Cited by 263Patient-Provider Communication in HealthcareSexual function and dysfunction studiesReproductive Health and Contraception

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Survey Says Patients Expect Little Physician Help on Sex

Marwick, C.·1999·JAMA: The Journal of the American Medical Association

DOI 10.1001/jama.281.23.2173

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“In a population-based study in Iran, about one-third of women aged 20–60 years reported sexual dysfunction, mainly lack of orgasm, desire and arousal, although the majority had not sought any help from health professionals,(33) which is similar to findings from the United States.(34)”
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“[10,14] Sexual health provision for middle-aged and older patients within primary care appears to be inconsistent and dependent on the attitudes and training of PCPs (some of whom may be too embarrassed to discuss sex).[15,16]”
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“Theories generally talked about the help seeking or health seeking behaviour in terms of individual attributes or characteristics of the patients themselves (Lumley et al., 2003; Marwick, 1999; Metz & Seifert, 1988, 1990) or of the professionals working with them (Gott et al.”
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“Many studies report that most patients never bring up the topic of sexual dysfunction with their doctors because they feel there is no treatment (∼46%), they will be dismissed as frivolous (∼51%), or their doctor would be uncomfortable talking about such things (∼46%) (Marwick, 1999).”
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“Studies have found that patients often want the physician to initiate the conversation about sexual function, whereas physicians wait for the patient to bring up the topic, with the result that it is often not discussed [24].”
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Implementation of patient-reported outcome measures into health care for men with localized prostate cancer
Singhal, U., Skolarus, T. A., Gore, J. L., Parry, M. G., Chen, R. C., Nossiter, J., Cruz, A. P., George, A. K., Cathcart, P. J., van der Meulen, J., et al. (2022) · Nature Reviews Urology · doi:10.1038/s41585-022-00575-4 · Cited by 14
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“Patient barriers include anticipated physician discomfort and non-empathic response to sexual problems (Marwick, 1999).”
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Imarhiagbe, F., Yovwin, D. G., Obazee, E., et al. (2015) · Sahel Medical Journal · doi:10.4103/1118-8561.169286 · Cited by 13
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“4,54,55 Reasons that many clinicians fail to discuss sexual health include lack of time, lack of comfort with or training on the topic, and a perceived lack of resources.”
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Criniti, S. M., Crane, B., Woodland, M. B., et al. (2016) · American Journal of Sexuality Education · doi:10.1080/15546128.2016.1198734 · Cited by 12
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Lindau, S. T., Goodrich, K. G., Leitsch, S. A., & Cook, S. (2008) · Sex Education · doi:10.1080/14681810701811753 · Cited by 12
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“would like to discuss sexuality with their doctors, but 68% of them do not express this wish for fear of causing embarrassment to the professional [43].”
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Movsas, T. Z., Yechieli, R. L., Movsas, B., & Darwish-Yassine, M. (2014) · American Journal of Clinical Oncology · doi:10.1097/coc.0000000000000067 · Cited by 11
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Management of erectile dysfunction by the primary care physician.
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Ng, C. J., Low, W. Y., Tan, N. C., et al. (2004) · International Journal of Impotence Research · doi:10.1038/sj.ijir.3901141 · Cited by 10
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“This is all the more important since sexuality is frequently neglected during clinical visits, despite patients regularly expressing a desire to talk about their sexuality with their healthcare providers [15, 16].”
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“Research examining patient perceptions echoes this finding: a large percentage report that they believe their physician lacks knowledge and/or is unreceptive to discussing sexual topics (e.g., Marwick, 1999).”
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A Prospective Clinical Study of a Prosexual Nutrient: Nano Leo for Evaluation of Libido, Erection, and Orgasm in Indian Men with Erectile Dysfunction
Shankhwar, S. N., Mahdi, A. A., Sharma, A., et al. (2020) · Evidence-based Complementary and Alternative Medicine · doi:10.1155/2020/4598217 · Cited by 4
“Men are usually reluctant to visit physicians and discuss their sexual problems, particularly for conditions such as ED; hence, typically, they frequently rely on herbal formulations prepared using complementary and alternative medicines [24].”
Background
A Pilot Study on the Quality of Sexual Life of Patients Receiving Home Palliative Care in Poland
Janecki, M., Kaptacz, I., Janecka, Z., et al. (2021) · Sexes · doi:10.3390/sexes2020015 · Cited by 4
Erotic Pleasure and Pleasure-Seeking Associated with Implicit and Explicit Sexual Motives
Hill, C. A. (2021) · Archives of Sexual Behavior · doi:10.1007/s10508-021-01987-w · Cited by 4
“Vast majorities of women and men endorse the belief that sexual enjoyment enhances the quality of life for individuals overall, and is important to them personally, and to the quality of their own relationship (Laumann et al., 2006; Lindau et al., 2007; Marwick, 1999).”
Background
Urologie 2030: Die dringende Notwendigkeit die Digitalisierung in der Urologie schon jetzt voranzutreiben um die medizinische Versorgung aufrecht erhalten zu können – ein Expertenkonsens
Huber, J. C., Borgmann, H., Miller, K., et al. (2023) · Aktuelle Urologie · doi:10.1055/a-2071-4628 · Cited by 4
Evaluation of the effect of cervical and lumbar disc herniations on female sexual function: a comparative prospective study
Din, S. F. G., Nabil, N., Alaa, M. H., et al. (2024) · European Spine Journal · doi:10.1007/s00586-024-08191-z · Cited by 4
“Furthermore, sexual function is not often discussed during adult spinal deformity (ASD) repair surgery patient visits [7, 8].”
Review: Risk factor assessment of erectile dysfunction
Hood, S., & Kirby, M. G. (2004) · The British Journal of Diabetes · doi:10.1177/14746514040040030401 · Cited by 4
Comfort Level of Current Physical Therapist Students in Addressing Sexual Issues With Patients
Dockter, M. K., Ulmer, E., Wulf, C., et al. (2021) · Journal of Womenʼs Health Physical Therapy · doi:10.1097/jwh.0000000000000200 · Cited by 4
A prospective evaluation of a change in attitude towards sexuality in medical students after their three years in medical college
Shah, S., Patel, A., Patel, D. K., et al. (2020) · Archives of Psychiatry and Psychotherapy · doi:10.12740/app/111728 · Cited by 4
“Among the barriers to communication about sexual health are: lack of provider comfort and knowledge; provider biases about sexual issues; fear of offending patients; and time constraints within the typical patient encounter [27-29].”
Background
The Sexual Health Interview: Female
Parish, S. J., & Kingsberg, S. A. (2011) · Humana Press eBooks · doi:10.1007/978-1-60761-916-1_19 · Cited by 5
“For example, in one study of 500 adults, male and female, 71% of surveyed patients felt their physician does not have time, 68% did not want to embarrass the physician, and 76% believed no treatment was available [11].”
Background
Sexual Dysfunction in Women with Type 2 Diabetes
Brown, A. J., & Lowry, K. P. (2008) · Contemporary Endocrinology · doi:10.1007/978-1-60327-043-4_25 · Cited by 4
“This discrepancy could partly be owing to patients’ reluctance to initiate a discussion about sexual dysfunction with their physician ( 14 ).”
Background
Dificultades sexuales en atención primaria: una propuesta de intervención
Pérez, J. J. G., & Sierra, M. D. C. (2000) · Medicina de Familia SEMERGEN · doi:10.1016/s1138-3593(00)73582-9 · Cited by 4
A model of physician intentions toward initiating a dialogue about sexual health with women
Salinas, G. D., Abdolrasulnia, M., Parish, S. J., & D, R. S. M. (2011) · The International Journal of Person Centered Medicine · doi:10.5750/ijpcm.v1i2.73 · Cited by 4
Urological and medical evaluation of men with erectile dysfunction.
Carson, C. C. (2002) · PubMed · Cited by 4
Erectile Dysfunction
Lewis, J. H., Rosen, R. C., & Goldstein, I. (2003) · AJN American Journal of Nursing · doi:10.1097/00000446-200310000-00020 · Cited by 4
Sexual health inquiry
Nusbaum, M. R. H., & Rosenfeld, J. A. (2004) · Cambridge University Press eBooks · doi:10.1017/cbo9780511584480.005 · Cited by 4

