ArticleAfrican journal of primary health care & family medicine2022
Sexual history taking by doctors in primary care in North West province, South Africa: Patients at risk of sexual dysfunction overlooked.
Article in African journal of primary health care & family medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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Who cites it
7 citing papers in PubMed, 11 citations in OpenAlex.
- Professional Education in Sexology in Sub-Saharan Africa: A Continental Survey:International journal of sexual health : official journal of the World Association for Sexual Health · 2026Article
- Addressing sexual health concerns in Tanzania: perceived barriers among healthcare professionals and students in the "training for health professionals" study.Culture, health & sexuality · 2024Article
- Enhancing sexual health in primary care: Guidance for practitioners.South African family practice : official journal of the South African Academy of Family Practice/Primary Care · 2024Article
- Help-seeking challenges for female sexual concerns: a qualitative study from Iran.BMC health services research · 2023Article
- Compliance of medical practitioners with diabetic treatment guidelines in West Rand, Gauteng.South African family practice : official journal of the South African Academy of Family Practice/Primary Care · 2023Article
- Do We Care Enough About the Presence of Sexual Problems in Diabetic Patients?International journal of general medicine · 2023Article
- Neglected sexual dysfunction symptoms amongst chronic patients during routine consultations in rural clinics in the North West province.African journal of primary health care & family medicine · 2021Article
Corrections and comments
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Authors and funding
3 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundSexual history taking seldom occurs during a chronic care consultation and this research focussed on consultation interaction factors contributing to failure of screening for sexual dysfunction.
aimThis study aimed to quantify the most important barriers a patient and doctor experienced in discussing sexual challenges during the consultation and to assess the nature of communication and holistic practice of doctors in these consultations.
settingThe study was done in 10 primary care clinics in North West province which is a mix of rural and urban areas.
methodsOne-hundred and fifty-five consultation recordings were qualitatively analysed in this grounded theory research. Doctors and patients completed self-administered questionnaires. A structured workplace-based assessment tool was used to assess the communication skills and holistic practice doctors. Template analysis and descriptive statistics were used for analysis. The quantitative component of the study was to strengthen the study by triangulating the data.
resultsTwenty-one doctors participated in video-recorded routine consultations with 151 adult patients living with hypertension and diabetes, who were at risk of sexual dysfunction. No history taking for sexual dysfunction occurred. Consultations were characterised by poor communication skills and the lack of holistic practice. Patients identified rude doctors, shyness and lack of privacy as barriers to sexual history taking, whilst doctors thought that they had more important things to do with their limited consultation time.
conclusionConsultations were doctor-centred and sexual dysfunction in patients was entirely overlooked, which could have a negative effect on biopsychosocial well-being and potentially led to poor patient care.
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