albers ◽  
L.A. Grondhuis Palacios ◽  
R.C.M. Pelger ◽  
H.W. Elzevier
Keyword(s):  
Literature Review ◽  
Sexual Health ◽  
Cancer Survivors ◽  
Cancer Patients ◽  
Healthcare Professionals ◽  
Educational Interventions ◽  
Comfort Level ◽  
Health Improvement ◽  
Post Intervention ◽  
Sexual Healthcare

Abstract Purpose Sexual health is an important quality-of-life concern for cancer patients and survivors, but a difficult discussion topic for patients and healthcare professionals. The most important barriers causing healthcare professionals to avoid the topic are lack of education and lack of knowledge. How effective education about sexual health is for oncology healthcare professionals is not clear. The aim of this review is to examine the effectiveness of interventions in improving the provision of sexual healthcare for cancer patients. Methods A systematic literature review was conducted according to PRISMA guidelines using the following data sources: PubMed, PsychInfo, Embase and Emcare. Quantitative research was included which contained pre-intervention and post-intervention outcomes. The assessment of the studies was conducted independently by two reviewers. A third reviewer was involved if there was no consensus. Results Seven studies were included. In total, 572 oncology healthcare professionals participated, including physicians, nurses and allied healthcare professionals. Interventions consisted of 6 face-to-face sessions and one online program. Primary objectives of the studies were the assessment of improvement in knowledge about sexual health, improvement of practice, frequency of discussing sexual health and comfort level and the decline of perceived barriers to discussing sexual health. Studies showed that interventions resulted in improved realization of the objectives. Conclusions Although improvement in the knowledge of healthcare professionals was achieved, it was not possible to give an overall recommendation for the development of interventions due to the limited number of studies and heterogeneity of the data. Implications for Cancer Survivors Sexual health is an important area of survivorship that is often neglected. Many oncology healthcare professionals lack training and knowledge to provide such care. More evidence-based practices are needed to improve sexual healthcare for cancer survivors.

How is personalisation used in pregnancy apps: A systematic review (Preprint)

2019 ◽  
Author(s):  
Nuša Farič ◽  
Judith Fortmann ◽  
Madelaine Bryher Davies ◽  
Henry WW Potts
Keyword(s):  
Critical Discourse Analysis ◽  
Role Models ◽  
Online Survey ◽  
Mental Health Problems ◽  
Relevant Information ◽  
Digital Tools ◽  
Future Research ◽  
Foetal Monitoring ◽  
Guidelines Development ◽  
In Pregnancy

BACKGROUND Digital support is a preferred source of information for pregnant women with personalisation being a key selling benefit for pregnancy apps. Pregnancy apps are the most popular type of health app (n= 2,900). OBJECTIVE To describe the variety and use of personalisation in pregnancy apps. METHODS A systematic search of databases Medline, Embase and PsychINFO for peer reviewed articles, examining personalisation, customisation or tailoring of pregnancy apps. RESULTS Six studies met inclusion criteria (one interview study, one online survey, two app reviews and two studies using critical discourse analysis). Personalisation is largely determined by the functionality of the app. Foetal monitoring apps, supportive information apps and pregnancy entertainment apps utilise personalisation in different ways. Personalisation delivers relevant information and can result in women to become role models (e.g. for peers or family regarding healthier lifestyle); strengthening the relationship women have with the app and the unborn baby; and expressing one’s identity. CONCLUSIONS There is a gap in using personalised digital tools for pregnancy which are reliable and which use all of the dimensions of personalisation described in this review. Given the recommendation of the national guidelines, development of digital tools that provide relevant information is key. Future research should focus on personalising apps to reach women in different geographical locations and those at risk of pregnancy-related mental health problems.

Perceived impact of COVID-19 on sexual health and access to sexual health services among university students in Canada

2021 ◽  
Author(s):  
Jessica Wood ◽  
Christopher Quinn-Nilas ◽  
Alexander McKay ◽  
Jocelyn Wentland
Keyword(s):  
Health Services ◽  
Sexual Health ◽  
University Students ◽  
Sexual Behaviour ◽  
Health Care Services ◽  
Online Survey ◽  
Well Being ◽  
Personal Contact ◽  
Sexual Behaviours ◽  
Perceived Impact

We examined the perceived impact of the COVID-19 pandemic on sexual health, sexual behaviour, well-being, and access to sexual health services among university students in Canada. Between December 2020 and January 2021, 1504 university students across Canada completed an online survey focused on overall sexual health, well-being, solitary sexual behaviours, partnered sexual interactions, and access to sexual health services. The survey was designed by the Sex Information & Education Council of Canada and administered by the Leger polling company. Reported levels of overall sexual health were high. Cisgender women reported significantly greater scores of COVID-19—related stress compared to cisgender men; LGBQ+ students had higher levels of stress compared to heterosexual participants. Overall, solitary sexual behaviours (i.e., masturbation, porn use, vibrator use) remained unchanged or were perceived to increase compared to the time before the pandemic. Cisgender men reported higher scores (i.e., greater perceived increases) on masturbation and porn use than cisgender women. Frequency of sex with casual partners was perceived as similar or lower than what was usual before the pandemic, and most participants did not engage in sex where the close personal contact put them or their partner at risk for COVID-19. Declines in access were reported for all sexual health care services surveyed, with cisgender women and students of colour more likely to report decreased access to services. Results highlight the need for targeted public health messaging regarding sexual behaviour, investment in sexual health services, and supports tailored to the needs of women, LGBTQ+ individuals, and people of colour.

British Association of Sexual Health and HIV national guideline on the management of sexually acquired reactive arthritis 2021

2021 ◽  
pp. 095646242110202
Author(s):  
Elizabeth Carlin ◽  
Helena Marzo-Ortega ◽  
Sarah Flew
Keyword(s):  
Health Services ◽  
Sexual Health ◽  
Sexually Transmitted Infection ◽  
Reactive Arthritis ◽  
Healthcare Professionals ◽  
Transmitted Infection ◽  
Sexually Transmitted ◽  
The United Kingdom ◽  
Level 3 ◽  
Level 1

These guidelines update the 2008 UK guideline for the management of sexually acquired reactive arthritis. The guideline is aimed at those over the age of 16 years, presenting to healthcare professionals working in sexual health services. The recommendations are primarily aimed at services offering level 3 care in sexually transmitted infection management within the United Kingdom. However, the principles will apply to those presenting to level 1 and 2 services, and appropriate local referral pathways will need to be developed.

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