Vik Audun, Brekke Mette
a Faculty of Medicine , University of Oslo , Oslo , Norway.
b Department of General Practice , Institute of Health and Society, University of Oslo , Oslo , Norway.
Scand J Prim Health Care. 2017 Dec;35(4):373-378. doi: 10.1080/02813432.2017.1398934. Epub 2017 Nov 6.
To explore how often general practitioners (GPs) deal with patients' sexual concerns, what kind of concerns are brought up and how the GPs deal with them.
Cross sectional observational study.
SETTING/SUBJECTS: 22 GPs in Southern Norway.
The percentage of consultations dealing with sexual concerns during three consecutive working days, as registered by the GPs on a questionnaire.
Out of 1 117 consultations, 47 (4.2%) dealt with sexual concerns, varying from 1.6 to 10.9% of consultations. The concerns brought up varied widely, with erectile dysfunction and pain related to sexual activity in females as the largest groups. Concerns regarding sexual orientation, preferences or behavior were also dealt with, as were problems due to sexual assaults or rape. In 36 (76.6%) of the consultations, discussion of the problem and/or advice was the only action. Medication was prescribed in one third of the consultations. Patients' mean age was 46.7 years, with a span from 17 up to 75 years and 60% were female. We found no associations between GP characteristics and how frequently they dealt with sexual concerns.
In around 4% of consultations, the GPs dealt with a wide variety of sexual concerns.
探讨全科医生（GPs）处理患者性问题的频率、出现的性问题类型以及全科医生如何处理这些问题。
横断面观察性研究。
设置/研究对象：挪威南部的22名全科医生。
全科医生在问卷上记录的连续三个工作日内涉及性问题的会诊百分比。
在1117次会诊中，47次（4.2%）涉及性问题，占会诊的1.6%至10.9%。提出的问题差异很大，勃起功能障碍和女性性活动相关疼痛是最大的类别。还处理了有关性取向、偏好或行为的问题，以及性侵犯或强奸导致的问题。在36次（76.6%）会诊中，对问题的讨论和/或建议是唯一的行动。三分之一的会诊中开了药。患者的平均年龄为46.7岁，年龄跨度从17岁到75岁，60%为女性。我们发现全科医生的特征与他们处理性问题的频率之间没有关联。
在大约4%的会诊中，全科医生处理了各种各样的性问题。
