Clinical sexology: An approach to the knowledge, attitudes and healthcare practices of final year students of the Medellin, Colombia medical schools

Authors

  • Hernando Restrepo-Payán Pontifical Bolivarian University
  • Katherine Zapata-Ceballos Pontifical Bolivarian University
  • Nathalia Andrea Tamayo-González Pontifical Bolivarian University
  • Jairo Salinas-Builes Pontifical Bolivarian University
  • Laura Escobar-Araque Pontifical Bolivarian University
  • Libia María Rodríguez-Padilla Pontifical Bolivarian University

DOI:

https://doi.org/10.17533/udea.iatreia.74

Keywords:

health knowledge, attitudes, practice, students, medical, sexology

Abstract

Objective: To describe the knowledge, attitudes and healthcare practices on clinical sexology in students of the last year of the faculties of Medicine, Medellín, Colombia.

Methodology: Descriptive cross-sectional study that included medical students from the last year in five schools in Medellín, 2018. A survey was applied, with prior informed consent of the participants. The knowledge, attitudes and healthcare practices of clinical sexology were investigated.

Results: 318 students were surveyed, 54.1% women, the median age was 24 years (RIC: 23-25); Regarding knowledge, 71.4% knew the definition of Sex, 57.3% that of Gender and 80.3% that of sexuality. Regarding attitudes, 38.8% expressed feeling comfortable with the dialogue on sexual health issues with their patients, 89.1% considered that their beliefs not affected the discussion of sexual problems with their patients and 27% felt safe in-patient focus and management. 92.8% considered that sexology should be relevant during the career. Regarding healthcare practices, 77.4% had never carried out a sexological medical history and of these, 42.5% claimed lack of knowledge as the main cause of not doing so.

Conclusions: The most of last year students of Medicine are still not clear about some basic concepts in clinical sexology and feel uncomfortable when approaching a patient with sexual problems. The majority considered that sexology is relevant in their training, but the Faculties of Medicine have few academic and clinical practice spaces to address this issue.

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Author Biographies

Hernando Restrepo-Payán, Pontifical Bolivarian University

Professor,Faculty of Medicine.

Katherine Zapata-Ceballos, Pontifical Bolivarian University

Medical Student.

Nathalia Andrea Tamayo-González, Pontifical Bolivarian University

Medical Student.

Jairo Salinas-Builes, Pontifical Bolivarian University

Physician-Surgeon.

Laura Escobar-Araque, Pontifical Bolivarian University

Physician-Surgeon.

Libia María Rodríguez-Padilla, Pontifical Bolivarian University

Professor, Faculty of Medicine.

References

(1) American Psychiatric Association. Diagnostic and statistical manual of mental disorders: DSM V. Washington: APA; 2013.

(2) Espitia De La Hoz JF. Prevalencia de disfunción eréctil en hombres del Quindío, y factores de riesgo asociados. Urol Colomb. 2019;28:169-76. DOI 10.1055/s-0038-1656515.

(3) Nehra A, Breau RH, Culkin DJ, Faraday MM, Hakim LS, Lawrence Sh, et al. Erectile Dysfunction: AUA Guidelines on Male Sexual Dysfunction: erectile dysfunction and premature ejaculation. AUA. 2018.

(4) McCool ME, Zuelke A, Theurich MA, Knuettel H, Ricci C, Apfelbacher C. Prevalence of Female Sexual Dysfunction Among Premenopausal Women: A Systematic Review and Meta-Analysis of Observational Studies. Sex Med Rev. 2016;4(3):197-212. DOI 10.1016/j.sxmr.2016.03.002.

(5) Espitia De La Hoz JF. Evaluación de la prevalencia de disfunción sexual en mujeres médicos, del Eje Cafetero colombiano, en etapa de climaterio. Arch Med (Manizales). 2017;17(1):70-7. DOI 10.30554/archmed.17.1.1897.2017.

(6) Espitia De La Hoz JF. Prevalencia y caracterización de las disfunciones sexuales en mujeres, en 12 ciudades colombianas, 2009-2016. Rev Colomb Obstet Ginecol. 2018;69 (1):9-21. DOI 10.18597/rcog.3035.

