A survey examining health seeking behaviours of those accessing sexual health services in London.

2016 ◽  
Author(s):  
Marie McNulty
Keyword(s):  
Health Services ◽  
Sexual Health ◽  
Health Seeking

scholarly journals P221 A survey examining health seeking behaviours of those accessing sexual health services in London

2016 ◽  
Vol 92 (Suppl 1) ◽  
pp. A94.1-A94
Author(s):  
Marie McNulty ◽  
Jake Bayley ◽  
Michael O’Hanlon ◽  
Jennifer Hong ◽  
Rebecca O’Connell
Keyword(s):  
Health Services ◽  
Sexual Health ◽  
Health Seeking

Digital health services during COVID-19: A cross-sectional study among Chinese men who have sex with men (Preprint)

2021 ◽  
Author(s):  
Yuan Xiong ◽  
Yewei Xie ◽  
Hongbo Jiang ◽  
Guangquan Shen ◽  
Yi Zhou ◽  
...  
Keyword(s):  
Health Services ◽  
Sexual Health ◽  
Online Survey ◽  
Digital Health ◽  
Cross Sectional Study ◽  
Health Problems ◽  
Medical Services ◽  
Health Seeking ◽  
Cross Sectional ◽  
Medical Needs

BACKGROUND In early 2020, many HIV and sexual health clinics shut down or only provided limited services because of COVID-19. How to ensure high-quality HIV and sexual health services for MSM during emergency responses is a critical challenge. This study evaluates Chinese MSM medical seeking behaviors before and during COVID-19 measures and explores the use of digital health (e.g., health information, online consultation, WeChat-based virtual hospitals) during the COVID-19 measures. OBJECTIVE MSM have sub-optimal healthcare seeking for health problems due to fear of unintentional disclosure of sexual orientation, fear of discrimination by healthcare workers. Digital health provides a comfortable alternative and is gaining popularity among MSM for both general and sexual health problems. This paper examines how MSM use digital health for common health issues and whether COVID-19 have any effects on their use of digital health. METHODS Data were collected from a nationwide online survey between 18 May to 2 June of 2020, a period when lockdown in China was easing. Men who ever had sex with another man, were 18 years or older, and assigned as male at birth were eligible. Survey collected information on health seeking behavior and use of digital health in three months before and during COVID-19 measures (23 January 2020). Variables that may associate with digital health use were evaluated. RESULTS Among 731 men (age: 29.2±7.3) recruited, most were never married (86.5%, 632/731), and identified as gay (81.7%, 597/731). The proportion of men who sought offline medical services at hospitals decreased from 49.1% (359 /731) before COVID-19 measures to 30.2% (221/731) during COVID-19 measures (P<0.001). Half (50.8%, 371/731) of the participants ever used digital health before COVID-19 and 35.6% (260/731) used it during the pandemic. Only 27% (197/731) reported that digital health services met their medical needs in general during the pandemic. Men living with HIV (AOR=1.92, 95%CI: 1.08-3.45) were more likely to use digital health during COVID-19 measures. CONCLUSIONS COVID-19 affected access to facility-based medical services. MSM were able to use some digital health services when facility-based services were not available. Further research is needed to optimize digital health services.

scholarly journals Sexual healthcare professionals’ views on the rapid provision of remote services at the beginning of COVID-19 pandemic: A mixed-methods study

2021 ◽  
pp. 095646242110230
Author(s):  
Alexandria Lunt ◽  
Carrie Llewellyn ◽  
Jake Bayley ◽  
Tom Nadarzynski
Keyword(s):  
Health Services ◽  
Sexual Health ◽  
Health Inequalities ◽  
Online Survey ◽  
Healthcare Professionals ◽  
Digital Tools ◽  
Future Research ◽  
Snowball Sampling ◽  
Remote Services ◽  
Sexual Healthcare

