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Purpose <p>We explored patients’ experiences, perceptions, and expectations regarding communication with healthcare providers (HCP) about sexual health in Austria. We identified challenges, barriers, and potential improvements to enhance patient-centered communication on sexuality, sexual orientation, gender identity, and sexually transmitted infections (STI).</p> Methods <p>During March-December 2024, we conducted an online survey in Austria (25 items survey). We used descriptive and multivariate logistic regression analysis (Odds Ratio (or), 95% Confidence Interval (95% ci)), to identify determinants of discussing sexual health with the HCP.</p> Results <p>Overall 424/553 (76.7%) have discussed their sexual health with an HCP. More than half (54.3%) were under the age of 34, 45.6% identified as women, 42.8% as heterosexual, 24.8% as MSM, and 12.4% as woman who have sex with woman (WSW). The majority (91.5%) believed that discussing sexual health is important, 42.2% chose their HCP based on how open they were perceived to be about sexual health, and 18.6% were willing to travel far to see an HCP open to these discussions. In bivariate analysis, disclosure was more common among age-group 25-34 (OR 1.95; 95%CI 1.09-3.48), MSM (OR 1.74; 95%CI 1.03-2.94), those choosing providers based on openness (OR 3.76; 95%CI 2.27-6.23), and those willing to travel for such talks (OR 2.71; 95%CI 1.35-5.41). In the multivariate regression analysis, significant determinants associated with discussing SH included HCP willing to talk about SH (aOR 3.5; 95%CI 1.97-6.12).</p> Conclusions <p>The study highlighted the relevance of attitudes and perceived provider openness in whether SH related discussions occur. These findings reflect aspects of the SH communication process rather than causal determinants and provide a basis for further research.</p>

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Factors associated with barriers in talking about sexual health – Findings from an online survey in Austria -2024

  • 期刊论文

  • 发表日期：

    2026年7月24日

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  • Vivien Brait,
  • Alina Novacek,
  • Andrea Brunner,
  • Sabine Lex,
  • Felix Küffel,
  • Alena Chalupka,
  • Lukas Richter,
  • Dirk Werber,
  • Javier del Águila Mejía,
  • Ziad El-Khatib

摘要

Purpose

We explored patients’ experiences, perceptions, and expectations regarding communication with healthcare providers (HCP) about sexual health in Austria. We identified challenges, barriers, and potential improvements to enhance patient-centered communication on sexuality, sexual orientation, gender identity, and sexually transmitted infections (STI).

Methods

During March-December 2024, we conducted an online survey in Austria (25 items survey). We used descriptive and multivariate logistic regression analysis (Odds Ratio (or), 95% Confidence Interval (95% ci)), to identify determinants of discussing sexual health with the HCP.

Results

Overall 424/553 (76.7%) have discussed their sexual health with an HCP. More than half (54.3%) were under the age of 34, 45.6% identified as women, 42.8% as heterosexual, 24.8% as MSM, and 12.4% as woman who have sex with woman (WSW). The majority (91.5%) believed that discussing sexual health is important, 42.2% chose their HCP based on how open they were perceived to be about sexual health, and 18.6% were willing to travel far to see an HCP open to these discussions. In bivariate analysis, disclosure was more common among age-group 25-34 (OR 1.95; 95%CI 1.09-3.48), MSM (OR 1.74; 95%CI 1.03-2.94), those choosing providers based on openness (OR 3.76; 95%CI 2.27-6.23), and those willing to travel for such talks (OR 2.71; 95%CI 1.35-5.41). In the multivariate regression analysis, significant determinants associated with discussing SH included HCP willing to talk about SH (aOR 3.5; 95%CI 1.97-6.12).

Conclusions

The study highlighted the relevance of attitudes and perceived provider openness in whether SH related discussions occur. These findings reflect aspects of the SH communication process rather than causal determinants and provide a basis for further research.