Knowledge and Attitudes of General Practitioners and Sexual Health Care Professionals Regarding Human Papillomavirus Vaccination for Young Men Who Have Sex with Men

Abstract Background Health care providers across sub-Saharan Africa continue to face challenges while delivering sexual health care services. We explored the experiences, views and challenges of health care professionals and health students across different disciplines in Tanzania, towards delivery of sexual health services to men who have sex with men. Methods Utilizing a qualitative approach, we recruited 121 health care professionals (providers) and students from the fields of midwifery, nursing and medicine in Dar es Salaam, Tanzania. We conducted 18 focus groups discussions, stratified by profession and experience, to investigate clinical management and challenges while addressing a case of an adult male presenting with rectal gonorrhea. Results Findings indicated this case as extremely sensitive, clinical management involved establishing rapport and consent, medical care from history taking to treatment, and referral to other specialties. However, the illegal status of homosexuality in Tanzania was a primary concern to participants, this triggered the clinical care of this case scenario as challenging. There were uncertainties whether or not that such a case should be reported to the authorities. Conclusion Findings from this study revealed a need for training health students in Tanzania to address sexual health issues including accurate information on homosexuality, reporting requirements and clinical management in the legal and socio-cultural context of the African continent.

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‘Most young men think you have to be naked in front of the GP’: a qualitative study of male university students’ views on barriers to sexual health

Sexual Health ◽

10.1071/sh15217 ◽

2016 ◽

Vol 13 (2) ◽

pp. 124 ◽

Cited By ~ 5

Author(s):

Cameron Ewert ◽

Archibald Collyer ◽

Meredith Temple-Smith

Keyword(s):

Health Care ◽

General Practice ◽

Sexual Health ◽

University Students ◽

Health Information ◽

Young Men ◽

Sexual Health Education ◽

Sexual Health Care ◽

Sexual Health Information ◽

Male University Students

Background In Australia, 15- to 29-year-olds account for 75% of all sexually transmissible infection (STI) diagnoses. STI rates among young men are rising, with most diagnosed in general practice. Young men less frequently attend general practice than young women, and rarely present with sexual health issues, making it difficult for general practitioners (GPs) to offer opportunistic STI education and screening. Little is known of the barriers preventing male university students accessing general practice for sexual health care, or what would facilitate this. Methods: Semi-structured interviews were conducted with young men aged 18–24 years attending university between 2012 and 2014. Interviews were recorded, transcribed and analysed using content and thematic analysis. Results: Twenty-eight interviews of 26–50 min duration found self-imposed views of masculinity, privacy and embarrassment as key barriers to accessing GPs for sexual health care. This was compounded by poor STI knowledge and not knowing when or where to go for care. Participants, except if they were international students, acknowledged school as an important source of sexual health education. The need for sexual health education at university was identified. While the Internet was a popular source, there were mixed views on the benefits of social media and text messaging for sexual health promotion. Conclusions: Current expectations of young male university students to seek sexual health care or acquire sexual health information from medical care may be misplaced. Universities have an excellent opportunity to provide young men with appropriate sexual health information and could offer novel strategies to help young men look after their sexual health.

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Nursing Students' Knowledge and Attitudes Towards Sexual Health Care Questionnaire

PsycTESTS Dataset ◽

10.1037/t37345-000 ◽

2009 ◽

Author(s):

Sarah Kit Fong Kong ◽

Lai Ha Wu ◽

Alice Yuen Loke

Keyword(s):

Health Care ◽

Nursing Students ◽

Sexual Health ◽

Sexual Health Care ◽

Knowledge And Attitudes

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Setting Up Psychosexual Medicine Unit: Insights From a Private University-Based Medical College Hospital

Journal of Psychosexual Health ◽

10.1177/2631831820939464 ◽

2020 ◽

Vol 2 (2) ◽

pp. 179-185

Author(s):

Sathish Raju Nilakantam ◽

Shivanand Manohar ◽

Suman S. Rao ◽

M. Dayananda ◽

Supriya Mathur ◽

...

Keyword(s):

Health Care ◽

Sexual Health ◽

Health Care Professionals ◽

Private University ◽

Well Being ◽

Academic Program ◽

Sexual Disorders ◽

Sexual Medicine ◽

Sexual Health Care ◽

Medical College

Introduction: Sexual health issues are highly prevalent but are underdiagnosed and underrecognized in day-to-day clinical practice. The lack of awareness of the specific health care needs of the patients with sexual dysfunctions and resource limitations might be certain reasons why many hospitals are not been equipped with the sexual health care units. There is paucity of specialized psychosexual health care services across the country. Trained interdisciplinary team with prepared environment in sexual medicine is the need of the hour. We started this psychosexual medicine unit with an emphasis on sexual wellness to deliver comprehensive sexual health care which will be a primary care linkage to patients presenting with symptoms of sexual disorders, so also treatment emergent sexual dysfunction in psychiatry and other medical and surgical branches. Aim: To portray the methods, opportunities, and challenges that we experienced in establishing a specialty psychosexual medicine facility as a different unit in a private university-based medical college and hospital in Mysuru, India. Methods: This triweekly psychosexual medicine unit is situated in the Outpatient Division of Psychiatry and is staffed with a multidisciplinary group of health care professionals. Structured survey tools and proforma are utilized to assess all patients. Case conclusions are made according to International Classification of Diseases, Tenth Revision, symptomatic/clinical explanations and diagnostic recommendations, and furthermore Diagnostic and Statistical Manual of Mental Disorders (Fifth Edition) when required. Patient care included interventions in the form of psychotherapy and pharmacotherapy. Results: It is possible to set up a functional psychosexual medicine facility as a different unit with a trained interdisciplinary group of professionals. Patient-centered approach is vital in our care plan and management. Postgraduate students and internees posted in psychiatry division have been undertaking rotations respectively as per their duty rota. There is also a robust academic program that includes once-weekly seminars pertaining to topics of psychosexual health and monthly journal club gatherings interchanging with seminars on sexual health and well-being appraisal devices. Conclusion: By investing on improving infrastructure and available human resources, the specialty psychosexual medicine unit was established. The psychosexual medicine unit not only gave chances for a more comprehensive assessment of individuals with sexual disorders but also improved training and education for residents with focused interdisciplinary research in the field of sexual medicine. It portrays a versatile model that can be replicated in settings of similar type.

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