دورية أكاديمية

Asking women with diabetes about sexual problems: An exploratory study of NHS professionals' attitudes and practice: A survey of healthcare professionals regarding communication and silences about sexual problems during the routine care of women with diabetes.

التفاصيل البيبلوغرافية
العنوان: Asking women with diabetes about sexual problems: An exploratory study of NHS professionals' attitudes and practice: A survey of healthcare professionals regarding communication and silences about sexual problems during the routine care of women with diabetes.
المؤلفون: Murphy JC; Faculty of Arts & Social Sciences, University of Surrey, Guilford, UK., Cooke D; Faculty of Health & Medical Sciences, University of Surrey, Guildford, UK.; Atlantis Health Ltd, London, UK., Griffiths D; Faculty of Arts & Social Sciences, University of Surrey, Guilford, UK., Setty E; Faculty of Arts & Social Sciences, University of Surrey, Guilford, UK., Winkley-Bryant K; Division of Care in Long-Term Conditions, Faculty of Nursing, Midwifery & Palliative Care, King's College London, London, UK.
المصدر: Diabetic medicine : a journal of the British Diabetic Association [Diabet Med] 2024 Aug; Vol. 41 (8), pp. e15370. Date of Electronic Publication: 2024 Jun 04.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Blackwell Science Country of Publication: England NLM ID: 8500858 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1464-5491 (Electronic) Linking ISSN: 07423071 NLM ISO Abbreviation: Diabet Med Subsets: MEDLINE
أسماء مطبوعة: Publication: Oxford : Blackwell Science
Original Publication: Chichester [Sussex, England] ; New York : Wiley, [c1984-
مواضيع طبية MeSH: Attitude of Health Personnel* , Sexual Dysfunction, Physiological*/epidemiology , Sexual Dysfunction, Physiological*/psychology, Humans ; Female ; Male ; United Kingdom/epidemiology ; Adult ; Surveys and Questionnaires ; Middle Aged ; Communication ; Diabetes Mellitus/epidemiology ; Diabetes Mellitus/psychology ; State Medicine ; Health Personnel/psychology ; Sexual Dysfunctions, Psychological/psychology ; Sexual Dysfunctions, Psychological/epidemiology ; Sexual Dysfunctions, Psychological/etiology ; Health Knowledge, Attitudes, Practice
مستخلص: Aims: To explore UK healthcare professionals' practice and attitudes towards asking women with diabetes about sexual health problems, including symptoms of female sexual dysfunction (FSD).
Methods: An online questionnaire to address the study aims was developed, piloted by ten healthcare professionals (HCPs) and completed by 111 eligible HCPs, recruited via professional networks and social media. Free text data were analysed and reported thematically. Two questions were analysed to test the hypothesis of differences between men's and women's responses.
Results: The majority of respondents did not ask women with diabetes about sexual problems. Multiple barriers to inquiry were reported, including inadequate training, time constraints, competing priorities, the perceived likelihood that questions will cause surprise or distress (especially for certain groups of women), the belief that sexual problems are to be expected as women age, and the belief that FSD is complex or untreatable, with unclear management pathways. Exploratory findings indicated significant differences in men and women's responses (men disagreed more strongly with prioritisation, and fewer reported routine inquiry about sexual problems in their usual practice).
Conclusions: HCPs reported not asking women with diabetes about sexual problems during routine care. They described multiple factors reinforcing the silence about sexual health, including inadequate education and perceived social risk for individual HCPs who deviate from the patterns of topics usually discussed in diabetes consultations.
(© 2024 The Author(s). Diabetic Medicine published by John Wiley & Sons Ltd on behalf of Diabetes UK.)
References: World Health Organization. Sexual Health and its Linkages to Reproductive Health: An Operational Approach. 2017 3.
Winkley K, Kristensen C, Fosbury J. Sexual health and function in women with diabetes. Diabet Med. 2021;38(11):e14644.
Porth AK, Huberts AS, Rogge A, et al. Standardising personalised diabetes care across European health settings: a person‐centred outcome set agreed in a multinational Delphi study. Diabet Med. 2023;41(5):e15259.
Hashim R, Forde R, Ausili D, Forbes A. Prevalence and associated factors of sexual dysfunction in premenopausal women with type 1 diabetes: a systematic review and meta‐analysis. Diabet Med. 2023;40:e15173.
American Psychiatric Association. Diagnostic and statistical manual of mental disorders: DSM‐5™. 5th ed.; 2013. American Psychiatric Association Publishing.
Tiefer L. Beyond the medical model of women's sexual problems: a campaign to resist the promotion of female sexual dysfunction'. Sex Relatsh Ther. 2002;17(2):127‐135.
