The University of Birmingham, UK.
Med Teach. 2011;33(6):e324-32. doi: 10.3109/0142159X.2011.575902.
Sex, sexuality and sexual health beliefs are individual, impacting on physical and mental health. Sexual history taking is rarely taught in General Practice (GP). However, 'sex' is routinely relevant in this setting. Birmingham students practice discussing sexual history with a simulated-patient in GP. Simulated-patient inclusion in teaching/assessment is well-documented, but no study evaluating the impact of role play on attitudes to people who need STI testing was identified. We aimed to identify whether facilitated simulations featuring a sexual history scenario effected change in students' attitudes towards people who need STI testing. A randomised-controlled-trial was used to compare attitudinal scores between students exposed to an STI role play and a control group who did not receive the role-play teaching until after data capture. There were no significant differences in attitude, either in negative or positive direction, observed between control and intervention groups. Ethnicity was a significant variable, with white-British students self-reporting more positive attitudes. Twenty five percent students admitted personal STI exposure. Again response varied significantly between ethnic groups (the white-British group reporting 4× the exposure). Females reported more positive attitudes than males, most marked in relation to 'willingness to date' someone who admitted to STI testing.
性、性行为和性健康信念是个人的，影响身心健康。性史采集在全科医学中很少教授。然而，“性”在这种情况下是经常相关的。伯明翰的学生在全科医学中与模拟患者练习讨论性史。模拟患者在教学/评估中的纳入得到了充分的记录，但没有发现评估角色扮演对需要性传播感染检测的人态度影响的研究。我们旨在确定是否有促进性历史情景的模拟能够改变学生对需要性传播感染检测的人的态度。我们使用随机对照试验比较了接受性传播感染角色扮演的学生和对照组的态度得分，对照组直到数据收集后才接受角色扮演教学。在态度方面，无论是在负面还是积极方向上，干预组和对照组之间都没有显著差异。种族是一个重要的变量，白种英国人的学生自我报告的态度更为积极。25%的学生承认有个人性传播感染经历。同样，种族之间的反应差异很大（白种英国人组报告的暴露率是其他组的 4 倍）。女性的态度比男性更为积极，尤其是在“愿意与承认性传播感染检测的人约会”方面。
