Chapter 2. Failed Orientations: The Spaces of Sexual Histories and Failures

2020 ◽  
pp. 39-58
Keyword(s):  
Sexual Histories

Sexual risk assessment in general practice: evidence from a New South Wales survey

Sexual Health ◽  
2007 ◽  
Vol 4 (1) ◽  
pp. 1 ◽  
Author(s):  
Asaduzzaman Khan ◽  
David Plummer ◽  
Rafat Hussain ◽  
Victor Minichiello
Keyword(s):  
Risk Assessment ◽  
Sexual Risk ◽  
New South ◽  
New South Wales ◽  
Sexual History ◽  
History Taking ◽  
South Wales ◽  
Sexually Transmissible Infections ◽  
Sexual History Taking ◽  
Sexual Histories

Background: Physicians’ inadequate involvement in sexual risk assessment has the potential to miss many asymptomatic cases. The present study was conducted to explore sexual risk assessment by physicians in clinical practice and to identify barriers in eliciting sexual histories from patients. Methods: A stratified random sample of 15% of general practitioners (GP) from New South Wales was surveyed to assess their management of sexually transmissible infections (STI). In total, 409 GP participated in the survey with a response rate of 45.4%. Results: Although nearly 70% of GP regularly elicited a sexual history from commercial sex workers whose presenting complaint was not an STI, this history taking was much lower (<10%) among GP for patients who were young or heterosexual. About 23% never took a sexual history from Indigenous patients and 19% never elicited this history from lesbian patients. Lack of time was the most commonly cited barrier in sexual history taking (55%), followed by a concern that patients might feel uncomfortable if a sexual history was taken (49%). Other constraints were presence of another person (39%) and physician’s embarrassment (15%). About 19% of GP indicated that further training in sexual history taking could improve their practice. Conclusions: The present study identifies inconsistent involvement by GP in taking sexual histories, which can result in missed opportunities for early detection of many STI. Options for overcoming barriers to taking sexual histories by GP are discussed.

Fatal Adulteries: Sexual Politics in the English Revolution

2021 ◽  
pp. 1-29
Author(s):  
Samuel Fullerton
Keyword(s):  
Sexual Politics ◽  
Detailed Examination ◽  
English Revolution ◽  
Charles I ◽  
Political Commentary ◽  
Political Upheaval ◽  
Oliver Cromwell ◽  
King Charles I ◽  
Sexual Histories ◽  
Charles Ii

Abstract This article argues for a reconsideration of the origins of Restoration sexual politics through a detailed examination of the effusive sexual polemic of the English Revolution (1642–1660). During the early 1640s, unprecedented political upheaval and a novel public culture of participatory print combined to transform explicit sexual libel from a muted element of prewar English political culture into one of its preeminent features. In the process, political leaders at the highest levels of government—including Queen Henrietta Maria, Oliver Cromwell, and King Charles I—were confronted with extensive and graphic debates about their sexual histories in widely disseminated print polemic for the first time in English history. By the early 1650s, monarchical sexuality was a routine topic of scurrilous political commentary. Charles II was thus well acquainted with this novel polemical milieu by the time he assumed the throne in 1660, and his adoption of the “Merry Monarch” persona early in his reign represented a strategic attempt to turn mid-century sexual politics to his advantage, despite unprecedented levels of contemporary criticism. Restoration sexual culture was therefore largely the product of civil war polemical debate rather than the singular invention of a naturally libertine young king.

Peacekeeping, Compliance with International Norms, and Transactional Sex in Monrovia, Liberia

2016 ◽  
Vol 71 (1) ◽  
pp. 1-30 ◽  
Author(s):  
Bernd Beber ◽  
Michael J. Gilligan ◽  
Jenny Guardado ◽  
Sabrina Karim
Keyword(s):  
Economic Development ◽  
United Nations ◽  
Gender Equality ◽  
Satellite Imagery ◽  
International Norms ◽  
Transactional Sex ◽  
Large Majority ◽  
Sensitive Questions ◽  
Development Goals ◽  
Sexual Histories

AbstractUnited Nations policy forbids its peacekeepers and other personnel from engaging in transactional sex (the exchange of money, favors, or gifts for sex), but we find the behavior to be very common in our survey of Liberian women. Using satellite imagery and GPS locators, we randomly selected 1,381 households and randomly sampled 475 women between the ages of eighteen and thirty. Using an iPod in private to preserve the anonymity of their responses, these women answered sensitive questions about their sexual histories. More than half of them had engaged in transactional sex, a large majority of them (more than 75 percent) with UN personnel. We estimate that each additional battalion of UN peacekeepers caused a significant increase in a woman's probability of engaging in her first transactional sex. Our findings raise the concern that the private actions of UN personnel in the field may set back the UN's broader gender-equality and economic development goals, and raise broader questions about compliance with international norms.

Exploring the sexual histories of older GUM clinic attenders

2000 ◽  
Vol 11 (11) ◽  
pp. 714-718 ◽  
Author(s):  
C Merryn Gott ◽  
Karen E Rogstad ◽  
Vincent Riley ◽  
Imtyaz Ahmed-Jushuf ◽  
Tana Green
Keyword(s):  
Later Life ◽  
Clinic Attendance ◽  
Transmitted Infection ◽  
Sexually Transmitted ◽  
Sexual Histories ◽  
Genitourinary Medicine ◽  
Patient Note ◽  
Study Participants ◽  
First Time ◽  
Self Administered Questionnaire

