Sexual History Taking in Clinical Settings: A Narrative Review.
Journal
Sexually transmitted diseases
ISSN: 1537-4521
Titre abrégé: Sex Transm Dis
Pays: United States
ID NLM: 7705941
Informations de publication
Date de publication:
01 06 2021
01 06 2021
Historique:
pubmed:
24
10
2020
medline:
25
5
2021
entrez:
23
10
2020
Statut:
ppublish
Résumé
This study aimed to explore gaps between Centers for Disease Control and Prevention's clinical guidelines for obtaining a sexual history and regular clinical practice. We examine how patient, provider, and setting characteristics may influence the likelihood of obtaining comprehensive sexual histories and examine patient outcomes linked to sexual history taking. We performed a narrative review to identify studies that examined clinical practice and sexual history taking via 8 databases. A 2-level inclusion protocol was followed, wherein the abstract and full text of the article were reviewed, respectively. Data were abstracted using a standardized tool developed for this study. The search yielded 2700 unique studies, of which 2193 were excluded in level 1, and 497 were excluded in level 2, leaving 10 studies for data abstraction. None of the studies reported comprehensive sexual history taking, and 8 studies reported differences in how providers obtain a sexual history when patient and provider demographics are considered. Three studies found a positive link between providers who discuss sexual history and provider sexually transmitted disease testing. When sexual histories are obtained, they are not comprehensive, and providers may discuss sexual history differentially based on patients' demographic characteristics. Providers who discuss patients' sexual history may be more likely to also provide sexual health preventive care.
Sections du résumé
BACKGROUND
This study aimed to explore gaps between Centers for Disease Control and Prevention's clinical guidelines for obtaining a sexual history and regular clinical practice. We examine how patient, provider, and setting characteristics may influence the likelihood of obtaining comprehensive sexual histories and examine patient outcomes linked to sexual history taking.
METHODS
We performed a narrative review to identify studies that examined clinical practice and sexual history taking via 8 databases. A 2-level inclusion protocol was followed, wherein the abstract and full text of the article were reviewed, respectively. Data were abstracted using a standardized tool developed for this study.
RESULTS
The search yielded 2700 unique studies, of which 2193 were excluded in level 1, and 497 were excluded in level 2, leaving 10 studies for data abstraction. None of the studies reported comprehensive sexual history taking, and 8 studies reported differences in how providers obtain a sexual history when patient and provider demographics are considered. Three studies found a positive link between providers who discuss sexual history and provider sexually transmitted disease testing.
CONCLUSIONS
When sexual histories are obtained, they are not comprehensive, and providers may discuss sexual history differentially based on patients' demographic characteristics. Providers who discuss patients' sexual history may be more likely to also provide sexual health preventive care.
Identifiants
pubmed: 33093285
pii: 00007435-202106000-00002
doi: 10.1097/OLQ.0000000000001319
doi:
Types de publication
Journal Article
Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
393-402Informations de copyright
Copyright © 2020 American Sexually Transmitted Diseases Association. All rights reserved.
Déclaration de conflit d'intérêts
Conflict of Interest and Sources of Funding: None of the authors have conflicts of interest to declare. No sources of support have been obtained for this work.
Références
Centers for Disease Control and Prevention. Sexually Transmitted Disease Surveillance 2018. Atlanta: U.S. Department of Health and Human Services, 2019.
Workowski KA, Bolan GA; Centers for Disease Control and Prevention. Sexually transmitted diseases treatment guidelines, 2015. MMWR Recomm Rep 2015; 64(RR-03):1–137.
Schuz N, Schuz B, Eid M. When risk communication backfires: Randomized controlled trial on self-affirmation and reactance to personalized risk feedback in high-risk individuals. Health Psychol 2013; 32:561–570.
Sheeran P, Harris PR, Epton T. Does heightening risk appraisals change people's intentions and behavior? A meta-analysis of experimental studies. Psychol Bull 2014; 140:511–543.
Alexander JA, Hearld LR, Mittler JN, et al. Patient-physician role relationships and patient activation among individuals with chronic illness. Health Serv Res 2012; 47(3 Pt 1):1201–1223.
Flickinger TE, Saha S, Moore RD, et al. Higher quality communication and relationships are associated with improved patient engagement in HIV care. J Acquir Immune Defic Syndr 2013; 63:362–366.
Burstein GR, Lowry R, Klein JD, et al. Missed opportunities for sexually transmitted diseases, human immunodeficiency virus, and pregnancy prevention services during adolescent health supervision visits. Pediatrics 2003; 111(5 Pt 1):996–1001.
Tao G, Irwin KL, Kassler WJ. Missed opportunities to assess sexually transmitted diseases in U.S. adults during routine medical checkups. Am J Prev Med 2000; 18:109–114.
Wimberly YH, Hogben M, Moore-Ruffin J, et al. Sexual history-taking among primary care physicians. J Natl Med Assoc 2006; 98:1924–1929.
