BACKGROUND: Providers need an accurate sexual history for appropriate screening and counseling, but data on the @entity1 , visit, and physician factors associated with sexual history-taking are limited. OBJECTIVES: To assess @entity1 , resident physician, and visit factors associated with documentation of a sexual history at @entity283 ( @entity283 ) visits. DESIGN: Retrospective cross-sectional chart review. @entity1 : Review of all @entity283 clinic notes (n = 360) by 26 internal medicine residents from February to August of 2007 at two university-based outpatient clinics. MEASUREMENTS: Documentation of sexual history and @entity1 , resident, and visit factors were abstracted using structured tools. We employed a generalized estimating equations method to control for correlation between @entity1 within residents. We performed multivariate analysis of the factors significantly associated with the outcome of documentation of at least one component of a sexual history. KEY RESULTS: Among 360 charts reviewed, 25% documented at least one component of a sexual history with a mean percent by resident of 23% (SD = 18%). Factors positively associated with documentation were: concern about sexually transmitted @entity281 (referent: no concern; OR = 4.2 [95% CI = 1.3-13.2]); genitourinary or abdominal complaint (referent: no complaint; OR = 4.3 [2.2-8.5]); performance of other @entity283 (referent: no @entity283 performed; OR = 3.2 [1.5-7.0]), and birth control use (referent: no birth control; OR = 3.0 [1.1, 7.8]). Factors negatively associated with documentation were: age groups 46-55, 56-65, and >65 (referent: 18-25; ORs = 0.1, 0.1, and 0.2 [0.0-0.6, 0.0-0.4, and 0.1-0.6]), and no specified marital status (referent: married; OR = 0.5 [0.3-0.8]). CONCLUSIONS: Our findings highlight the need for an emphasis on documentation of a sexual history by internal medicine residents during routine @entity283 visits, especially in older and asymptomatic @entity1 , to ensure adequate screening and counseling.

XXXX , resident physician, and visit factors associated with documentation of sexual history in the outpatient setting.

@entity1 :: ('9606', 'Species') :: ['patients', 'patient', 'PARTICIPANTS'] @entity281 :: ('MESH:D007239', 'Disease') :: ['infection'] @entity283 :: ('OMIM:603663', 'Disease') :: ['HCM', 'health care maintenance']
@entity1 :: (9606,Species) :: ['Patient']