Little is known either of the factors motivating clinic attendance in later life, or the sexual health histories of older clinic attenders. A self-administered questionnaire study linked to patient note data aiming to explore these issues was undertaken within 3 genitourinary medicine (GUM) clinics in the Trent region. Participants comprised 224 individuals aged 50 years and older attending the 3 clinics during the study period. The majority of study participants were attending the clinic with a suspected sexually transmitted infection (STI) ( n = 145, 64.7%) and approximately half ( n = 119, 53.1%) were firsttime GUM clinic attenders. Data available for participants recruited from the Sheffield clinic indicated that, although the majority of participants reported having had only one sexual partner during the last 12 months, a significant minority reported considerably higher numbers of partners, including those classed 'higher risk' for STI acquisition. These data indicate that older people engage in behaviours that place them at risk of STI acquisition and many attend GUM clinics for the first time in later life.

scholarly journals 1286. Healthcare Provider Attitudes and Knowledge Around Pre-Exposure Prophylaxis (PrEP) for the Prevention of HIV-Infection in Tennessee

2019 ◽  
Vol 6 (Supplement_2) ◽  
pp. S463-S463
Author(s):  
Emily Moore ◽  
Sean Kelly ◽  
Leah Alexander ◽  
Patrick Luther ◽  
Robert Cooper ◽  
...  
Keyword(s):  
Primary Care Providers ◽  
Sexual History ◽  
Categorical Variables ◽  
Care Providers ◽  
Prescribing Practices ◽  
Cross Sectional Survey ◽  
Provider Attitudes ◽  
Heterosexual Male ◽  
Sexual Histories ◽  
Exposure Prophylaxis

Abstract Background Daily pre-exposure prophylaxis (PrEP) is very effective at preventing HIV acquisition. PrEP use in the southern United States is low despite high regional HIV prevalence. Prior surveys of primary care providers (PCPs) regarding PrEP occurred before recent guideline updates, were not constructed using a theoretical behavioral framework and validated, or did not focus on the South. Methods We conducted a cross-sectional survey of Tennessee (TN) PCPs from March-April 2019 to assess PrEP knowledge, attitudes, and prescribing practices. Survey development was guided by the COM-B framework (capability, opportunity, motivation and behavior) and validated by pilot testing and cognitive interviews. Knowledge scores were calculated as +1 point for each correct option and 0 points for each incorrect option (maximum score=8). Wilcoxon rank-sum tests were used to compare scores, and Fisher’s exact tests were used to compare categorical variables, between PrEP prescribers and nonprescribers. Results Among 69 respondents, 39% (n = 27) had prescribed PrEP. There were no differences in beliefs about PrEP or sense of obligation to prescribe PrEP between prescribers and nonprescribers. Patient inquiry about PrEP was significantly associated with prescription (P < 0.001); 100% of prescribers had ≥1 patient ask about PrEP in the past year vs. 29% of nonprescribers. Prescribers’ median PrEP knowledge scores were higher than nonprescribers’ (Figure 1). Prescribers had higher self-reported ability to take sexual histories for MSM and heterosexual male patients than nonprescribers (P = 0.007, P = 0.007), and higher self-reported comfort with taking sexual histories for MSM, heterosexual male, and heterosexual female patients (P = 0.061, P = 0.005, P = 0.026, respectively). Nonprescribers frequently cited a need for training in PrEP contraindications and eligibility, cost of PrEP, and administrative burden as barriers to provision. Conclusion Less than half of TN PCPs we surveyed prescribed PrEP despite similar senses of obligation and PrEP-related beliefs between prescribers and nonprescribers. Future interventions to improve PrEP provision among PCPs in TN should target PrEP knowledge, ability and comfort with sexual history taking, and patient awareness of and ability to inquire about PrEP. Disclosures All authors: No reported disclosures.

The preparedness of freshman medical students for taking sexual histories

1989 ◽  
Vol 18 (2) ◽  
pp. 167-177 ◽  
Author(s):  
Shirah A. Vollmer ◽  
Kenneth B. Wells
Keyword(s):  
Medical Students ◽  
Sexual Histories

Acceptability of computer-acquired sexual histories in adolescent girls

1983 ◽  
Vol 103 (5) ◽  
pp. 815-819 ◽  
Author(s):  
Susan G. Millstein ◽  
Charles E. Irwin
Keyword(s):  
Adolescent Girls ◽  
Sexual Histories

scholarly journals Identifying and understanding barriers to sexually transmissible infection testing among young people

Sexual Health ◽  
2013 ◽  
Vol 10 (6) ◽  
pp. 553 ◽  
Author(s):  
Richard Oliver de Visser ◽  
Nancy O'Neill
Keyword(s):  
Young People ◽  
Qualitative Analysis ◽  
Injunctive Norms ◽  
Online Questionnaire ◽  
Cross Sectional ◽  
Perceived Susceptibility ◽  
Individual Interviews ◽  
Sti Testing ◽  
Sexually Transmissible Infections ◽  
Sexual Histories

Background To counter the disproportionate impact of sexually transmissible infections (STIs) among young people and encourage higher levels of STI testing, it is necessary to identify the factors that influence STI testing. Methods: A mixed-methods study incorporating a cross-sectional quantitative survey and qualitative analysis of individual interviews was conducted in England. Some 275 university students aged 17–25 years completed an online questionnaire. Interviews were conducted with a purposively selected sample of eight men and women. Results: Multivariate analysis of quantitative data revealed that injunctive norms (i.e. a desire to comply with others’ wishes for testing), descriptive norms (i.e. perceptions of others’ behaviour) and shame related to STIs predicted past testing behaviour. Intention to undergo testing was predicted by greater perceived susceptibility, past testing, stronger injunctive norms and greater willingness to disclose sexual histories. Qualitative analysis of interview data confirmed the importance of perceived susceptibility, normative beliefs, stigma and shame, and perceived ease of testing. Conclusions: To increase STI testing among young people, there is a need to promote pro-testing norms, address low perceived susceptibility and make testing easier.

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