(7) Colombia. Ministerio de Salud y Protección Social. Encuesta Nacional de Demografía y Salud -ENDS-2015. Resumen ejecutivo. Bogotá: Profamilia; 2015.

(8) Rodríguez Camargo PA, Morales ME. Sexualidad humana, una asignatura pendiente en los currículos de medicina. Bogotá: Fundación Universitaria de Ciencias de la Salud; 2016.

(9) Pupo N, Alina M. Los contenidos en salud sexual y reproductiva en la formación de pregrado y posgrado del médico cubano. Revista Cubana de Salud Pública. 2016;39(5):974-87.

(10) Méjico Mendoza JJ, Melgar Granados FM, Mendoza Macedo AL, Salinas Castro W. Nivel de conocimiento sobre métodos anticonceptivos entre estudiantes de Medicina Humana de 1º a 3º año. Horiz. méd. 2012;12(3):35-41.

(11) Vargas-Trujillo E, Jaramillo-Sierra IC, Trujillo-Maza ME. Médicos y Derechos. El papel de la formación médica en la garantía de los derechos sexuales y reproductivos. Bogotá: Universidad de los Andes; 2012.

(12) Ozan S, Aras S, Semin S, Orcin E. Sexual attitudes and behaviors among medical students in Dokuz Eylul university, Turkey. Eur J Contracept Reprod Health Care. 2005;10(3):171-83. DOI 10.1080/13625180500282205.

(13) Buitrago C, Mora ML, Valvuena Y. Sexología: reconocimiento de la sexualidad humana desde una perspectiva científica en Latinoamérica. Bogotá: Universidad del Bosque; 2013.

(14) OMS. Promoción de la salud sexual. Recomendaciones para la acción [internet]. [Consultado 2020 abr 6]. Disponible en: https://n9.cl/tq2d

(15) WHO. Defining sexual health: Report of a technical consultation on sexual health, 28–31 January 2002. Geneva [Internet]. [Consultado 2020 abr 6]. Disponible en: https://bit.ly/2ZQaisx

(16) Bianco Colmenares F, editor. Manual diagnóstico en Sexología. 3. ed. Caracas: Federación Latinoamericana de sociedades de sexología y educación sexual; 2014.

(17) World Professional Association for Transgender Health. Standards of care for the health of transsexual, transgender, and gender nonconforming people [internet]. [Consultado 2020 abr9]. Disponible en: https://bit.ly/3hsdi4o

(18) Chen CH, Lin YC, Chiu LH, Chu YH, Ruan FF, Liu WM, et al. Female sexual dysfunction: definition, classification, and debates. Taiwan J Obstet Gynecol. 2013;52(1):3-7. DOI 10.1016/j.tjog.2013.01.002.

(19) Ariffin F, Chin KL, Ng C, Miskan M, Lee VK, Isa MR. Are medical students confident in taking a sexual history? An assessment on attitude and skills from an upper middle-income country. BMC Res Notes. 2015;8:248. DOI 10.1186/s13104-015-1220-y.

(20) Coleman E, Elders J, Satcher D, Shindel A, Parish S, Kenagy G, et al. Summit on medical school education in sexual health: report of an expert consultation. J Sex Med. 2013;10(4):924-38. DOI 10.1111/jsm.12142.

(21) Facio FN Jr, Glina S, Torres LO, Abdo C, Abdo JA, Faria G. Educational program on sexual medicine for medical students: pilot project in Brazil. Transl Androl Urol. 2016;5(5):789-793. DOI 10.21037/tau.2016.08.08.

(22) Parish SJ, Rubio-Aurioles E. Education in sexual medicine: proceedings from the international consultation in sexual medicine, 2009. J Sex Med. 2010;7(10):3305-14. DOI 10.1111/j.1743-6109.2010.02026.x.

(23) Rufino AC, Madeiro AP. Teaching sexuality in Brazilian medical schools. Einstein (Sao Paulo) 2015;13:7-8. DOI 10.1590/S1679-45082015ED3306.

(24) Eardley I. A curriculum for sexual medicine? J Sex Med. 2009;6(5):1195-8. DOI 10.1111/j.1743-6109.2009.01253.x.

