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Master Thesis

Situations d'abord de la sexualité et de proposition de dépistage du VIH en Médecine Générale

Abstract : Background: general practitioners have an essential role in promoting sexual health, as recommended by the World Health Organization. Discussions about sexuality during medical examinations remain insufficient whereas patients expect to talk about it with their physician. A full approach of sexual health would enable to improve HIV screening, which is often late. We have tried to identify appropriate situations to provide HIV test and to discuss about sexuality. Method: a three-round Delphi method was used. Several favourable situations to talk about sexuality or to offer HIV test were found in literature and recommendations for HIV screening. The appropriateness of discussion about sexuality and HIV test was rated on a Likert scale by a group of thirty expert general practitioners being involved (group B) or not (group A) in HIV care advanced tasks. Results: experts were questioned about eighty-six situations (forty-three for each matter) within the first round. The situations considered as appropriate to discuss about sexuality and to provide HIV test were medical examinations related to dating life, pregnancy, contraception and sexual risk taking. Some situations (cardiovascular risk factors and diseases, adolescent examination…) were considered to be appropriate only to tackle sexuality. HIV test offering would then be possible through discussion about sexuality. Conclusion: some key populations for sexual health and HIV screening (adolescents, young men, adults over the age of 50) remain difficult to reach. The introduction of a dedicated visit for prevention was considered as appropriate by the experts to discuss about these topics.
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Master Thesis
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Submitted on : Tuesday, October 31, 2017 - 6:50:18 PM
Last modification on : Saturday, November 25, 2017 - 1:24:09 AM
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Amandine Terrier. Situations d'abord de la sexualité et de proposition de dépistage du VIH en Médecine Générale. Médecine humaine et pathologie. 2017. ⟨dumas-01627134⟩



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