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Sexual health risk assessment and counseling in primary care: how involved are general practitioners and obstetrician-gynecologists?

N Haley, B Maheux, M Rivard and A Gervais

Department of Pediatrics, Université de Montréal, Quebec, Canada.

OBJECTIVES: This study examined physicians' evaluation of sexual health risks during a general medical examination and sexually transmitted disease (STD) counseling during consultations for adolescent contraception and treatment of an STD. METHODS: An anonymous mail survey was conducted in 1995 with a stratified random sample of 1086 general practitioners and all 241 obstetrician-gynecologists practicing in Quebec, Canada. RESULTS: Fewer than half of the respondents reported routinely inquiring about condom use and number of sexual partners during a general medical examination. Female general practitioners engaged in more sexual health risk assessment and counseling than male general practitioners. CONCLUSIONS: This study suggests a low level of involvement in STD prevention by generalists and obstetrician-gynecologists.

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Prevention of sexually transmitted diseases: the need for social and behavioral science expertise in public health departments.

N Van Devanter
AJPH 1999 89: 815-818. [PDF]  

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