Department of Pediatrics, University of Pittsburgh School of Medicine, 120 Lytton Avenue Suite M060 Pittsburgh, PA, 15213, United States; Center for Innovative Research on Gender Health Equity (CONVERGE), University of Pittsburgh, 120 Lytton Avenue Suite M060 Pittsburgh, PA, 15213, United States.
Center for Innovative Research on Gender Health Equity (CONVERGE), University of Pittsburgh, 120 Lytton Avenue Suite M060 Pittsburgh, PA, 15213, United States; UPMC Children's Hospital of Pittsburgh, 4401 Penn Ave. Pittsburgh, PA, 15224, United States.
J Cyst Fibros. 2024 May;23(3):417-423. doi: 10.1016/j.jcf.2023.10.023. Epub 2023 Nov 11.
Males with cystic fibrosis (MwCF) have unique sexual and reproductive health (SRH) concerns. This study investigates multidisciplinary CF clinician perspectives related to SRH for MwCF in the current era of CF care.
We surveyed multidisciplinary clinicians exploring attitudes, practices, and preferences toward male CF SRH care. We compared responses across groups by population served (pediatric vs. adult vs. both pediatric and adult MwCF) using chi square/Fisher's exact tests.
A total of 297 clinicians completed the survey (41 % pediatric, 36 % adult, 23 % both; 27 % physicians, 24 % social workers, 11 % nurses, 41 % other). Nearly all (98 %) believed the CF team had a role in SRH care with 75 % believing they should be primarily responsible. Pediatric clinicians were less likely to deem SRH topics important and less likely to report annual discussions compared to adult colleagues (all p<0.05). Pediatric clinicians reported less comfort in their SRH knowledge than adult colleagues (p<0.001) and in their ability to provide SRH care (p<0.05). Common barriers endorsed by respondents included lack of SRH knowledge (75 %) and presence of family/partners in exam room (64 %). A majority rated SRH screening tools (91 %), partnerships with SRH specialists (90 %), clinician training (83 %), and management algorithms (83 %) as potential facilitators.
Multidisciplinary CF clinicians perceive SRH for MwCF as important but report suboptimal SRH discussions. Pediatric clinicians report significantly less comfort and skill in discussing and managing male SRH. Identified barriers and facilitators should be used to improve SRH care for MwCF.
患有囊性纤维化（CF）的男性（MwCF）具有独特的性与生殖健康（SRH）问题。本研究旨在探讨 CF 治疗时代，多学科 CF 临床医生对 MwCF 的 SRH 问题的看法。
我们调查了多学科临床医生，以了解他们对 MwCF 的 CF 患者 SRH 护理的态度、实践和偏好。我们通过卡方检验/Fisher 精确检验，比较了不同人群（儿科、成人、儿科和成人）的反应。
共有 297 名临床医生完成了这项调查（41%为儿科，36%为成人，23%为儿科和成人；27%为医生，24%为社会工作者，11%为护士，41%为其他）。几乎所有（98%）的人认为 CF 团队在 SRH 护理中发挥作用，其中 75%的人认为他们应该承担主要责任。与成人同事相比，儿科临床医生认为 SRH 话题不重要，并且每年的讨论较少（均 p<0.05）。儿科临床医生在 SRH 知识和提供 SRH 护理方面的舒适度低于成人同事（p<0.001 和 p<0.05）。受访者普遍认为缺乏 SRH 知识（75%）和家庭成员/伴侣在检查室中（64%）是障碍。大多数人认为 SRH 筛查工具（91%）、与 SRH 专家的合作（90%）、临床医生培训（83%）和管理算法（83%）具有潜在的促进作用。
多学科 CF 临床医生认为 MwCF 的 SRH 很重要，但报告说 SRH 讨论不足。儿科临床医生在讨论和管理男性 SRH 方面的舒适度和技能明显较低。确定的障碍和促进因素应被用于改善 MwCF 的 SRH 护理。
