Preferences for Discussing Sexual Health Among Veteran Primary Care Patients by Sexual Dysfunction Screen Status (n = 248)
Preference Item and Sexual Dysfunction Screen Status* | Strongly or Somewhat Disagree or Neutral n (%) | Strongly or Somewhat Agree n (%) | P Value |
---|---|---|---|
The primary care team should give all patients information about sexual problems | 0.039 | ||
Negative screen | 55 (44.7) | 68 (55.3) | |
Positive screen | 40 (32.0) | 85 (68.0) | |
The primary care team should ask all patients if they are having sexual problems | 0.07 | ||
Negative screen | 53 (43.1) | 70 (56.9) | |
Positive screen | 40 (32.0) | 85 (68.0) | |
The primary care team should only talk about sexual problems after patients bring them up | 0.001 | ||
Negative screen | 62 (50.4) | 61 (49.6) | |
Positive screen | 88 (70.4) | 37 (29.6) | |
The primary care team should include a question about sexual problems on the medical history form | 0.11 | ||
Negative screen | 45 (36.6) | 78 (63.4) | |
Positive screen | 34 (27.2) | 91 (72.8) | |
If I were having sexual problems, I would like my primary care team to ask me about them | 0.036 | ||
Negative screen | 50 (40.7) | 73 (59.4) | |
Positive screen | 35 (28.0) | 90 (72.0) | |
If I were having sexual problems, I would like my primary care team to wait until I bring them up | 0.003 | ||
Negative screen | 72 (58.5) | 51 (41.5) | |
Positive screen | 95 (76.0) | 30 (24.0) | |
If I were having sexual problems, I would meet with a BHP in PC if my primary care team recommended it | 0.81 | ||
Negative screen | 51 (41.5) | 72 (58.5) | |
Positive screen | 50 (40.0) | 75 (60.0) |
BHP, behavioral health provider; PC, primary care.
↵* A positive screen for sexual dysfunction on the Arizona Sexual Experience Scale is indicated by a total score ≥ 19, any 1 item ≥ 5, or any 3 items ≥ 4.35