Evidence map›Paper›PMID 19219512›Full record

ArticleJournal of general internal medicine2009

Patient-provider communication about sexual health among unmarried middle-aged and older women.

Mary C Politi, Melissa A Clark, Gene Armstrong, Kelly A McGarry, Christopher N Sciamanna

Abstract read
In one paragraph

Article in Journal of general internal medicine, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

28 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Sexual orientation disclosure in health care: a systematic review.The British journal of general practice : the journal of the Royal College of General Practitioners · 2018
    Pooled it
  2. Pooled it
  3. Article
  4. Review
  5. Article
  6. Addressing Sexual Dysfunction in Women With Type 1 Diabetes.Clinical diabetes : a publication of the American Diabetes Association · 2025
    Review
  7. Article
  8. Tailoring Sexual Health Interventions for Middle-Aged and Older Adults, Including Vulnerable Populations: A Scoping Review.International journal of sexual health : official journal of the World Association for Sexual Health · 2022
    Article
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  20. Gonococcal conjunctivitis: A case report.Malaysian family physician : the official journal of the Academy of Family Physicians of Malaysia · 2018
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Mary C PolitiCenter for Behavioral Medicine, The Miriam Hospital, Brown Medical School, CORO Building, Suite 500, One Hoppin St, Providence, RI 02903, USA. Mary_Politi@Brown.edu
Melissa A Clark
Gene Armstrong
Kelly A McGarry
Christopher N Sciamanna

Funding

TRANSDISCIPLINARY CANCER CONTROL RESEARCH TRAINING GRANTR25CA087972 · NCI · MIRIAM HOSPITAL · PI RAKOWSKI, WILLIAM · 2000 to 2010
$4.7M
COMPREHENSIVE CANCER SCREENINGS AMONG UNMARRIED WOMENK07CA087070 · NCI · BROWN UNIVERSITY · PI CLARK, MELISSA A · 2000 to 2005
$464k
NCI NIH HHS 2 R25 CA087972-06A2NCI NIH HHS K07 CA087070NCI NIH HHS K07-CA87070NCI NIH HHS R25 CA087972
6 · The paper itself

Abstract

backgroundAlthough past studies have highlighted the importance of patient-provider communication about sexual health and intimate relationships (SHIR), much of the research has focused on young women's or married women's experiences when discussing SHIR with their providers.

objectiveTo describe experiences of unmarried, middle-aged and older women in communicating about SHIR with their health care providers. DESIGN AND

participantsQualitative interviews were conducted with 40 unmarried women aged 40-75 years. We compared the responses of 19 sexual minority (lesbian and bisexual) women and 21 heterosexual women.

resultsWomen varied in their definitions of intimate relationships. Not all women thought providers should ask about SHIR unless questions were directly related to a health problem, and most were not satisfied with questions about SHIR on medical intake forms. However, the themes women considered to be important in communication about SHIR were remarkably consistent across subgroups (e.g. previously married or never married; sexual minority or heterosexual). Sexual minority women were more hesitant to share information about SHIR because they had had prior negative experiences when disclosing their sexual orientation or perceived that clinicians were not informed about relevant issues.

conclusionsSome women felt that providers should ask about SHIR only if questions relate to an associated health problem (e.g. sexually transmitted infection). When providers do ask questions about SHIR, they should do so in ways that can be answered by all women regardless of partnering status, and follow questions with non-judgmental discussions.

Indexed as

CommunicationPhysician-Patient RelationsSexual BehaviorSingle PersonAdultAgedAttitudeFemaleHumansInterviews as TopicMiddle AgedSelf Disclosure

Identifiers

PMID19219512
PMCPMC2659162

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.