Testing for Chlamydia and Sexual History Taking in Adolescent Females: Results From a Statewide Survey of Colorado Primary Care Providers

PEDIATRICS ◽  
2000 ◽  
Vol 106 (3) ◽  
pp. e32-e32 ◽  
Author(s):  
K. C. Torkko ◽  
K. Gershman ◽  
L. A. Crane ◽  
R. Hamman ◽  
A. Baron
2021 ◽  
Vol 32 (8) ◽  
pp. 308-311
Author(s):  
Sarah Kipps

Sexual history can be neglected in a routine nursing or medical assessment. Sarah Kipps gives tips to assist in making a sexual history taking session as comfortable as possible for both health professional and patient Practitioners in primary care are in a unique position to improve the sexual health of men and women. They can do this by introducing the topic of sexual health into their everyday consultations and thereby normalising the subject as part of routine health for the patient. There is evidence that health professionals find sexual history taking to be one of the more challenging aspects of a consultation. There are a number of different reasons for this: feeling not equipped to ask questions of such a sensitive nature; fear of opening a ‘can of worms’ which cannot be dealt with; and the general social embarrassment and difficulties experienced talking about sex in general. This article will give health professionals some tips and guides to assist in making a sexual history taking session as comfortable as possible for both health professional and patient.


Author(s):  
Austin A Marshall ◽  
Darcy A Wooten

Abstract Rotations in HIV primary care clinics have the potential to teach trainees core competencies and influence their career pathway. We found that fund of knowledge, confidence in obtaining a sexual history, and interest in an ID career all increased following an HIV clinic rotation.


2020 ◽  
Vol 17 (8) ◽  
pp. 1509-1519
Author(s):  
Leonidas Palaiodimos ◽  
Heather S. Herman ◽  
Erika Wood ◽  
Dimitrios Karamanis ◽  
Cesar Martinez-Rodriguez ◽  
...  

2018 ◽  
Vol 28 (9) ◽  
pp. 1395-1405
Author(s):  
Timothy Joseph Sowicz ◽  
Christine K. Bradway

Low rates of documentation of sexual histories have been reported and research on sexual history taking (SHT) has focused on the content of, barriers to collecting, and interventions to improve documentation of sexual histories. Absent from this literature is an understanding of the contextual factors affecting SHT. To address this gap, a focused ethnography of one health center was conducted. Data were collected through observations of health care encounters and interviews with health care providers (HCPs). No SHT was observed and this was likely influenced by patients’ characteristics, communication between patients and HCPs, the prioritization of patients’ basic needs, and time constraints imposed upon encounters. Given that the health center studied serves patients experiencing homelessness, behavioral health concerns, and opioid use disorder, findings illuminate areas for future inquiry into a patient population affected by social as well as physiologic determinants of health and potentially at high risk for adverse sexual health outcomes.


2014 ◽  
Vol 11 (2) ◽  
pp. 386-393 ◽  
Author(s):  
Sofia Ribeiro ◽  
Violeta Alarcão ◽  
Rui Simões ◽  
Filipe Leão Miranda ◽  
Mário Carreira ◽  
...  

2020 ◽  
Vol 11 ◽  
pp. 215013272098441
Author(s):  
Emily Moore ◽  
Sean G. Kelly ◽  
Leah Alexander ◽  
Patrick Luther ◽  
Robert Cooper ◽  
...  

Introduction/Objectives: Pre-exposure prophylaxis (PrEP) use in the southern United States is low despite its effectiveness in preventing HIV acquisition and high regional HIV prevalence. Our objectives were to assess PrEP knowledge, attitudes, and prescribing practices among Tennessee primary care providers. Methods: We developed an anonymous cross-sectional electronic survey from March to November 2019. Survey development was guided by the Capability, Opportunity, Motivation, and Behavior framework and refined through piloting and interviews. Participants included members of professional society and health center listservs licensed to practice in Tennessee. Respondents were excluded if they did not complete the question regarding PrEP prescription in the previous year or were not in a position to prescribe PrEP (e.g., hospital medicine). Metrics included PrEP prescription in the preceding year, PrEP knowledge scores (range 0-8), provider attitudes about PrEP, and provider and practice characteristics. Knowledge scores and categorical variables were compared across PrEP prescriber status with Wilcoxon rank-sum and Fisher’s exact tests, respectively. Results: Of 147 survey responses, 99 were included and 43 (43%) reported PrEP prescription in the preceding year. Compared with non-prescribers: prescribers had higher median PrEP knowledge scores (7.3 vs 5.6, P < .01), a higher proportion had self-reported patient PrEP inquiries (95% vs 21%, P < .01), and a higher proportion had self-reported good or excellent ability to take a sexual history (83% vs 58%, P = .01) and comfort taking a sexual history (92% vs 63%, P < .01) from men who have sex with men, a subgroup with high HIV risk. Most respondents felt obligated to provide PrEP (65%), and felt all primary care providers should provide PrEP (63%). Conclusion: PrEP provision is significantly associated with PrEP knowledge, patient PrEP inquiries, and provider sexual history taking ability and comfort. Future research should evaluate temporal relationships between these associations and PrEP prescription as potential routes to increase PrEP provision.


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