Ogden G. The taming of the screw: reflections on “a new view of Women's sexual problems.”. A New View of women's Sexual Problems. Routledge; 2014:17‐21.
Rockliffe‐Fidler C, Kiemle G. Sexual function in diabetic women: a psychological perspective. Sex Relatsh Ther. 2003;18(2):143‐159.
Barnard KD, Naranjo D, Johnson N, et al. Diabetes and female sexual health: an ongoing challenge. Pract Diab. 2019;36:165‐169.
Robertson C, Lin A, Smith G, et al. The impact of externally worn diabetes technology on sexual behavior and activity, body image, and anxiety in type 1 diabetes. J Diabetes Sci Technol. 2020;14(2):303‐308.
Kaschak E, Tiefer L. A New View of women's Sexual Problems. Vol 24. Routledge; 2014:5.
Jones Z, Akerman J, Bajurny V, Gaudreau A, Rochon P, Mason R. Exploring the lived experience of diabetes through an intersectional lens: a qualitative study of adults with type 1 and type 2 diabetes. Can J Diabetes. 2022;46(6):620‐627.
Hughes AK, Lewinson TD. Facilitating communication about sexual health between aging women and their health care providers. Qual Health Res. 2015;25(4):540‐550.
Kingsberg SA, Schaffir J, Faught BM, et al. Female sexual health: barriers to optimal outcomes and a roadmap for improved patient–clinician communications. J Women's Health. 2019;28(4):432‐443.
Lindau ST, Tang H, Gomero A, et al. Sexuality among middle age and older adults with diagnosed and undiagnosed diabetes: a national, population‐based study. Diabetes Care. 2010;33:2202‐2210.
Ejegi‐Memeh S, Hinchliff S, Johnson M. Sexual health discussions between healthcare professionals and midlife‐older women living with type 2 diabetes: an interpretative phenomenological study. J Adv Nurs. 2021;77(3):1411‐1421.
Gott M, Galena E, Hinchliff S, Elford H. Opening a can of worms: GP and practice nurse barriers to talking about sexual health in primary care. Fam Pract. 2004;21(5):52‐536.
Dyer K, das Nair R. Why don't healthcare professionals talk about sex? A systematic review of recent qualitative studies conducted in the United Kingdom. J Sex Med. 2013;10(11):2658‐2670.
Boateng GO, Neilands TB, Frongillo EA, Melgar‐Quiñonez HR, Young SL. Best practices for developing and validating scales for health, social, and behavioral research: a primer. Front Public Health. 2018;6:149.
French DP, Cooke R, Mclean N, Williams M, Sutton S. What do people think about when they answer theory of planned behaviour questionnaires? A “think aloud” study. J Health Psychol. 2007;12(4):672‐687.
Braun V, Clarke V. Using thematic analysis in psychology. Qual Res Psychol. 2006;3(2):77‐101.
NHS. NHS Workforce Statistics. NHS choices. 2022. https://digital.nhs.uk/data‐and‐information/publications/statistical/nhs‐workforce‐statistics/june‐2022 Accessed 19/10/2023.
Phillips D, Brooks F. Women patients' preferences for female or male GPs. Fam Pract. 1998;15(6):543‐547.
Antos G, Ventola E, Weber T. Handbook of Interpersonal Communication. De Gruyter Mouton; 2008.
Goffman E. The Presentation of Self in Everyday Life. Penguin; 1990.
Montemurro B, Bartasavich J, Wintermute L. Let's (not) talk about sex: the gender of sexual discourse. Sex Cult. 2015;19:139‐156.
National Institute of Health and Care Excellence [NICE]. 2015 NG 17.
Hinchliff S, Gott M. Perceptions of well‐being in sexual ill health: what role does age play? J Health Psychol. 2004;9(5):649‐660.
Annon JS. The PLISSIT model: a proposed conceptual scheme for the behavioral treatment of sexual problems. Journal of Sex Education and Therapy. 1976;2(1):1‐15.
Mehrabi M, Lotfi R, Rahimzadeh M, Merghati Khoei E. Effectiveness of sexual counseling using PLISSIT model on sexual function of women with type 2 diabetes mellitus: results from a randomized controlled trial. Int J Diabetes Dev Ctries. 2019;39:626‐632.
فهرسة مساهمة: Keywords: diabetes mellitus; female; physiological; professionals; sexual dysfunction
تواريخ الأحداث: Date Created: 20240605 Date Completed: 20240722 Latest Revision: 20240722
رمز التحديث: 20240722
DOI: 10.1111/dme.15370
PMID: 38837551
قاعدة البيانات: MEDLINE
الوصف
تدمد:1464-5491
DOI:10.1111/dme.15370