ArticleAfrican journal of primary health care & family medicine2022
Perspectives on sexual history taking in routine primary care consultations in North West, South Africa: Disconnect between patients and doctors.
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 3 papers.
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Who cites it
3 citing papers in PubMed, 8 citations in OpenAlex.
- What deters GPs from talking about sexual assault? a qualitative interview study.The British journal of general practice : the journal of the Royal College of General Practitioners · 2025Article
- Addressing sexual health concerns in Tanzania: perceived barriers among healthcare professionals and students in the "training for health professionals" study.Culture, health & sexuality · 2024Article
- 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
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Authors and funding
3 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundSexual history is rarely taken in routine consultations and research reported on common barriers that doctors experience, such as gender, age and cultural differences. This article focuses on how patients and doctors view sexual history taking during a consultation and their perspectives on barriers to and facilitators of sexual history taking.
aimThis study aimed to explore doctors' and patients' perspectives on sexual history taking during routine primary care consultations with patients at risk of sexual dysfunction.
settingThe research was conducted in primary care facilities in the Dr Kenneth Kaunda Health District, North West province.
methodsThis was part of grounded theory research, involving 151 adult patients living with hypertension and diabetes and 21 doctors they consulted. Following recording of routine consultations, open-ended questions on the demographic questionnaire and brief interactions with patients and doctors were documented and analysed using open inductive coding. The code matrix and relations browsers in MaxQDA software were used.
resultsThere was a disconnect between patients and doctors regarding their expectations on initiating the discussion on sexual challenges and relational and clinical priorities in the consultation. Patients wanted a doctor who listens. Doctors wanted patients to tell them about sexual dysfunction. Other minor barriers included gender, age and cultural differences and time constraints.
conclusionA disconnect between patients and doctors caused by the doctors' perceived clinical priorities and screening expectations inhibited sexual history taking in a routine consultation in primary care.
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Registered trials
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