Introduction: The COVID-19 pandemic and social distancing measures forced sexual health services to engage with patients remotely. We aimed to understand perceived barriers and facilitators to the provision of digital sexual health services during the first months of the pandemic. Methods: An online survey and qualitative interviews with UK sexual healthcare professionals recruited online and via snowball sampling were conducted in May–July 2020. Results: Amongst 177 respondents (72% female, 86% White, mean age = 46, SD = 9), most utilised telephone and email as their main communication channels; however, their perceived effectiveness varied (94% and 66%, respectively). Most agreed that staff needed additional training (89%), the available technology was not adequate (66%) and health professionals were hesitant to provide online consultations (46%). They had positive attitudes towards digitalisation, improving service quality and cost-effectiveness but were concerned about exacerbating health inequalities. Discussion: The study identifies a need for clear guidelines and training around the use of digital tools as well as a demand for investment in hardware and software required for the provision of remote services. Future research needs to explore the acceptability, safety and effectiveness of various digital tools to narrow health inequalities in sexual health service users.

scholarly journals Does online sexually transmitted infection screening compromise care? A service evaluation comparing the management of chlamydial infection diagnosed online and in clinic

2021 ◽  
Vol 32 (6) ◽  
pp. 528-532
Author(s):  
Nur Gasmelsid ◽  
Benjamin CB Moran ◽  
Tom Nadarzynski ◽  
Rajul Patel ◽  
Elizabeth Foley
Keyword(s):  
United Kingdom ◽  
Health Services ◽  
Sexual Health ◽  
Sexually Transmitted Infections ◽  
Sexually Transmitted Infection ◽  
Chlamydial Infection ◽  
Service Evaluation ◽  
Transmitted Infection ◽  
Sexually Transmitted ◽  
The United Kingdom

Patient demand on sexual health services in the United Kingdom is so high that many services have introduced online screening to accommodate more patients. There are concerns that these services may not be accessible to all. This service evaluation was undertaken to determine whether online screening is accessible by those patients most at need by comparing the demographics and number of asymptomatic chlamydial infections detected online and in clinic. No difference was found in the age nor level of deprivation, demonstrating that online services are an accessible way to screen for sexually transmitted infections without overburdening established services.

scholarly journals Paradigm Shift in Clinical Practice of Sexual Health in Men During COVID-19 Pandemic

2021 ◽  
pp. 263183182110323
Author(s):  
Aditya Prakash Sharma ◽  
Japleen Kaur ◽  
Ravimohan S. Mavuduru ◽  
Shrawan K. Singh
Keyword(s):  
Health Care ◽  
Sexual Health ◽  
Surgical Procedures ◽  
Care Center ◽  
Tertiary Care ◽  
Health Care Seeking ◽  
Care Seeking ◽  
Health Seeking ◽  
Number Of Patients ◽  
The Impact

Sexual health-care seeking behavior and practices have been affected during COVID-19 pandemic. The impact of COVID-19 on this subspecialty is far reaching. This study aimed to assess the impact of COVID-19 on health-care seeking practice pertaining to sexual health in men in our tertiary care center and review the relevant literature regarding impact of COVID-19 on sexual health seeking practice and challenges faced. Outpatient data was analyzed from January 2019 to April 2021. Patients awaiting surgical procedures due to COVID were documented. A narrative synthesis of literature based on systematic search using the keywords sexual health, sexual health seeking, sexual health practice, andrology, and COVID with operators “AND” and “OR” was carried out in three search engines PubMed, Scopus, and Embase. The study outcomes were obtained by comparing data of outpatient attendance and compiling the reviewed literature. The mean attendance fell significantly from 95.11±11.17 to 17.25±13.70 persons (P <.0001) per outpatient clinic, March 2020 being the reference point. Teleconsultation has taken over physical consultation. In 98/949 cases, teleconsult could not be provided despite registration. Over 25 patients were waiting for surgical procedures pertaining to andrology due to shut down of elective services. Similar trends have been reported from other countries. Number of patients seeking consultation for sexual health problems has dramatically decreased during COVID-19 era. Establishment of data safe teleconsultation facility and its widespread advertisement is needed to encourage patients to seek consult.

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