Selma Karabey

T05-P-15 Sexual health assessment in primary health care in Istanbul, Turkey

Objective To identify the factors affecting the frequency and quality of taking a sexual history among GPs (general practitioners) working in primary health care units in Istanbul. Design and method In this cross-sectional study, a postal questionnaire was sent to a random sample of 335 GPs working in primary health care units in Istanbul in January 2007. Results Response rate of the sample group was 84.9%. Eighty four percent of the GPs were taking a sexual history in case of a sexual health problem stated by the patient, but only 8% were taking a sexual history routinely. Major barriers to taking a sexual history were described as comprehension problems (77.8%), time limitations (76.6%), the presence of the patients mother/relative (73.0%), low educational level of the patient (63.8%), and strong religion beliefs (59.0%).GPs were less trained in counseling for a happy and satisfactory sexual life. The frequency of sexual history taking is higher in the presence of simple and cost effective materials like educational posters or brochures. Conclusion Our findings show that pre-graduate education especially supported by post-graduate education on sexual health increases GPs participation in the management of sexual health issues. To improve the role of primary care on sexual health management, GPs should be supported by continuing education, especially counseling and communication skills. Posters or other information materials reinforce GPs and patients comfort levels in raising sexual issues.