Authors: Marwick, C.
Corresponding author: Marwick, C.
Venue: JAMA: The Journal of the American Medical Association
Publisher: American Medical Association (AMA)
Published: 1999-06-16
Volume: 281
Issue: 23
Pages: 2173-2174
ISSN: 0002-9955 (ISSN-L)
0098-7484
1538-3598
DOI: 10.1001/jama.281.23.2173
OpenAlex: W1979012288
Cited by: 262
References: 0
Citations by year: 2025: 2 · 2024: 5 · 2023: 6 · 2022: 9 · 2021: 12 · 2020: 12 · 2019: 6 · 2018: 7 · 2017: 15 · 2016: 15 · 2015: 10 · 2014: 13 · 2013: 12 · 2012: 12
FWCI: 12.70
Type: journal article
Language: en
Open access: closed
Locations: JAMA (publishedVersion)
PubMed (publishedVersion)
Topics: Health Sciences › Health Professions › General Health Professions › Patient-Provider Communication in Healthcare
Health Sciences › Medicine › Psychiatry and Mental health › Sexual function and dysfunction studies
Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Reproductive Health and Contraception
Keywords: sexual health, physician-patient communication, patient expectations, sexual health counseling, physician attitudes
MeSH terms: Adult, Data Collection, Female, Humans, Male, Physician-Patient Relations, Quality of Life, Sexual Dysfunction, Physiological, United States

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