ArticleThe journal of sexual medicine2014
Sexual health discussions with older adult patients during periodic health exams.
Article in The journal of sexual medicine, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 2 of them syntheses that pooled it.
What it found
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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.
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Who cites it
20 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Impact of hearing loss on clinical interactions between older adults and health professionals: a systematic review.European geriatric medicine · 2020Pooled it
- HIV Pre-Exposure Prophylaxis Implementation Cascade Among Health Care Professionals in the United States: Implications from a Systematic Review and Meta-Analysis.AIDS patient care and STDs · 2019Pooled it
- I Just Wish They'd Ask the Right Questions About Sex: Working to Improve Sexual Health Communication With Older Adults.Health science reports · 2025Article
- Adherence to CDC Guidelines for mpox Evaluation: Practice Patterns Across an Academic Medical System During the 2022 Epidemic.Open forum infectious diseases · 2024Article
- Empowering people living with HIV (PLHIV): unveiling care gaps and identifying opportunities for improving care for PLHIV in Singapore and Hong Kong.Journal of the International AIDS Society · 2024Article
- The relationship between anxiety and vaginal-related sexual health in postmenopausal breast cancer survivors on aromatase inhibitors therapies: a cross sectional study.Breast cancer research and treatment · 2023Article
- "Mm-hm," "Uh-uh": are non-lexical conversational sounds deal breakers for the ambient clinical documentation technology?Journal of the American Medical Informatics Association : JAMIA · 2023Article
- Automatic speech recognition performance for digital scribes: a performance comparison between general-purpose and specialized models tuned for patient-clinician conversations.AMIA ... Annual Symposium proceedings. AMIA Symposium · 2022Article
- New Syphilis Cases in Older Adults, 2004-2019: An Analysis of Surveillance Data From South China.Frontiers in medicine · 2021Article
- Sexually Transmitted Infection Knowledge among Older Adults: Psychometrics and Test-Retest Reliability.International journal of environmental research and public health · 2020Article
- Substance Use Among Older People Living With HIV: Challenges for Health Care Providers.Frontiers in public health · 2019Review
- Missed Opportunities for Engagement in the Prevention Continuum in a Predominantly Black and Latino Community in New York City.AIDS patient care and STDs · 2018Article
- Beyond Men, Women, or Both: A Comprehensive, LGBTQ-Inclusive, Implicit-Bias-Aware, Standardized-Patient-Based Sexual History Taking Curriculum.MedEdPORTAL : the journal of teaching and learning resources · 2017Article
- A Comparison of Actual and Perceived Sexual Risk Among Older Adults.Journal of sex research · 2017Article
- Health and lifestyle factors associated with sexual difficulties in men - results from a study of Australian men aged 18 to 55 years.BMC public health · 2016Article
- The Mental Health of Older LGBT Adults.Current psychiatry reports · 2016Review
- Examining aging sexual stigma attitudes among adults by gender, age, and generational status.Aging & mental health · 2016Article
- Predictors of condom use with main and casual partners among HIV-positive men over 50.Health psychology : official journal of the Division of Health Psychology, American Psychological Association · 2015Article
- Frailty and Differences in Self-Reported Sexual Functioning Among Older Females and Males in National Social life, Health and Aging Project.Journal of aging and healthArticle
- Tennessee Healthcare Provider Practices, Attitudes, and Knowledge Around HIV Pre-Exposure Prophylaxis.Journal of primary care & community healthArticle
Corrections and comments
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Authors and funding
5 authors.
Funding
Abstract
introductionSexual health is an integral part of overall health across the lifespan. In order to address sexual health issues, such as sexually transmitted infections (STIs) and sexual functioning, the sexual history of adult patients should be incorporated as a routine part of the medical history throughout life. Physicians and health-care professionals cite many barriers to attending to and assessing the sexual health needs of older adult patients, underscoring the importance of additional research to improve sexual history taking among older patients.
aimThe purpose of this article is to explore the content and context of physician-patient sexual health discussions during periodic health exams (PHEs) with adults aged 50-80 years.
methodsPatients completed a pre-visit telephone survey and attended a scheduled PHE with their permission to audio-record the exam. Transcribed audio recordings of 483 PHEs were analyzed according to the principles of qualitative content analysis.
main outcome measuresFrequency of sexual history taking components as observed in transcripts of PHEs. Physician characteristics were obtained from health system records and patient characteristics were obtained from the pre-visit survey.
resultsAnalyses revealed that approximately one-half of the PHEs included some discussion about sexual health, with the majority of those conversations initiated by physicians. A two-level logistic regression model revealed that patient-physician gender concordance, race discordance, and increasing physician age were significantly associated with sexual health discussions.
conclusionInterventions should focus on increasing physician self-efficacy for assessing sexual health in gender discordant and race/ethnicity concordant patient interactions. Interventions for older adults should increase education about sexual health and sexual risk behaviors, as well as empower individuals to seek information from their health-care providers.
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Registered trials
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.