Practice patterns for the elicitation of sexual history, education, and counseling among providers of STD services: Results from the gonorrhea community action project (GCAP)

Sheana S. Bull, Cornelis Rietmeijer, J. Fortenberry, Bradley Stoner, Kevin Malotte, Nancy Vandevanter, Susan E. Middlestadt, Edward W. Hook

Research output: Contribution to journalArticle

48 Citations (Scopus)

Abstract

Background: The frequently asymptomatic nature and high incidence of severe complications of sexually transmitted diseases (STD) calls for targeted efforts to identify those at greatest risk. Earlier studies have shown inconsistencies regarding STD evaluation by primary care clinicians and physicians. However, the literature regarding the consistency of practice patterns regarding elicitation of sexual history is limited. We examined practice patterns for the elicitation of sexual history among providers across seven sites nationwide. Methods: As part of a multisite study to encourage health seeking for populations specifically at risk for gonorrhea (GC) and other STDs, semistructured interviews that included questions regarding sexual history elicitation were conducted with 208 service providers in a total of 121 publicly and privately funded clinics, managed care organizations (MCOs), hospital clinics, community- and school-based clinics in Denver, New York, Los Angeles, Birmingham, St. Louis, Indianapolis, and Prince Georges County, MD. Results: Among the providers interviewed, practice patterns for the elicitation of sexual history were inconsistent. Sexual histories were described as routine (i.e., solicited from every client regardless of reason for visit) in 57% of sites. Providers most frequently asked clients their number of sex partners (57%), their contraceptive history (55%), and STD history (34%). Client discomfort among 46% and provider discomfort among 13% was cited as barriers to the elicitation of sexual history. A quarter (26%) of providers agreed that the elicitation of sexual history can be fostered by improved provider communication skills and 16% agreed increasing training and experience for providers is needed. Conclusions: These findings suggest that interventions with providers to standardize sexual history elicitation can help to reduce barriers to prevention, diagnosis, and treatment of STD.

Original languageEnglish (US)
Pages (from-to)584-589
Number of pages6
JournalSexually Transmitted Diseases
Volume26
Issue number10
DOIs
StatePublished - Nov 1999
Externally publishedYes

Fingerprint

Gonorrhea
Sexually Transmitted Diseases
Counseling
Education
Reproductive History
Los Angeles
Managed Care Programs
Primary Care Physicians
Communication
Community Participation
Organizations
Interviews
Incidence
Health

ASJC Scopus subject areas

  • Dermatology
  • Public Health, Environmental and Occupational Health
  • Microbiology (medical)

Cite this

Practice patterns for the elicitation of sexual history, education, and counseling among providers of STD services : Results from the gonorrhea community action project (GCAP). / Bull, Sheana S.; Rietmeijer, Cornelis; Fortenberry, J.; Stoner, Bradley; Malotte, Kevin; Vandevanter, Nancy; Middlestadt, Susan E.; Hook, Edward W.

In: Sexually Transmitted Diseases, Vol. 26, No. 10, 11.1999, p. 584-589.

Research output: Contribution to journalArticle

Bull, Sheana S. ; Rietmeijer, Cornelis ; Fortenberry, J. ; Stoner, Bradley ; Malotte, Kevin ; Vandevanter, Nancy ; Middlestadt, Susan E. ; Hook, Edward W. / Practice patterns for the elicitation of sexual history, education, and counseling among providers of STD services : Results from the gonorrhea community action project (GCAP). In: Sexually Transmitted Diseases. 1999 ; Vol. 26, No. 10. pp. 584-589.
@article{5c9f24f8f4c1458ca7dfe2ca561b2d99,
title = "Practice patterns for the elicitation of sexual history, education, and counseling among providers of STD services: Results from the gonorrhea community action project (GCAP)",
abstract = "Background: The frequently asymptomatic nature and high incidence of severe complications of sexually transmitted diseases (STD) calls for targeted efforts to identify those at greatest risk. Earlier studies have shown inconsistencies regarding STD evaluation by primary care clinicians and physicians. However, the literature regarding the consistency of practice patterns regarding elicitation of sexual history is limited. We examined practice patterns for the elicitation of sexual history among providers across seven sites nationwide. Methods: As part of a multisite study to encourage health seeking for populations specifically at risk for gonorrhea (GC) and other STDs, semistructured interviews that included questions regarding sexual history elicitation were conducted with 208 service providers in a total of 121 publicly and privately funded clinics, managed care organizations (MCOs), hospital clinics, community- and school-based clinics in Denver, New York, Los Angeles, Birmingham, St. Louis, Indianapolis, and Prince Georges County, MD. Results: Among the providers interviewed, practice patterns for the elicitation of sexual history were inconsistent. Sexual histories were described as routine (i.e., solicited from every client regardless of reason for visit) in 57{\%} of sites. Providers most frequently asked clients their number of sex partners (57{\%}), their contraceptive history (55{\%}), and STD history (34{\%}). Client discomfort among 46{\%} and provider discomfort among 13{\%} was cited as barriers to the elicitation of sexual history. A quarter (26{\%}) of providers agreed that the elicitation of sexual history can be fostered by improved provider communication skills and 16{\%} agreed increasing training and experience for providers is needed. Conclusions: These findings suggest that interventions with providers to standardize sexual history elicitation can help to reduce barriers to prevention, diagnosis, and treatment of STD.",
author = "Bull, {Sheana S.} and Cornelis Rietmeijer and J. Fortenberry and Bradley Stoner and Kevin Malotte and Nancy Vandevanter and Middlestadt, {Susan E.} and Hook, {Edward W.}",
year = "1999",
month = "11",
doi = "10.1097/00007435-199911000-00008",
language = "English (US)",
volume = "26",
pages = "584--589",
journal = "Sexually Transmitted Diseases",
issn = "0148-5717",
publisher = "Lippincott Williams and Wilkins",
number = "10",

