TY - JOUR
T1 - Patient-provider communication about sexual health among unmarried middle-aged and older women
AU - Politi, Mary C.
AU - Clark, Melissa A.
AU - Armstrong, Gene
AU - McGarry, Kelly A.
AU - Sciamanna, Christopher N.
N1 - Funding Information:
Support for this research was provided by the National Cancer Institute, K07-CA87070, to Melissa A. Clark, PhD and the National Cancer Institute 2 R25 CA087972-06A2 to The Miriam Hospital. Received September 4, 2008 Revised December 30, 2008 Accepted February 3, 2009 Published online February 14, 2009
Funding Information:
Acknowledgements: This work was supported by the National Cancer Institute, K07-CA87070, to Melissa A. Clark, PhD and the R25T Transdisciplinary Cancer Control Research Training Grant (2 R25 CA087972-06A2) to the Miriam Hospital.
PY - 2009/4
Y1 - 2009/4
N2 - BACKGROUND: Although past studies have highlighted the importance of patient-provider communication about sexual health and intimate relationships (SHIR), much of the research has focused on young women's or married women's experiences when discussing SHIR with their providers. OBJECTIVE: To describe experiences of unmarried, middle-aged and older women in communicating about SHIR with their health care providers. DESIGN AND PARTICIPANTS: Qualitative interviews were conducted with 40 unmarried women aged 40-75 years. We compared the responses of 19 sexual minority (lesbian and bisexual) women and 21 heterosexual women. RESULTS: Women varied in their definitions of intimate relationships. Not all women thought providers should ask about SHIR unless questions were directly related to a health problem, and most were not satisfied with questions about SHIR on medical intake forms. However, the themes women considered to be important in communication about SHIR were remarkably consistent across subgroups (e.g. previously married or never married; sexual minority or heterosexual). Sexual minority women were more hesitant to share information about SHIR because they had had prior negative experiences when disclosing their sexual orientation or perceived that clinicians were not informed about relevant issues. CONCLUSIONS: Some women felt that providers should ask about SHIR only if questions relate to an associated health problem (e.g. sexually transmitted infection). When providers do ask questions about SHIR, they should do so in ways that can be answered by all women regardless of partnering status, and follow questions with non-judgmental discussions.
AB - BACKGROUND: Although past studies have highlighted the importance of patient-provider communication about sexual health and intimate relationships (SHIR), much of the research has focused on young women's or married women's experiences when discussing SHIR with their providers. OBJECTIVE: To describe experiences of unmarried, middle-aged and older women in communicating about SHIR with their health care providers. DESIGN AND PARTICIPANTS: Qualitative interviews were conducted with 40 unmarried women aged 40-75 years. We compared the responses of 19 sexual minority (lesbian and bisexual) women and 21 heterosexual women. RESULTS: Women varied in their definitions of intimate relationships. Not all women thought providers should ask about SHIR unless questions were directly related to a health problem, and most were not satisfied with questions about SHIR on medical intake forms. However, the themes women considered to be important in communication about SHIR were remarkably consistent across subgroups (e.g. previously married or never married; sexual minority or heterosexual). Sexual minority women were more hesitant to share information about SHIR because they had had prior negative experiences when disclosing their sexual orientation or perceived that clinicians were not informed about relevant issues. CONCLUSIONS: Some women felt that providers should ask about SHIR only if questions relate to an associated health problem (e.g. sexually transmitted infection). When providers do ask questions about SHIR, they should do so in ways that can be answered by all women regardless of partnering status, and follow questions with non-judgmental discussions.
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U2 - 10.1007/s11606-009-0930-z
DO - 10.1007/s11606-009-0930-z
M3 - Article
C2 - 19219512
AN - SCOPUS:67649933508
SN - 0884-8734
VL - 24
SP - 511
EP - 516
JO - Journal of general internal medicine
JF - Journal of general internal medicine
IS - 4
ER -