Institute of Social and Preventive Medicine (IUMSP), University Hospital Centre and University of Lausanne, Switzerland.
Swiss Med Wkly. 2011 Mar 8;141:w13178. doi: 10.4414/smw.2011.13178. eCollection 2011.
QUESTIONS UNDER STUDY/PRINCIPLES: Little is known concerning patients' expectations regarding sexual history taking by doctors: to ascertain expectations and actual experience of talking about sexuality among male patients attending outpatient clinics, and their sexual behaviour.
Patients consecutively recruited from two outpatient clinics in Lausanne, Switzerland were provided with an anonymous self-administered questionnaire. Survey topics were: patients' expectations concerning sexual history taking, patients' lifetime experience of sexual history taking, and patients' sexual behaviour.
The response rate was 53.0% (N = 1452). Among respondents, 90.9% would like their physician to ask them questions regarding their sexual history in order to receive advice on prevention (60.0% yes, 30.9% rather yes). Fifteen percent would be embarrassed or rather embarrassed if asked such questions. Nevertheless, 76.2% of these individuals would like their physician to do so. Despite these wishes, only 40.5% reported ever having a discussion "on their sexual life in general" with a doctor. Only one patient out of four to five was asked about previous sexually transmitted infections (STIs), the number of sexual partners and their sexual orientation. No feature of their sexual life distinguishes those who had discussed sexual issues with a doctor from those who had not, except a history of previous consultation for health problems related to sexuality. Conversely, being embarrassed about conducting this discussion was significantly associated with lack of discussion regarding sexuality.
This study highlights the gap existing in the field of STI prevention in terms of doctors' advice and patients' wishes.
研究问题/原则：关于患者对医生进行性病史询问的期望，我们知之甚少：为了确定在瑞士洛桑的两个门诊诊所就诊的男性患者对谈论性的期望和实际经验，以及他们的性行为。
从瑞士洛桑的两个门诊诊所连续招募患者，为他们提供匿名的自我管理问卷。调查主题包括：患者对性病史询问的期望、患者一生接受性病史询问的经历，以及患者的性行为。
应答率为 53.0%（N=1452）。在应答者中，90.9%的人希望医生询问他们有关性史的问题，以便就预防问题提供建议（60.0%的人非常希望，30.9%的人比较希望）。15%的人如果被问到这样的问题会感到尴尬或比较尴尬。然而，其中 76.2%的人希望医生这样做。尽管有这些愿望，但只有 40.5%的人报告曾与医生就“一般性生活”进行过讨论。只有四分之一到五分之一的患者被问及以前的性传播感染（STIs）、性伴侣数量和性取向。除了与性行为相关的健康问题咨询史外，他们的性生活没有任何特征可以区分与医生讨论过性问题的人与没有讨论过性问题的人。相反，对进行这种讨论感到尴尬与缺乏关于性的讨论显著相关。
本研究强调了在性传播感染预防领域，医生的建议和患者的愿望之间存在差距。
