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Men's preconception health care in Australian general practice: GPs' knowledge, attitudes and behaviours

机译:男士在澳大利亚的一般练习中的先注医疗保健:GPS的知识,态度和行为

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摘要

Potentially modifiable factors can affect male fertility and reproductive outcomes, including smoking, obesity, and older paternal age. This study surveyed GPs' knowledge about, attitudes towards, and needs for promoting fertility and preconception health to male patients. The survey, conducted February to June 2018 and completed by 304 GPs, included questions relating to men's preconception health, the potential barriers and enablers to discussing preconception health with male patients, and the types of resources that would enable GPs to discuss parenthood intentions with men of reproductive age. Most GPs (90%) did not feel confident in their knowledge about modifiable factors that affect male fertility. Two-thirds agreed that it was their role to discuss these factors with male patients, but nearly 80% practised this only occasionally. Lack of knowledge, the sensitivity of the subject and fertility being perceived as a female issue, were identified as barriers to discussing fertility and preconception health with male patients. To facilitate discussions, GPs wanted trustworthy websites and factsheets to refer patients to. Men do not typically receive fertility or preconception health advice in general practice. A national framework for preconception health care that includes men, GP education and training, and reproductive health resources for men is needed.
机译:可能可修饰的因素可以影响男性生育和生殖结果,包括吸烟,肥胖和较大的父亲年龄。本研究调查了GPS的知识,态度,促进对男性患者的生育率和先注健康的需求。 2018年2月至6月进行的调查和304份GPS完成,包括与男性患者讨论先入为健康的潜在障碍和使能源的问题,以及将使GPS与男性讨论父母身份的资源类型生殖年龄。大多数GPS(90%)对他们对影响男性生育能力的可修改因素的知识并没有感到充满信心。三分之二同意这是他们与男性患者讨论这些因素的作用,但偶尔将偶尔练习这一因素。知识缺乏知识,被认为是一个女性问题的受试者和生育的敏感性被确定为与男性患者讨论生育能力和先入为主健康的障碍。为了促进讨论,​​GPS希望值得信赖的网站和Factsheets来提及患者。通常在一般练习中通常不会获得生育能力或先注性的健康建议。需要一个包括男性,GP教育和培训和男性的生殖健康资源的国家的先注医疗保健框架。

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