Journal of General Internal Medicine

, Volume 26, Issue 8, pp 887–893

Patient, Resident Physician, and Visit Factors Associated with Documentation of Sexual History in the Outpatient Setting

  • Danielle F. Loeb
  • Rita S. Lee
  • Ingrid A. Binswanger
  • Misoo C. Ellison
  • Eva M. Aagaard
Original Research

DOI: 10.1007/s11606-011-1711-z

Cite this article as:
Loeb, D.F., Lee, R.S., Binswanger, I.A. et al. J GEN INTERN MED (2011) 26: 887. doi:10.1007/s11606-011-1711-z

ABSTRACT

BACKGROUND

Providers need an accurate sexual history for appropriate screening and counseling, but data on the patient, visit, and physician factors associated with sexual history-taking are limited.

OBJECTIVES

To assess patient, resident physician, and visit factors associated with documentation of a sexual history at health care maintenance (HCM) visits.

DESIGN

Retrospective cross-sectional chart review.

PARTICIPANTS

Review of all HCM clinic notes (n = 360) by 26 internal medicine residents from February to August of 2007 at two university-based outpatient clinics.

MEASUREMENTS

Documentation of sexual history and patient, resident, and visit factors were abstracted using structured tools. We employed a generalized estimating equations method to control for correlation between patients within residents. We performed multivariate analysis of the factors significantly associated with the outcome of documentation of at least one component of a sexual history.

KEY RESULTS

Among 360 charts reviewed, 25% documented at least one component of a sexual history with a mean percent by resident of 23% (SD = 18%). Factors positively associated with documentation were: concern about sexually transmitted infection (referent: no concern; OR = 4.2 [95% CI = 1.3–13.2]); genitourinary or abdominal complaint (referent: no complaint; OR = 4.3 [2.2–8.5]); performance of other HCM (referent: no HCM performed; OR = 3.2 [1.5–7.0]), and birth control use (referent: no birth control; OR = 3.0 [1.1, 7.8]). Factors negatively associated with documentation were: age groups 46–55, 56–65, and >65 (referent: 18–25; ORs = 0.1, 0.1, and 0.2 [0.0–0.6, 0.0–0.4, and 0.1–0.6]), and no specified marital status (referent: married; OR = 0.5 [0.3–0.8]).

CONCLUSIONS

Our findings highlight the need for an emphasis on documentation of a sexual history by internal medicine residents during routine HCM visits, especially in older and asymptomatic patients, to ensure adequate screening and counseling.

KEY WORDS

communication skillsmedical educationagingsexually transmitted diseaseambulatory care

Copyright information

© Society of General Internal Medicine 2011

Authors and Affiliations

  • Danielle F. Loeb
    • 1
  • Rita S. Lee
    • 1
  • Ingrid A. Binswanger
    • 1
    • 2
    • 3
  • Misoo C. Ellison
    • 4
  • Eva M. Aagaard
    • 1
  1. 1.Division of General Internal Medicine, Department of MedicineUniversity of ColoradoAuroraUSA
  2. 2.Division of Substance DependenceUniversity of ColoradoAuroraUSA
  3. 3.Denver Health and Hospital AuthorityDenverUSA
  4. 4.School of Public HealthUniversity of Colorado DenverAuroraUSA