Hughes Anne K, Lewinson Terri D W
Michigan State University, East Lansing, Michigan, USA
Georgia State University, Atlanta, Georgia, USA.
Qual Health Res. 2015 Apr;25(4):540-50. doi: 10.1177/1049732314551062. Epub 2014 Sep 16.
Many women experience changes in sexual health as they age, and discussing these changes with health care providers is an essential component of optimal health management. The purpose of this study was to understand aging women's perspectives about communicating with providers about sexual health. We used the integrative model of behavioral prediction as a theoretical lens to explore women's attitudes, perceived norms, and perceived self-efficacy that promote or inhibit the likelihood of communicating about sexual health. In this theory-based qualitative study, we interviewed 28 community-dwelling older women in the Midwestern United States. Through thematic analysis, we identified both positive and negative attitudes about communicating with providers. Women seemed most inclined to discuss sexual health if they perceived that important patient-provider conditions, such as trust and rapport, were in place. Despite situational obstacles and perceived norms, these women held strong beliefs about their abilities to discuss sexual health topics with providers.
许多女性随着年龄增长会经历性健康方面的变化，与医疗保健提供者讨论这些变化是优化健康管理的重要组成部分。本研究的目的是了解老年女性对于与提供者交流性健康问题的看法。我们使用行为预测的整合模型作为理论视角，以探究促进或抑制性健康交流可能性的女性态度、感知规范和感知自我效能。在这项基于理论的定性研究中，我们采访了美国中西部28名居住在社区的老年女性。通过主题分析，我们确定了对于与提供者交流的积极和消极态度。如果女性认为存在诸如信任和融洽关系等重要的医患条件，她们似乎最倾向于讨论性健康问题。尽管存在情境障碍和感知规范，但这些女性对自己与提供者讨论性健康话题的能力抱有坚定信念。
