Hogg Kirsten, Rizio Taletha, Manocha Ramesh, McLachlan Robert I, Hammarberg Karin
Healthy Male (Andrology Australia), Department of Epidemiology and Preventive Medicine, Public Health and Preventive Medicine, Monash University, Vic. 3004, Australia; and Corresponding author. Email:
Healthy Male (Andrology Australia), Department of Epidemiology and Preventive Medicine, Public Health and Preventive Medicine, Monash University, Vic. 3004, Australia.
Aust J Prim Health. 2019 Oct;25(4):353-358. doi: 10.1071/PY19069.
Potentially modifiable factors can affect male fertility and reproductive outcomes, including smoking, obesity, and older paternal age. This study surveyed GPs' knowledge about, attitudes towards, and needs for promoting fertility and preconception health to male patients. The survey, conducted February to June 2018 and completed by 304 GPs, included questions relating to men's preconception health, the potential barriers and enablers to discussing preconception health with male patients, and the types of resources that would enable GPs to discuss parenthood intentions with men of reproductive age. Most GPs (90%) did not feel confident in their knowledge about modifiable factors that affect male fertility. Two-thirds agreed that it was their role to discuss these factors with male patients, but nearly 80% practised this only occasionally. Lack of knowledge, the sensitivity of the subject and fertility being perceived as a female issue, were identified as barriers to discussing fertility and preconception health with male patients. To facilitate discussions, GPs wanted trustworthy websites and factsheets to refer patients to. Men do not typically receive fertility or preconception health advice in general practice. A national framework for preconception health care that includes men, GP education and training, and reproductive health resources for men is needed.
一些潜在的可改变因素会影响男性生育能力和生殖结局，包括吸烟、肥胖以及父亲年龄较大等。本研究调查了全科医生对于向男性患者宣传生育能力和孕前健康的知识、态度及需求。该调查于2018年2月至6月进行，共有304名全科医生完成，内容包括与男性孕前健康、与男性患者讨论孕前健康的潜在障碍和促进因素，以及能使全科医生与育龄男性讨论生育意愿的资源类型等相关问题。大多数全科医生（90%）对影响男性生育能力的可改变因素的知识缺乏信心。三分之二的人同意与男性患者讨论这些因素是他们的职责，但近80%的人只是偶尔这样做。知识缺乏、该话题的敏感性以及生育被视为女性问题，被认为是与男性患者讨论生育能力和孕前健康的障碍。为便于讨论，全科医生希望有可靠的网站和情况说明书供患者参考。在一般医疗实践中，男性通常不会得到生育能力或孕前健康方面的建议。需要一个涵盖男性、全科医生教育与培训以及男性生殖健康资源的全国孕前保健框架。