(25) Silva Santos J, Bezerra Cunha JK, Melo Guimarães TM. Women’s sexuality during gestational period: aliterature review. Braz. J. Surg. Clin. Res. 2018;21(3):104-9.

(26) Nakić Radoš S, Soljačić Vraneš H, Šunjić M. Sexuality during pregnancy: what is important for sexual satisfaction in expectant fathers? J Sex Marital Ther. 2015;41(3):282-93. DOI 10.1080/0092623X.2014.889054.

(27) Alzate H. La sexualidad humana y el Médico. Rev Col Obst y Ginec. 1974; 25:85-93. DOI 10.18597/rcog.1684.

(28) Ho TM, Fernández M. Patient’s sexual health: do we care enough? J Ren Care. 2006;32(4):183-6. DOI 10.1111/j.1755-6686.2006.tb00019.x.

(29) Gott M, Galena E, Hinchliff S, Elford H. “Opening a can of worms”: GP and practice nurse barriers to talking about sexual health in primary care. Fam Pract. 2004;21(5):528-36. DOI 10.1093/fampra/cmh509.

(30) Verhoeven V, Bovijn K, Helder A, Peremans L, Hermann I, Van Royen P, et al. Discussing STIs: doctors are from Mars, patients from Venus. Fam Pract. 2003;20(1):11-15. DOI 10.1093/fampra/20.1.11.

(31) Harsh V, McGarvey EL, Clayton AH. Physician attitudes regarding hypoactive sexual desire disorder in a primary care clinic: A pilot study. J Sex Med. 2008;5:640-5. DOI 10.1111/j.1743-6109.2007.00746.x.

(32) Colombia. Ministerio de Salud y Protección Social. Norma técnica para la atención a la mujer maltratada [internet]. [Consultado 2020 may 11]. Disponible en: www.minsalud.gov.co

(33) Branderburg U, Bitzer J. The challenge of talking about sex: the importance of patient–physician interaction. Maturitas. 2009;63:124-7. DOI 10.1016/j.maturitas.2009.03.019.

(34) FitzGerald M, Crowley T, Greenhouse P, Probert C, Horner P. Teach- ing sexual history taking to medical students and examining it: experience in one medical school and a national survey. Med Educ. 2003;37:94-8. DOI 10.1046/j.1365-2923.2003.01411.x.

(35) Bartlik BD, Rosenfeld S, Beaton C. Assessment of sexual function- ing: sexual history taking for health care practitioners. Epilepsy Behav. 2005;7:S15–S21. DOI 10.1016/j.yebeh.2005.08.027.

(36) Sadovsky R, Nusbaum M. Sexual health inquiry and support is a primary care priority. J Sex Med. 2006;3:3-11. DOI 10.1111/j.1743-6109.2005.00193.x.

(37) Salinas Urbina A, Jarillo Soto E. La confrontación de la sexualidad en la práctica profesional de los futuros médicos: la mirada de los pasantes de medicina Cien Saude Colet. 2013; 18(3):733-42. DOI 10.1590/S1413-81232013000300019.

(38) Wagner G, Bondil P, Dabees K, Dean J, Fourcroy J, Gingell C, et al. Ethical aspects of sexual medicine. J Sex ed. 2005;2:163–8. DOI 10.1111/j.1743-6109.2005.20225.x.

(39) Khanam M, Perveen S, Mirza S. Reproductive and sexual health issues: knowledge, opinion and attitude of medical graduates from Karachi. J Pak Med Assoc. 2011; 61(7):648–52.

Published

2021-04-01

How to Cite

1.
Restrepo-Payán H, Zapata-Ceballos K, Tamayo-González NA, Salinas-Builes J, Escobar-Araque L, Rodríguez-Padilla LM. Clinical sexology: An approach to the knowledge, attitudes and healthcare practices of final year students of the Medellin, Colombia medical schools. Iatreia [Internet]. 2021 Apr. 1 [cited 2026 Mar. 4];34(2):107-15. Available from: https://revistas.udea.edu.co/index.php/iatreia/article/view/340673

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Section

Original research

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