Evidence map›Paper›PMID 31452036›Full record

ArticleJournal of general internal medicine2019

Sexual Orientation and Patient-Provider Communication About Sexual Problems or Concerns Among US Adults.

Kathryn E Flynn, Dane Whicker, Li Lin, Rachel Cusatis, Alan Nyitray, Kevin P Weinfurt

Open access · bronzeAbstract read
In one paragraph

Article in Journal of general internal medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.9field-weighted citation impact, top 14% of its field
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

5 citing papers in PubMed, 18 citations in OpenAlex.

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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

6 authors at 2 institutions in 1 country.

Kathryn E FlynnMedical College of Wisconsin, 9200 W. Wisconsin Ave., Milwaukee, WI, 53226, USA. kflynn@mcw.edu.
Dane WhickerDuke University School of Medicine, Durham, NC, USA.
Li LinDuke University School of Medicine, Durham, NC, USA.
Rachel CusatisMedical College of Wisconsin, 9200 W. Wisconsin Ave., Milwaukee, WI, 53226, USA.
Alan NyitrayMedical College of Wisconsin, 9200 W. Wisconsin Ave., Milwaukee, WI, 53226, USA.
Kevin P WeinfurtDuke University School of Medicine, Durham, NC, USA.
Duke University · USMedical College of Wisconsin · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLimited patient-provider communication about sexual health is a crucial barrier to patients receiving treatment for sexual problems, and little is known about how patient sexual orientation is associated with patient-provider communication about sexual problems.

objectiveTo describe the prevalence of patient-provider communication about sexual problems and the associations between communication and (1) persistent sexual problems and (2) whether those who identified as lesbian, gay, or bisexual had disclosed their sexual orientation to their clinicians.

designCross-sectional, online survey

participants4325 English-speaking US adults from KnowledgePanel®, a probability-based sample of the civilian, noninstitutionalized population. MAIN MEASURES: Sexual orientation, disclosure of sexual orientation (being "out") to a health care provider, communication with health care providers regarding sexual problems or concerns, and persistent sexual problems or concerns. KEY

resultsIn the past year, 8-15% of US adults discussed a sexual problem or concern with a health care provider. Between 23 and 42% of US adults reported persistent sexual problem(s) in the past year, and of those, 18% of gay/lesbian women, 20% of heterosexual women, 22% of bisexual women, 30% of gay men, 31% of heterosexual men, and 37% of bisexual men had discussed a sexual concern with a clinician. Eighty percent of gay/lesbian women and 70% of gay men had disclosed their sexual orientation to their regular health care provider, versus only 24% of bisexual men and women. Among those who were "out," 30% had ever talked to a clinician about a sexual problem compared with 17% of those who were not "out." A smaller proportion of lesbian women had ever received care or treatment for a sexual problem, 6% compared with 14-23% in the other groups.

conclusionsThere are significant unmet needs among US adults with regard to patient-provider communication about sexual problems or concerns. Improving patient-provider communication about sexual health is critical.

Indexed as

Professional-Patient RelationsSexual HealthAdultCross-Sectional StudiesDisclosureFemaleHumansMaleMiddle AgedSexual and Gender MinoritiesSurveys and QuestionnairesUnited StatesYoung Adultcommunicationdoctor-patient relationshipsmen’s healthpatient-centered carewomen’s health

Identifiers

PMID31452036
PMCPMC6848742
OpenAlexW2971263366

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.