Bull SS, Rietmeijer C, Fortenberry JD, et al. Practice patterns for the elicitation of sexual history, education, and counseling among providers of STD services: Results from the gonorrhea community action project (GCAP). Sex Transm Dis 1999; 26:584–589.
Carter JW Jr., Hart-Cooper GD, Butler MO, et al. Provider barriers prevent recommended sexually transmitted disease screening of HIV-infected men who have sex with men. Sex Transm Dis 2014; 41:137–142.
Torkko KC, Gershman K, Crane LA, et al. Testing for chlamydia and sexual history taking in adolescent females: Results from a statewide survey of Colorado primary care providers. Pediatrics 2000; 106:E32.
Lafferty WE, Downey L, Shields AW, et al. Adolescent enrollees in medicaid managed care: The provision of well care and sexual health assessment. J Adolesc Health 2001; 28:497–508.
Bakken S, Holzemer WL, Brown MA, et al. Relationships between perception of engagement with health care provider and demographic characteristics, health status, and adherence to therapeutic regimen in persons with HIV/AIDS. AIDS Patient Care STDS 2000; 14:189–197.
Douglas JM Jr., Fenton KA. Understanding sexual health and its role in more effective prevention programs. Public Health Rep 2013; 128(Suppl 1):1–4.
Robinson SJ, Stellato A, Stephens J, et al. On the road to well-being: The development of a communication framework for sexual health. Public Health Rep 2013; 128(Suppl 1):43–52.
Banas DA, Cromer BA, Santana M, et al. Comparison of clinical evaluation of genitourinary symptoms in female adolescents among primary care versus emergency department physicians. J Pediatr Adolesc Gynecol 2010; 23:71–76.
Barbee LA, Khosropour CM, Dombrowski JC, et al. An estimate of the proportion of symptomatic gonococcal, chlamydial and non-gonococcal nonchlamydial urethritis attributable to oral sex among men who have sex with men: A case-control study. Sex Transm Infect 2016; 92:155–160.
Goyal M, McCutcheon M, Hayes K, et al. Sexual history documentation in adolescent emergency department patients. Pediatrics 2011; 128:86–91.
Goyal MK, Witt R, Hayes KL, et al. Clinician adherence to recommendations for screening of adolescents for sexual activity and sexually transmitted infection/human immunodeficiency virus. J Pediatr 2014; 165:343–347.
Lafferty WE, Downey L, Holan CM, et al. Provision of sexual health services to adolescent enrollees in medicaid managed care. Am J Public Health 2002; 92:1779–1783.
Loeb DF, Lee RS, Binswanger IA, et al. Patient, resident physician, and visit factors associated with documentation of sexual history in the outpatient setting. J Gen Intern Med 2011; 26:887–893.
Ports KA, Barnack-Tavlaris JL, Syme ML, et al. Sexual health discussions with older adult patients during periodic health exams. J Sex Med 2014; 11:901–908.
Riese A, Tarr EE, Baird J, et al. Documentation of sexual history in hospitalized adolescents on the general pediatrics service. Hosp Pediatr 2018; 8:179–186.
Schechter SB, Romo DL, Cohall AT, et al. Approach to human immunodeficiency virus/sexually transmitted infection testing for men at an urban urgent care center. Sex Transm Dis 2017; 44:255–259.
Sequeira S, Morgan JR, Fagan M, et al. Evaluating quality of care for sexually transmitted infections in different clinical settings. Sex Transm Dis 2015; 42:717–724.
Loeb DF, Aagaard EM, Cali SR, et al. Modest impact of a brief curricular intervention on poor documentation of sexual history in university-based resident internal medicine clinics. J Sex Med 2010; 7:3315–3321.
Aral SO. Partner concurrency and the STD/HIV epidemic. Curr Infect Dis Rep 2010; 12:134–139.
Pilcher CD, Eron JJ Jr., Vemazza PL, et al. Sexual transmission during the incubation period of primary HIV infection. JAMA 2001; 286:1713–1714.
Szerlip MA, DeSalvo KB, Szerlip HM. Predictors of HIV-infection in older adults. J Aging Health 2005; 17:293–304.
Centers for Disease Control and Prevention: US Public Health Service: Preexposure prophylaxis for the prevention of HIV infection in the United States—2017 update: a clinical practice guideline. Available at: https://www.cdc.gov/hiv/pdf/risk/prep/cdc-hiv-prep-guidelines-2017.pdf . Published March 2018.
Dretler AW, Trolard A, Bergquist EP, et al. The influence of race and sex on gonorrhea and chlamydia treatment in the emergency department. Am J Emerg Med 2020; 38:566–570.
Ahmad FA, Jeffe DB, Plax K, et al. Computerized self-interviews improve chlamydia and gonorrhea testing among youth in the emergency department. Ann Emerg Med 2014; 64:376–384.
Song F, Hooper L, Loke YK. Publication bias: What is it? How do we measure it? How do we avoid it?Open Access J of Clin Trials 2013; 5:71–81.