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首页> 外文期刊>Academic Medicine: Journal of the Association of American Medical Colleges >Medical student sexuality: how sexual experience and sexuality training impact U.S. and Canadian medical students' comfort in dealing with patients' sexuality in clinical practice.
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Medical student sexuality: how sexual experience and sexuality training impact U.S. and Canadian medical students' comfort in dealing with patients' sexuality in clinical practice.

机译：医科学生的性行为：性经验和性培训对美国和加拿大医科学生在临床实践中处理患者性行为的舒适度有何影响。

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PURPOSE: To determine factors associated with students' comfort in addressing patients' sexuality in the clinical context. METHOD: The authors invited students enrolled in MD-degree-granting and osteopathic medical schools in the United States and Canada to participate in an anonymous Internet survey between February and July 2008. The survey assessed ethnodemographic factors and sexual history. Respondents also completed the Center for Epidemiologic Studies Depression Scale. Male respondents completed the International Index of Erectile Function and the Premature Ejaculation Diagnostic Tool. Female respondents completed the Female Sexual Function Index and the Index of Sex Life. The authors used descriptive statistics, ANOVA, and multivariable logistic regression to analyze responses. RESULTS: The authors' analyses included 2,261 completed survey responses: 910 from men, 1,343 from women, and 8 from individuals who self-identified as "other" gendered. Over 53% of respondents (n = 1,206) stated that they felt they had not received sufficient training in medical school to address sexual concerns clinically. Despite this, 81% of students (n = 1,827) reported feeling comfortable dealing with their patients' sexuality issues. Students with limited sexual experience, students at risk for sexual problems, and students who felt that they had not been trained adequately were less likely to report being comfortable talking to patients about sexual health issues. CONCLUSIONS: Perception of inadequate sexuality training in medical school and personal issues pertaining to sex may be associated with students' difficulty in addressing patients' sexuality. Adequate training is preeminently associated with feeling comfortable addressing patients' sexuality and should be a priority for medical education.
机译：目的：确定在临床背景下解决学生性行为方面与学生的舒适感相关的因素。方法：作者邀请2008年2月至2008年7月在美国和加拿大就读于医学博士学位和骨病医学学校的学生参加匿名的互联网调查。该调查评估了民族志因素和性史。受访者还完成了流行病学研究中心抑郁量表。男性受访者填写了国际勃起功能指数和早泄诊断工具。女性受访者填写了女性性功能指数和性生活指数。作者使用描述性统计，ANOVA和多变量Logistic回归分析响应。结果：作者的分析包括2,261份完整的调查问卷答复：男性910名，女性1,343名，以及自称“其他”性别的个人8名。超过53％的受访者（n = 1,206）表示，他们认为自己没有在医学院接受过足够的培训来临床解决性问题。尽管如此，仍有81％的学生（n = 1,827）表示对患者的性行为问题感到自在。性经历有限的学生，面临性问题风险的学生以及认为自己没有得到适当培训的学生，不太可能报告愿意与患者谈论性健康问题。结论：医学学校对性培训的认识不足以及与性有关的个人问题，可能与学生难以解决患者的性有关。充分的培训与解决患者的性行为时的舒适感密切相关，应作为医学教育的重点。

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