Hinchliff Sharron, Gott Merryn, Galena Elisabeth
Sheffield Institute for Studies on Ageing, University of Sheffield, Elmfield, Sheffield, UK.
Health Soc Care Community. 2005 Jul;13(4):345-53. doi: 10.1111/j.1365-2524.2005.00566.x.
The present paper explores general practitioners' (GPs') perspectives on the difficulties which they face when discussing sexual health issues with lesbian and gay patients in primary care consultations. It draws upon data obtained from a qualitative interview study with 22 GPs aged between 34 and 57 years who were practising in Sheffield, UK. Interviews were transcribed verbatim and the data were analysed thematically. The results indicate that (non-hetero)sexual orientation could form a barrier to talking about sexual health matters for almost half of this GP sample. Difficulties related primarily to ignorance of lesbian and gay lifestyles and sexual practices, and also included concerns about the appropriate language to use and assumptions about the nature of gay men's relationships. Homophobic attitudes were also identified in a minority of the sample. Participants suggested improvements around improving communication about sexual health with lesbian and gay patients. These included training at undergraduate and postgraduate levels, taking a proactive role during consultations, not making assumptions about patients' sexual orientation and having a non-discriminatory policy for their practice.
本文探讨了全科医生（GPs）在初级保健咨询中与女同性恋和男同性恋患者讨论性健康问题时所面临困难的观点。它借鉴了对英国谢菲尔德22名年龄在34至57岁之间的全科医生进行的定性访谈研究的数据。访谈内容逐字转录，并对数据进行了主题分析。结果表明，（非异性恋）性取向可能成为这个全科医生样本中近一半人谈论性健康问题的障碍。困难主要与对女同性恋和男同性恋生活方式及性行为的无知有关，还包括对使用恰当语言的担忧以及对男同性恋关系性质的假设。在少数样本中也发现了恐同态度。参与者建议在改善与女同性恋和男同性恋患者的性健康沟通方面做出改进。这些改进包括本科和研究生阶段的培训、在咨询过程中发挥积极作用、不假设患者的性取向以及在其执业中制定非歧视政策。
