Data from: Female genital cosmetic surgery: a cross-sectional survey exploring knowledge, attitude and practice of general practitioners

Objective To explore general practitioner's (GP) knowledge, attitudes and practice regarding female genital cosmetic surgery (FGCS) in Australia. Design Cross-sectional survey. Setting Australia. Sample GPs who attended a women's health seminar and GPs who subscribed to a non-governmental, national health professional organisation database that provides education to primary care professionals. Method A national online survey of GPs was conducted for the 10-week period, starting 1 week prior and 2 months after a Women's Health seminar was held in Perth on 8 August 2015. 31 questions prompted GPs' knowledge, attitudes and practice in managing patients asking about FGCS. Results The survey was fully completed by 443 GPs; 54% had seen patients requesting FGCS. Overall, 75% (95% CI 71% to 79%) of GPs rated their knowledge of FGCS as inadequate and 97% (95% CI 94% to 99%) had been asked by women of all ages about genital normality. Of those who had seen patients requesting FGCS, nearly half (44%, 95% CI 38% to 51%) reported they had insufficient knowledge of risks of FGCS procedures and 35% (95% CI 29% to 41%) reported seeing females younger than 18 years of age requesting FGCS. Just over half (56%, 95% CI 51% to 60%) of the GPs felt that women should be counselled before making a referral for FGCS. More than half the GPs suspected psychological disturbances in their patients requesting FGCS such as depression, anxiety, relationship difficulties and body dysmorphic disorder. Conclusions GPs see women of all ages presenting with genital anatomy concerns and in those who request FGCS, GPs often suspected a range of mental health difficulties. GPs require greater education to support their patients who request FGCS.研究目的：探讨澳大利亚全科医生（General Practitioner, GP）对女性生殖器整形手术（Female Genital Cosmetic Surgery, FGCS）的认知、态度与执业实践。 研究设计：横断面调查。 研究场景：澳大利亚。 研究样本：参加女性健康研讨会的全科医生，以及订阅了一家为初级保健专业人员提供教育服务的非政府全国卫生专业组织数据库的全科医生。 研究方法：2015年8月8日于珀斯举办女性健康研讨会，以此为时间节点，在研讨会前1周至研讨会后2个月的10周周期内，面向全科医生开展全国性线上调查。问卷共设置31个问题，用于调研全科医生在接诊咨询FGCS的患者时的认知、态度与执业行为。 研究结果：本次调查共有443名全科医生完成全部问卷；其中54%的受访者曾接诊过提出FGCS诉求的患者。总体而言，75%的受访者（95%置信区间，95% CI：71%~79%）认为自身对FGCS的认知不足，97%的受访者（95% CI：94%~99%）曾被各年龄段女性咨询生殖器解剖结构的正常标准。在曾接诊FGCS诉求患者的全科医生中，近半数（44%，95% CI：38%~51%）表示自身对FGCS手术的风险知识储备不足，另有35%的受访者（95% CI：29%~41%）接诊过未满18岁的女性提出FGCS诉求。超过半数（56%，95% CI：51%~60%）的全科医生认为，女性在接受FGCS转诊前应接受针对性咨询辅导。超半数全科医生怀疑提出FGCS诉求的患者存在心理异常状况，如抑郁、焦虑、人际关系障碍及躯体变形障碍。 研究结论：全科医生常接诊因生殖器解剖结构疑虑就诊的各年龄段女性，而针对提出FGCS诉求的患者，全科医生往往怀疑其存在多种心理健康问题。全科医生需要接受更多相关教育培训，以更好地为提出FGCS诉求的患者提供支持。