}

TY - JOUR

T1 - Practice patterns for the elicitation of sexual history, education, and counseling among providers of STD services

T2 - Results from the gonorrhea community action project (GCAP)

AU - Bull, Sheana S.

AU - Rietmeijer, Cornelis

AU - Fortenberry, J.

AU - Stoner, Bradley

AU - Malotte, Kevin

AU - Vandevanter, Nancy

AU - Middlestadt, Susan E.

AU - Hook, Edward W.

PY - 1999/11

Y1 - 1999/11

N2 - Background: The frequently asymptomatic nature and high incidence of severe complications of sexually transmitted diseases (STD) calls for targeted efforts to identify those at greatest risk. Earlier studies have shown inconsistencies regarding STD evaluation by primary care clinicians and physicians. However, the literature regarding the consistency of practice patterns regarding elicitation of sexual history is limited. We examined practice patterns for the elicitation of sexual history among providers across seven sites nationwide. Methods: As part of a multisite study to encourage health seeking for populations specifically at risk for gonorrhea (GC) and other STDs, semistructured interviews that included questions regarding sexual history elicitation were conducted with 208 service providers in a total of 121 publicly and privately funded clinics, managed care organizations (MCOs), hospital clinics, community- and school-based clinics in Denver, New York, Los Angeles, Birmingham, St. Louis, Indianapolis, and Prince Georges County, MD. Results: Among the providers interviewed, practice patterns for the elicitation of sexual history were inconsistent. Sexual histories were described as routine (i.e., solicited from every client regardless of reason for visit) in 57% of sites. Providers most frequently asked clients their number of sex partners (57%), their contraceptive history (55%), and STD history (34%). Client discomfort among 46% and provider discomfort among 13% was cited as barriers to the elicitation of sexual history. A quarter (26%) of providers agreed that the elicitation of sexual history can be fostered by improved provider communication skills and 16% agreed increasing training and experience for providers is needed. Conclusions: These findings suggest that interventions with providers to standardize sexual history elicitation can help to reduce barriers to prevention, diagnosis, and treatment of STD.

AB - Background: The frequently asymptomatic nature and high incidence of severe complications of sexually transmitted diseases (STD) calls for targeted efforts to identify those at greatest risk. Earlier studies have shown inconsistencies regarding STD evaluation by primary care clinicians and physicians. However, the literature regarding the consistency of practice patterns regarding elicitation of sexual history is limited. We examined practice patterns for the elicitation of sexual history among providers across seven sites nationwide. Methods: As part of a multisite study to encourage health seeking for populations specifically at risk for gonorrhea (GC) and other STDs, semistructured interviews that included questions regarding sexual history elicitation were conducted with 208 service providers in a total of 121 publicly and privately funded clinics, managed care organizations (MCOs), hospital clinics, community- and school-based clinics in Denver, New York, Los Angeles, Birmingham, St. Louis, Indianapolis, and Prince Georges County, MD. Results: Among the providers interviewed, practice patterns for the elicitation of sexual history were inconsistent. Sexual histories were described as routine (i.e., solicited from every client regardless of reason for visit) in 57% of sites. Providers most frequently asked clients their number of sex partners (57%), their contraceptive history (55%), and STD history (34%). Client discomfort among 46% and provider discomfort among 13% was cited as barriers to the elicitation of sexual history. A quarter (26%) of providers agreed that the elicitation of sexual history can be fostered by improved provider communication skills and 16% agreed increasing training and experience for providers is needed. Conclusions: These findings suggest that interventions with providers to standardize sexual history elicitation can help to reduce barriers to prevention, diagnosis, and treatment of STD.

UR - http://www.scopus.com/inward/record.url?scp=0032738482&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0032738482&partnerID=8YFLogxK

U2 - 10.1097/00007435-199911000-00008

DO - 10.1097/00007435-199911000-00008

M3 - Article

C2 - 10560723

AN - SCOPUS:0032738482

VL - 26

SP - 584

EP - 589

JO - Sexually Transmitted Diseases

JF - Sexually Transmitted Diseases

SN - 0148-5717

IS - 10

ER -