Young bisexual women's sexual health care experiences in Australian rural general practice

2019 ◽  
Author(s):  
Ruby Grant ◽  
Meredith Nash
Keyword(s):  
Health Care ◽  
General Practice ◽  
Sexual Health ◽  
Sexual Health Care ◽  
Health Care Experiences ◽  
Women’S Sexual Health

‘Most young men think you have to be naked in front of the GP’: a qualitative study of male university students’ views on barriers to sexual health

Sexual Health ◽  
2016 ◽  
Vol 13 (2) ◽  
pp. 124 ◽  
Author(s):  
Cameron Ewert ◽  
Archibald Collyer ◽  
Meredith Temple-Smith
Keyword(s):  
Health Care ◽  
General Practice ◽  
Sexual Health ◽  
University Students ◽  
Health Information ◽  
Young Men ◽  
Sexual Health Education ◽  
Sexual Health Care ◽  
Sexual Health Information ◽  
Male University Students

Background In Australia, 15- to 29-year-olds account for 75% of all sexually transmissible infection (STI) diagnoses. STI rates among young men are rising, with most diagnosed in general practice. Young men less frequently attend general practice than young women, and rarely present with sexual health issues, making it difficult for general practitioners (GPs) to offer opportunistic STI education and screening. Little is known of the barriers preventing male university students accessing general practice for sexual health care, or what would facilitate this. Methods: Semi-structured interviews were conducted with young men aged 18–24 years attending university between 2012 and 2014. Interviews were recorded, transcribed and analysed using content and thematic analysis. Results: Twenty-eight interviews of 26–50 min duration found self-imposed views of masculinity, privacy and embarrassment as key barriers to accessing GPs for sexual health care. This was compounded by poor STI knowledge and not knowing when or where to go for care. Participants, except if they were international students, acknowledged school as an important source of sexual health education. The need for sexual health education at university was identified. While the Internet was a popular source, there were mixed views on the benefits of social media and text messaging for sexual health promotion. Conclusions: Current expectations of young male university students to seek sexual health care or acquire sexual health information from medical care may be misplaced. Universities have an excellent opportunity to provide young men with appropriate sexual health information and could offer novel strategies to help young men look after their sexual health.

General Practice funding to improve provision of adolescent primary sexual health care in New Zealand: results from an observational intervention

Sexual Health ◽  
2009 ◽  
Vol 6 (3) ◽  
pp. 203 ◽  
Author(s):  
Jane Morgan ◽  
Jarrod Haar
Keyword(s):  
Health Care ◽  
General Practice ◽  
New Zealand ◽  
Sexual Health ◽  
Population Data ◽  
Sexual Health Care ◽  
Published Evidence ◽  
Lower Socioeconomic ◽  
Additional Funding ◽  
Gp Visits

Background: Free general practice (GP) sexual health visits for registered adolescents have been introduced in parts of New Zealand with the aim of improving provision of primary sexual health care. Published evidence of the effectiveness of such health care interventions, particularly around any impact on uptake of testing and detection of Chlamydia trachomatis, is limited. Methods: In 2003–2004, additional funding enabled 20 practices in Waikato, New Zealand to offer free sexual health consultations for registered under-25 year olds. Practice selection was non-random and biased towards lower socioeconomic, Māori and rural populations. Registered population data were linked to laboratory testing for C. trachomatis from January 2003 to December 2005. Twenty-nine practices without additional funding served as controls. Results: Chlamydia testing among under-25 year olds at the 20 intervention practices increased over time, in contrast to non-intervention practices, with coverage of females aged 18–24 years within the intervention increasing from 13.9% in 2003, to 15.5% during the roll-out phase and to 16.8% in 2005. Intervention practices had higher test positivity rates than non-intervention practices (8.7% v. 5.9%, P < 0.01) with increases in test positivity, from 7.7% in 2003 to 10% in 2005, relating mainly to increases in positive tests among females aged less than 25 years. There was no increase in testing or detection among those aged 25 years and older at intervention practices. Conclusions: Introducing free GP visits for under-25 year olds living in rural and lower socioeconomic areas in New Zealand was associated with a significant increase in testing and detection for C. trachomatis in the target age group. This observational intervention supports the ongoing provision of free adolescent primary sexual health care.

scholarly journals Barriers to sexual health care: a survey of Iranian-American physicians in California, USA

2016 ◽  
Vol 16 (1) ◽  
Author(s):  
Mitra Rashidian ◽  
Victor Minichiello ◽  
Synnove F. Knutsen ◽  
Mark Ghamsary
Keyword(s):  
Health Care ◽  
Sexual Health ◽  
Sexual Health Care ◽  
Iranian American

Real Men Do…Real Men Don’t: Young Latino and African American Men’s Discourses Regarding Sexual Health Care Utilization

2009 ◽  
Vol 4 (3) ◽  
pp. 218-230 ◽  
Author(s):  
Debra Kalmuss ◽  
Karen Austrian
Keyword(s):  
Health Care ◽  
African American ◽  
Sexual Health ◽  
African American Men ◽  
The United States ◽  
Care Utilization ◽  
Care Seeking ◽  
Sexual Health Care ◽  
New Directions ◽  
The Relationship

There is growing recognition that men as well as women need sexual health care (SHC) services. Despite this, male friendly sexual health services are not readily available in the United States, and men are underutilizing the services that are available. This situation needs to be rectified to improve sexual health outcomes for men and women. In this study we conducted 10 focus groups with young adult Latino and African American men to examine their perceptions of the factors influencing SHC utilization among the men they know, with an emphasis on how notions of what it means to be a man affects health care seeking. The findings both amplify and complicate the relationship between masculinity and SHC seeking. They suggest new directions for public health efforts to enhance men’s SHC utilization.

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