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Theory The Suasory Effects of Lexical Complexity and Syntactic Complexity On Effective Message Design
Theory The Suasory Effects of Lexical Complexity and Syntactic Complexity On Effective Message Design
Communication Studies
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To cite this article: Joshua M. Averbeck & Claude Miller (2014) Expanding Language Expectancy
Theory: The Suasory Effects of Lexical Complexity and Syntactic Complexity on Effective Message
Design, Communication Studies, 65:1, 72-95, DOI: 10.1080/10510974.2013.775955
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Communication Studies
Vol. 65, No. 1, January–March 2014, pp. 72–95
This research uses language expectancy theory (LET; Burgoon, Jones, & Stewart, 1975;
Miller & Burgoon, 1979) to explore message design effectiveness as a function of syntactic
and lexical complexity, in a 2 (lexical: simple vs. complex) 2 (syntactic: simple vs.
complex) design. Pilot test and main study findings indicate optimal message features
include the use of lexically simple language combined with syntactically simple sentence
structure for receivers who are more likely to think on concrete as opposed to abstract
levels, since such an arrangement makes integration of new information easier. Future
directions are discussed for message design and for advancement of the theoretical
contributions offered by examining syntactic complexity and lexical complexity within
the explanatory framework of LET.
Joshua M. Averbeck (PhD, 2011, University of Oklahoma) is an Assistant Professor in the Department of
Communication at Western Illinois University. Claude Miller (PhD, 2000, University of Arizona) is an Associate
Professor in the Department of Communication at the University of Oklahoma. Correspondence to: Joshua M.
Averbeck, Department of Communication, Western Illinois University, 1 University Circle, Macomb, IL, 61455,
USA. E-mail: JM-Averbeck@wiu.edu
ISSN 1051-0974 (print)/ISSN 1745-1035 (online) # 2014 Central States Communication Association
DOI: 10.1080/10510974.2013.775955
Expanding LET 73
predictor of multiple language expectations could offer a more practical and efficient
means for understanding language expectations.
Finally, as noted, lexical and syntactic forms of linguistic complexity have thus far
remained largely unexplored within the persuasion literature. Therefore, this project
seeks to investigate these two specific language behaviors, which have commonly
shown great variance in everyday speech but have nevertheless remained under-
studied in the communication literature, in general, and within the framework of
LET, in particular.
Lexical Complexity
Simple language versus complex language can have a relatively potent impact on the
persuasiveness of a message, depending on various factors related to source and
receiver characteristics (Bradac, Bowers, & Courtright, 1979). Studies on reading
comprehension demonstrate individuals are more comfortable and engaged when
the language complexity of a message matches their own abilities (Berne & Clark,
2006; Brabham & Villaume, 2002; Lloyd, 2004). These studies, however, do not
address the expectations associated with complex language. Lexical complexity—
which is a combination of the average length of words in a message and the ratio
of unique words to total words—can alter the way a message is interpreted (Bradac,
Desmond, & Murdock, 1977). For example, ‘‘You should throw your trash away’’
is lexically simpler than ‘‘Citizens ought to dispose of their refuse properly.’’
Interpersonal cognitive complexity refers to the variety and number of psychological
constructs one may use to describe others (Medvene, Grosch, & Swink, 2006). Cognitive
complexity should be functionally related to a message receiver’s vocabulary, involve-
ment, and interests in particular subjects and=or people (Shah, Kwak, Schmierbach,
& Zubric, 2004). Logically, it would seem cognitive complexity should interact
with lexical complexity to affect message reception. Therefore, the greater knowledge,
interest, and involvement held in a particular subject, the greater variety of psychological
constructs at one’s disposal for describing that subject (Crockett, 1965; Delia, 1972),
and the more one should be influenced by lexically complex messages.
Expanding LET 75
This reasoning should also hold when considering message reception (Burleson &
Caplan, 1998). Schrodt, Wheeless, and Ptacek (2000) found individuals experienced
informational reception apprehension wherein those lacking knowledge or vocabu-
lary were likely to reject complex messages. Those possessing information-processing
skills capable of understanding complex messages not only demonstrate the ability to
process such complex messages but also show some affinity for complex messages.
Greater cognitive complexity is likely to result in greater ease in comprehending,
processing, and responding to more complex messages (Rockwell, 2007). Such
abilities and affinities for complex messages may thus result in a desire or expectation
for complex messages. Therefore, the reception of lexically complex messages is likely
to depend heavily upon one’s cognitive complexity, such that greater complexity
should result in more positive reception of lexically complex messages due to
a preference for higher lexical complexity resulting in a positive expectancy violation.
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H1: Individuals higher in cognitive complexity will prefer lexically complex mes-
sages, which will elicit greater perceived persuasiveness compared to lexically
simple messages.
H2: Individuals higher in cognitive complexity will prefer lexically complex mes-
sages, which will elicit more positive behavioral intentions compared to lexi-
cally simple messages.
