Physician–Patient Communication About Sexual Functioning in Patients with Multiple Sclerosis

Sexual dysfunction is quite common among individuals with multiple sclerosis (MS); however, severity of dysfunction alone does not account for the tremendous variation in sexual satisfaction across individuals living with MS. Individual characteristics, relationships with intimate partners, and environmental factors all likely contribute to the multidimensional experience of sexual satisfaction. Health care provider variables, including how one communicates with providers about sexual concerns, may also be influential. The purpose of this study was to examine factors that are associated with patients’ sex-related communications with their MS physicians and to overall patient sexual satisfaction. Individuals in an MS clinic (n = 73) completed a survey packet which included measures of physical and mental health, sexual dysfunction, sexual satisfaction, sex communication, health care provider relationships, and health care satisfaction. Findings suggest that while more than half of patients with MS reported experiencing sexual dysfunction, only a third of patients indicated addressing their sexual concerns with their physician during the past year. Interestingly, the frequency of communication about sexual concerns was associated with satisfaction with physician variables, whereas selfefficacy for these interactions was associated with emotional health variables. These results indicate that when considering interventions to increase confidence for communication and frequency of communication that differing factors may be taken into account

Managing Depression and Suicidality in clients living with HIV: A roadmap for non-mental health professionals and care settings

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Removing Care Barriers: Cross-Training HIV and Mental Health Peer Staff

Despite routine use of peers within HIV and mental health (MH) teams, little cross-fertilization exists across settings even with increased HIV risk for those with MH and substance use difficulties and high prevalence of MH concerns and substance use in HIV-positive individuals. We describe efforts to develop HIV, MH, and substance abuse competencies for peer staff operating across these settings

Improving Wellness for LGB Collegiate Student-Athletes Through Sports Medicine: A Narrative Review

Abstract In comparison to their heterosexual peers, lesbian, gay, and bisexual (LGB) student-athletes encounter substantial challenges during their intercollegiate and professional athletic careers including detrimental stereotypes, harassment, and discrimination. Such non-inclusive environments promoted throughout the current Western culture of sport are notably associated with higher incidences of mental health and substance use disorders among LGB athletes across youth, collegiate, and professional sports. There have been significant gains at the collegiate level to address LGB-inclusive practices aimed towards administrators, educators, coaches, and student-athletes; however, there is currently no literature that addresses the unique role of the sports medicine team. As first-line healthcare providers for student-athletes, sports medicine physicians and athletic trainers are uniquely positioned to support collegiate LGB athletes through affirming sexual identity, recognizing distinctive health risks, and advocating inclusivity within the athletic training room. By examining major themes of concern among current LGB student-athlete experiences across the unique setting of US colleges and universities, this review article aims to further identify opportunities for sports medicine providers to promote positive health outcomes and improve the overall wellness of collegiate LGB student-athletes

It\u27s \u3ci\u3eSupposed\u3c/i\u3e To Be Personal: Personal and Educational Factors Associated With Sexual Health Attitudes, Knowledge, Comfort and Skill In Health Profession Studies

The health professional and the patient are cultural beings with beliefs and attitudes that are shaped by family traditions, social development, and exposure to novel experiences. As such, it is especially important for health profession students to gain awareness about the personal and educational factors that likely inform their practice and educational experiences and, as a result, impact their attitudes, knowledge, comfort, and skill in the area of sexual health. The current study sought to understand personal factors in health profession students associated with these sexual health competencies. Several early personal factors (gender, social class, and family sexuality communication), current personal factors (religion, spirituality, and relationship history), and educational factors (perceived quality of education and experience) were significantly related with sexual health competency. Results suggest that there is potential value to tailored interventions, student self-reflection, and interprofessional education among health profession students’ for the promotion of sexual health competency

SHE PREVAILS: Reducing HIV Risk for African American Women

In the Southeastern US, HIV infection rates and health outcomes have been especially deleterious for African American women. In response, we developed ‘SHE PREVAILS,’ an evidenced-based intervention--prevention program for African American women with substance abuse and co-occurring mental health disorders for those at-risk or living with HIV