Effect of attitudes towards patients on sexual history taking: a survey of Iranian–American physicians in California, USA
| Autor: | Victor Minichiello, Synnove F. Knutsen, Mark Ghamsary, Mitra Rashidian |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
Adult
Male medicine.medical_specialty Attitude of Health Personnel Cross-sectional study Sexual Behavior media_common.quotation_subject Population Human sexuality Iran California Likert scale 03 medical and health sciences 0302 clinical medicine Cronbach's alpha Physicians Surveys and Questionnaires Humans Medicine 030212 general & internal medicine Medical History Taking education Reproductive health media_common Response rate (survey) Gynecology education.field_of_study Cultural Characteristics business.industry Taboo Public Health Environmental and Occupational Health Middle Aged Cross-Sectional Studies Infectious Diseases 030220 oncology & carcinogenesis Family medicine Female business |
| Zdroj: | Sexual Health. 14:514 |
| ISSN: | 1448-5028 |
| Popis: | Background: Although obtaining sexual history from patients is essential, the attitudes of physicians can become a barrier to sexual health care. Iranian–American physicians may face particular challenges because talking about sexuality is considered a taboo within their culture. Our study examined these physicians’ attitudes when taking a sexual history from their patients. Methods: In 2013, a self-administrated questionnaire was sent to 1550 Iranian–American physicians in California, USA. Using factor analysis, the principal components approach with a Varimax rotation was used on a set of 12-item questions (five-point Likert scales) to detect latent factors that explain attitudes affecting sexual history taking. Scores are generated to determine physicians’ attitudes towards sexual history taking. Results: In total, 354 questionnaires were returned (23% response rate). Three factors were identified as internally consistent (Cronbach’s α = 0.84 – 0.94): (1) attitude towards various patients; (2) female sexuality; and (3) age and marriage. Significant association were found between these three factors and some variables such as physicians’ gender, country of medical graduation, religion, birthplace and age. Conclusions: Results revealed that cultural attitudes are important factors affecting physicians’ involvement in sexual history taking. Additional studies from this population and other subpopulations of US physicians are needed. New strategies that reflect on physicians’ attitude on sexual healthcare delivery is needed. If confirmed in other studies, our findings could have implications for the training of medical graduates globally. |
| Databáze: | OpenAIRE |
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