Brazilian Residents' Attitude and Practice Toward Sexual Health Issues in Pregnant Patients

Imagem de Miniatura
Arquivos
art_VIEIRA_Brazilian_Residents_Attitude_and_Practice_Toward_Sexual_Health_2012.PDF (103.73 KB)
Citações na Scopus
12
Tipo de produção
article
Data de publicação
2012
DOI
Scopus
Web of Science
PubMed
Título da Revista
ISSN da Revista
Título do Volume
Editora
WILEY-BLACKWELL
Autores
VIEIRA, Teresa C. S. B.
SOUZA, Eduardo de
TORLONI, Maria Regina
SANTANA, Tania G. M.
LEITE, Alessandra P. L.
NAKAMURA, Mary U.
Citação
JOURNAL OF SEXUAL MEDICINE, v.9, n.10, p.2516-2524, 2012
Projetos de Pesquisa
Unidades Organizacionais
Fascículo
Resumo
Introduction. Sexual difficulties and questions regarding sexual function are frequent in pregnancy, yet they are infrequently discussed in academic communities, medical schools, and residency programs. Embarrassment, lack of experience, inadequate communication skills and insufficient knowledge on how to deal with sexual complaints, and questions in pregnancy are common, especially among young health professionals. Aim. The aim of this study was to assess and compare the attitude and behavior of Brazilian residents in three different medical programs (obstetrics-gynecology, internal medicine, and psychiatry) toward sexual health issues of pregnant patients. Methods. Survey conducted in a single Brazilian university using anonymous self-responsive questionnaires on how residents deal with sexual health issues of obstetric patients. A total of 154 residents from the three different programs (47 obstetrics-gynecology, 33 psychiatry, 74 internal medicine) participated. Main Outcome Measures. Attitude and practice of medical residents regarding sexual health issues of pregnant patients. Results. Less than 20% of the residents reported that they routinely asked obstetric patients about their sexual health, although almost 70% stated this should be part of every history. Psychiatry residents were significantly more likely to actively seek information about the sexual health of obstetric patients than others (57.6%, 17%, 4.1%, psychiatry, obstetrics-gynecology, internal medicine, respectively, P < 0.001). Although over 80% answered that most obstetric patients react well or indifferently to questions about sexual function, less than 25% of the residents reported being completely confident answering these questions, and 71% of them admitted that they lacked specific knowledge in the area of sexual dysfunctions. The two main obstacles in evaluating patients' sexuality were lack of specific knowledge and not enough time to explore these aspects in medical consultations, reported by 71% and 20% of all participants, respectively. Conclusions. Most residents do not feel comfortable or confident and lack specific knowledge and skills to deal with questions related to sexual problems during pregnancy. Vieira TCSB, de Souza E, Abdo CHN, Torloni MR, Santana TGM, Leite APL, and Nakamura MU. Brazilian residents' attitude and practice toward sexual health issues in pregnant patients. J Sex Med **;**:****.
Palavras-chave
Sexual Behavior, Pregnancy, Medical Education, Medical Residency, Sexuality
URI
https://observatorio.fm.usp.br/handle/OPI/1049
Referências
  1. Abdo C. H. N., 2004, Revista Brasileira de Medicina, V61, P608
  2. Abdo C H, 1984, Rev Paul Med, V102, P282
  3. Abdulmohsen M F, 2004, East Mediterr Health J, V10, P648
  4. Aschka C, 2001, J FAM PRACTICE, V50, P773
  5. Aslan G, 2005, INT J IMPOT RES, V17, P154, DOI 10.1038/sj.ijir.3901288
  6. Bartellas E, 2000, BRIT J OBSTET GYNAEC, V107, P964, DOI 10.1111/j.1471-0528.2000.tb10397.x
  7. Derenne J, 2010, ACAD PSYCHIATR, V34, P321, DOI 10.1176/appi.ap.34.5.321
  8. Dogan S, 2008, INT PSYCHOGERIATR, V20, P1019, DOI 10.1017/S1041610208007229
  9. Fok WY, 2005, ACTA OBSTET GYN SCAN, V84, P934, DOI 10.1111/j.0001-6349.2005.00743.x
  10. Garcia Meivys, 2008, J Obstet Gynaecol Can, V30, P59
  11. Gokyildiz S, 2005, J SEX MARITAL THER, V31, P201, DOI 10.1080/00926230590513410
  12. Gott M, 2004, SOC SCI MED, V58, P2093, DOI 10.1016/socscimed.2003.08.025
  13. Gott M, 2004, FAM PRACT, V21, P528, DOI 10.1093/fampra/cmh509
  14. Johnson CE, 2011, J SEX MED, V8, P1267, DOI 10.1111/j.1743-6109.2011.02223.x
  15. Kingsberg SA, 2006, OBSTET GYN CLIN N AM, V33, P535, DOI 10.1016/j.ogc.2006.09.002
  16. Leite APL, 2009, REV ASSOC MED BRAS, V55, P563
  17. Morreale MK, 2010, ACAD PSYCHIATR, V34, P346, DOI 10.1176/appi.ap.34.5.346
  18. Naldoni LMV, 2011, J SEX MARITAL THER, V37, P116, DOI 10.1080/0092623X.2011.560537
  19. Oboro VO, 2002, INT J GYNECOL OBSTET, V78, P249, DOI 10.1016/S0020-7292(02)00151-0
  20. Pancholy AB, 2011, J SEX MED, V8, P361, DOI 10.1111/j.1743-6109.2010.02117.x
  21. Parish SJ, 2007, J SEX MED, V4, P259, DOI 10.1111/j.1743-6109.2007.00430.x
  22. Pauleta JR, 2010, J SEX MED, V7, P136, DOI 10.1111/j.1743-6109.2009.01538.x
  23. Read S, 1997, J PUBLIC HEALTH MED, V19, P387
  24. Rosen R, 2006, J SEX MED, V3, P37, DOI 10.1111/j.1743-6109.2005.00135.x
  25. Sacomori C, 2010, J SEX MARITAL THER, V36, P124, DOI 10.1080/00926230903554503
  26. Segraves RT, 2010, ACAD PSYCHIATR, V34, P328, DOI 10.1176/appi.ap.34.5.328
  27. Solursh DS, 2003, INT J IMPOT RES, V15, pS41, DOI 10.1038/sj.ijir.3901071
  28. Stead ML, 2003, BRIT J CANCER, V88, P666, DOI 10.1038/sj.bjc.6600799
  29. KUYKEN W, 1995, SOC SCI MED, V41, P1403
  30. Trutnovsky G, 2006, AUST NZ J OBSTET GYN, V46, P282, DOI 10.1111/j.1479-828X.2006.00592.x
  31. Wagner G, 2005, INT J ANDROL, V28, P7, DOI 10.1111/j.1365-2605.2005.00581.x
  32. Wylie K, 2010, ACAD PSYCHIATR, V34, P397, DOI 10.1176/appi.ap.34.5.397

Coleções
Artigos e Materiais de Revistas Científicas - FM/MPS
Artigos e Materiais de Revistas Científicas - HC/IPq