Page 25 - ESHRE2019

Primary care providers
Low levels of SRH care delivery to young men
• Few young men (<25%) report receipt of any singular SRH service1
• Primary care providers spend very little time (36 seconds or less) talking about sexuality during well-care visits2
– They are more likely to talk with female vs. male adolescents
• Among 18 recommended SRH-related services, very few (1 in 10) sexually active males aged 15-24 seen in clinical settings received all services3
– <40% asked about their reproductive life plan
– 43% asked about problems with sexual function
1Lafferty et al. AJPH. 2002; Copen et al. NCHS Data Brief. 2015; Burstein et al. Pediatrics. 2003; Marcell et al. J Adol Health. 2010. 2Alexander et al. Jama Peds. 2014. 3Marcell et al. J Adol Health. 2018.
Primary care providers
Barriers to SRH care delivery to young men
Personal-level factors
• Beliefs about working with patients (e.g., males will not change their behavior)1 • Attitudes toward care delivery (e.g., preventive counseling is ineffective)2
• Perceptions about what others think about care delivery (e.g., guideline
recommendations)2
• Past training (e.g., lack of skills to confidently provide services)3
• Perceived behavioral constraints (e.g., self-efficacy to deliver care, comfort talking
about sex, especially among females providing care to opposite sex patients)4
Practice-level factors
• General constraints (e.g., time, finances, competing demands)5
• Facilitating factors (e.g., male SRH-specific visit templates, checklists, protocols,
referral resources)6
1Wimberly et al. J Natl Med Assoc. 2006; 2Millstein. Health Psychol. 1996. 3Boekeloo et al. Sex Transm Infect. 2002; Lurie et al. Arch Fam Med. 1998. 4Ozer et al. J Adolesc Health. 2004; Cheng et al. Arch Pediatr Adolesc Med. 1999. 5Yarnall et al. AJPH. 2003; Chorba et al. Am J Med Qual. 2004; Mark et al. Sex Transm Dis. 2008; 6Solberg et al. Eff Clin Pract. 1998.
20
PRECONGRESS COURSE 08 I VIENNA, AUSTRIA – 23 JUNE 2019 23