El-Kak F, Jurdi R, Kaddour A, Zurayk H
Department of Health Education and Behavior, Faculty of Health Sciences, American University of Beirut, Beirut, Lebanon.
Int J Gynaecol Obstet. 2004 Dec;87(3):260-6. doi: 10.1016/j.ijgo.2004.09.002.
This study examines the readiness of obstetricians/gynecologists (Ob/Gyns) in Lebanon to provide sexual consultation, their degree of comfort when discussing issues of sexual health, and their attitudes regarding assessment, treatment, and referral. Data on these concepts were collected through face-to-face interviews with 286 randomly selected Ob/Gyns. Most Ob/Gyns reported feeling comfortable discussing sexuality during consultations, which they attributed much more to professional experience than to training. Most Ob/Gyns reported giving proper time for management of sexual health issues and follow-up, as these issues are brought up frequently by their women clients. However, results suggest that only one-third (31%) of Lebanese Ob/Gyns nearly always take the initiative in asking patients about their sexual health. Moreover, almost 45% of participating Ob/Gyns did not recognize a strong relationship between reproductive health and sexual functioning. Gender was not found to be an important predictor for any of the indicators measured in the present study. Ob/Gyns in Lebanon are significant consultants on various sexual issues, and they need better postgraduate training, continuing medical education, and access to medical congress resources on the topic of sexuality and its relationship to reproductive health.
本研究调查了黎巴嫩妇产科医生提供性咨询的意愿、讨论性健康问题时的舒适程度以及他们在评估、治疗和转诊方面的态度。通过对286名随机抽取的妇产科医生进行面对面访谈,收集了有关这些概念的数据。大多数妇产科医生报告称在咨询过程中讨论性问题时感到自在,他们将此更多地归因于专业经验而非培训。大多数妇产科医生报告说会为性健康问题的管理和随访留出适当时间,因为这些问题经常由女性患者提出。然而,结果表明,只有三分之一(31%)的黎巴嫩妇产科医生几乎总是主动询问患者的性健康情况。此外,近45%的参与研究的妇产科医生没有认识到生殖健康与性功能之间的紧密关系。在本研究中,未发现性别是所测量的任何指标的重要预测因素。黎巴嫩的妇产科医生是各种性问题的重要咨询者,他们需要更好的研究生培训、继续医学教育以及获取有关性及其与生殖健康关系主题的医学大会资源。