Showing posts with label embarrassed. Show all posts
Showing posts with label embarrassed. Show all posts

Wednesday, February 17, 2016

Using a Wrap Skirt to Improve the Pelvic Examination Experience

INTRODUCTION:
The study aims were to analyze the experience of women and their physicians of nakedness when moving between changing room and examination chair and during pelvic examination itself, and to assess the protective benefit of a wrap skirt in alleviating the associated discomfort and vulnerability.

MATERIAL AND METHODS:
We offered 1000 women a wrap skirt for pelvic examination and asked them to complete a post-procedure questionnaire. Physicians were invited to complete a similar but separate questionnaire. Data were analyzed using χ2 contingency tables.

RESULTS:
425 women (43%, age 15-78 years) completed the questionnaire; 51% felt uncomfortable and embarrassed during the examination, Muslim women significantly more so (p < 0.001). Most women (n = 255; 58%) rated the wrap skirt a significant improvement; 69% requested it for future examinations, significantly more so if the physician was male rather than female (66% vs. 54%, p = 0.003). Even one-third of women experiencing no discomfort reported improvement. Most examiners (n = 45; 56%) found the wrap skirt beneficial; 31 (38%) were unconvinced.

CONCLUSIONS:
Pelvic examination as practiced in many countries, on women naked from the waist down throughout, causes unnecessary embarrassment. A simple protective measure such as a wrap skirt significantly alleviates the discomfort and sense of vulnerability associated with nakedness

Purchase full article at:   http://goo.gl/7eTrsg

  • 1Department of Obstetrics and Gynecology, University Hospital of Zurich, Zurich, Switzerland. 
  •  2016 Feb 11. doi: 10.1111/aogs.12869.



Attitudes Toward Mental Health Help Seeking as Predictors of Future Help-Seeking Behavior and Use of Mental Health Treatments

OBJECTIVES:
The study examined the association of attitudes toward mental health help seeking and beliefs about the effectiveness of treatments with future help-seeking behavior and use of specific services in the general population.

METHODS:
Data on attitudes and beliefs at baseline were taken from the U.S. National Comorbidity Survey (NCS), a general population survey conducted in 1990-1992. Help seeking from various providers and use of psychiatric medications and counseling or therapy were examined in the NCS follow-up, in which 5,001 of the original NCS participants were reinterviewed in 2001-2003.

RESULTS:
Willingness to seek professional help for a serious emotional problem and feeling comfortable talking about personal problems with professionals were significantly associated with future help seeking and treatment use. One-third (33.4%) of participants who stated at baseline that they would "definitely go" to a professional if they had a serious emotional problem sought future help, compared with 20.7% of those who would "definitely not go." Corresponding values were 33.4% and 24.4% for those who reported feeling "very comfortable" and "not at all comfortable," respectively, talking about personal problems with a professional. The associations were consistent among participants with and without a history of help seeking and with and without mood, anxiety, or substance use disorders during the follow-up. Embarrassment if friends found out and beliefs about treatment effectiveness were not associated with future help seeking or service use.

CONCLUSIONS:
Identification of attitudinal factors most closely linked to future mental health help seeking has potential implications for public mental health campaigns.

Purchase full article at:   http://goo.gl/YnEvYQ

  • 1Dr. Mojtabai is with the Department of Mental Health, Johns Hopkins Bloomberg School of Public Health, Baltimore (e-mail: rmojtab1@jhu.edu ). Dr. Evans-Lacko and Dr. Thornicroft are with the David Goldberg Centre, Department of Health Services and Population Research, Institute of Psychiatry, Kings College, London, United Kingdom. Dr. Schomerus is with the Department of Psychiatry, Greifswald University, Stralsund, Germany.
  •  2016 Feb 14:appips201500164. 



Thursday, September 24, 2015

Dr Google, Porn and Friend-of-a-Friend: Where Are Young Men Really Getting Their Sexual Health Information?

Young men are vulnerable when it comes to sexual health. They attend the general practitioner (GP) less often than females and are less likely to be offered testing for sexually transmissible infections. Access to accurate health information and education is a cornerstone of primary prevention, yet we know very little about how, where and why young people obtain information about sexual health.

One-on-one semi-structured interviews were conducted with 35 male students aged 16-19 years from two Victorian educational institutions for trade skills until data saturation was reached. Interviews were audio-recorded, transcribed and thematically analysed.
  • The young men were poorly informed about sexual health. 
  • Their existing knowledge mainly came from school-based sexual health education, which while valued, was generally poorly recalled and provided only a narrow scope of physiological information. 
  • Young men seek sexual health information from various sources including family, the Internet, friends and pornography, with information from the latter three sources perceived as unreliable. 
  • GPs were seen as a source of trust-worthy information but were not accessed for this purpose due to embarrassment. 
  • Young men preferred the GP to initiate such conversations. 
  • A desire for privacy and avoidance of embarrassment heavily influenced young men's preferences and behaviours in relation to sexual health information seeking.

The current available sources of sexual health information for young men are failing to meet their needs. Results identify potential improvements to school-based sexual education and online resources, and describe a need for innovative technology-based sources of sexual health education.

Via:  http://ht.ly/SDA3J  Purchase full article at:  http://ht.ly/SDAng