Department of Educational, School, and Counseling Psychology, 4530University of Kentucky, Lexington, KY, USA.
Department of Psychological Science, 2092The University of Vermont, Burlington, VT, USA.
Qual Health Res. 2022 Aug;32(10):1527-1543. doi: 10.1177/10497323221110091. Epub 2022 Jun 25.
Ineffective patient-provider communication poses a potential health risk to Black women if medical providers are not addressing their needs or concerns. Additionally, less than half of OBGYNs report asking their patients about sexual difficulties, which limits women's opportunities to disclose their experiences of sexual pain. The purpose of this qualitative study is to explore Black women's experiences of patient-provider communication about sexual pain (reoccurring unwanted genital pain). Specifically, we aimed to describe the pathway from sexual pain disclosure to treatment among = 25 premenopausal Black women living in the southern United States who were experiencing sexual pain. Using constructivist grounded theory, open-ended responses to six interview questions related to healthcare experiences, treatment, and patient-provider communication were qualitatively analyzed and categorized to form a conceptual framework of patient-provider communication about sexual pain. Five key categories emerged related to Black women's experiences with their medical providers regarding sexual pain: (1) provider preferences, (2) healthcare experiences, (3) reasons for non-disclosure, (4) provider responses to sexual pain, and (5) treatment for sexual pain. Useful strategies to improve patient-provider communication are presented for both patients and providers.
无效的医患沟通如果医疗服务提供者不解决黑人女性的需求或问题，可能会对她们的健康造成潜在风险。此外，不到一半的妇产科医生报告询问患者的性困难，这限制了女性披露性疼痛经历的机会。本定性研究的目的是探索黑人女性在性疼痛（反复出现的不想要的生殖器疼痛）方面与医疗服务提供者沟通的经历。具体来说，我们旨在描述 25 名居住在美国南部的有性疼痛经历的绝经前黑人女性从性疼痛披露到治疗的途径。使用建构主义扎根理论，对与医疗保健体验、治疗和医患沟通相关的六个访谈问题的开放式回答进行了定性分析和分类，形成了一个关于性疼痛医患沟通的概念框架。五个关键类别与黑人女性在性疼痛方面与医疗服务提供者的经历有关：（1）提供者偏好，（2）医疗保健体验，（3）不披露的原因，（4）提供者对性疼痛的反应，（5）性疼痛的治疗。为患者和提供者提供了改善医患沟通的有用策略。