H3: Individuals higher in cognitive complexity will prefer lexically complex mes-
sages, which will elicit decreased message derogation compared to lexically
simple messages.
Syntactic Complexity
In addition to language choice, the layout of a sentence may also have a significant
effect on message reception or rejection. One way to think about syntactic complexity
is to consider the difference between a declarative sentence and a sentence with
a dependent clause at the beginning. A declarative sentence is easier to read than
76 J. M. Averbeck & C. Miller
a compound sentence or a sentence beginning with a dependent clause. Take the
following example:
To address these hypotheses, two studies are presented: The first develops
a measure of message complexity to pilot test and demonstrate the key theoretic
differences between the relevant test messages, and the second builds on this opera-
tionalization by applying the persuasive appeals to directly test the hypotheses.
Method: Study 1
Participants
Seventy-four participants were drawn from the department of communication
subject pool at large Midwestern university. All experimental materials were
approved by the human subjects institutional review board.
Procedures
Data were gathered using an online survey. In the repeated measures design 2 (lexical:
simple vs. complex) 2 (syntactic: simple vs. complex), participants were asked
to read each of the four messages and to assess the complexity of each message.
Participants were then thanked and debriefed.
Message Construction
All four versions of the messages were based on a message produced by the U. S. Centers
for Disease Control (CDC). The principal message template was manipulated to fulfill
each of the message conditions (messages variations are included in Appendix A).
Lexical complexity was determined in accordance with the Index of Contingency
(Becker, Bavelas, & Braden, 1961; Compton & Pfau, 2008). The less complex
messages (M ¼ 1.44, SD ¼ 0.03) were manipulated through a higher overlap percent-
age indicating more repetition and fewer unique words. The less complex messages
should have a lower concept score due to the repetition of nouns, which results in
78 J. M. Averbeck & C. Miller
an overall lower index of readability indicated by the concept score. The more com-
plex messages (M ¼ 0.82, SD ¼ 0.02) were constructed to have a lower repetition per-
centage indicating less repetition and more unique words. The concept score,
therefore, was higher due to repetition of nouns present in the message, resulting
in an overall higher index. An independent sample t test indicated the difference
in scores was significant, t(6) ¼ 31.50, p < .001, r ¼ .996, d ¼ 25.7.
Syntactic complexity was also manipulated a priori through the use of left- and
right-branching clauses. Simple messages had the same information as complex
messages; however, the dependent clause in syntactically complex messages began as
left-branching sentences, whereas the same dependent clause appeared at the end of
syntactically simple, right-branching sentences. For example, ‘‘Given that sexually
transmitted infections are extremely dangerous, you should make testing a regular part
of your overall health’’ is a complex message due to the left-branching clause; whereas,
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‘‘You should make testing a regular part of your overall health since sexually transmitted
infections are extremely dangerous’’ is a syntactically simple message, because it includes
the qualifying clause at the end (i.e., within the right branch) of the sentence.
Dependent Variable
Thirteen semantic differential items assessed on 7-point scales were generated and
subjected to a principal component analysis (PCA) to assess message complexity.
Syntactic complexity and lexical complexity were expected to interact such that lexically
complex=syntactically simple messages would be rated as the most complex, whereas
lexically simple=syntactically simple message should be rated as the least complex.
A scree plot and 95th percentile parallel analysis were utilized to assess the number
of components, and Varimax (orthogonal) rotation was used to improve inter-
pretation. As a result, six items were removed based on poor communalities and
cross-loading, leaving the following seven adjective pairs to assess message complexity:
complex=simple, intricate=straightforward, complicated=uncomplicated, difficult=easy,
compound=uniform, demanding=undemanding, and convoluted=simplistic, coded so
higher means indicate greater perceived message complexity. Factorability was accept-
able (Kaiser-Meyer-Olkin Measure of Sampling Adequacy [MSA] ¼ .90 and Bartlett’s
Test of Sphericity, v2 [df ¼ 21] ¼ 2157.17, p < .001). Univariable MSA values are also
acceptable (all values exceed .86). Based on the scree plot and the parallel analysis,
one factor was extracted, and the final unidimensional model accounted for 69.66%
of the variance, with no loadings below .67. The resulting scale computed from these
items produced a 7-item Cronbach’s a ¼ .93 (M ¼ 5.12, SD ¼ 1.32).
Results: Study 1
The newly computed scale was then used in a repeated-measures analysis of variance
(ANOVA) to examine the main effects for syntactic and lexical complexities (means
and standard deviations are reported in Table 1). Results indicated significant main
effects for both syntactic complexity, F(1, 62) ¼ 26.01, p < .001, g2 ¼ .30, and lexical
Expanding LET 79
Syntactically Simple
Lexically Simple 5.45 (1.07)
Lexically Complex 5.52 (1.17)
Syntactically Complex
Lexically Simple 4.47 (1.26)
Lexically Complex 5.05 (1.30)
complexity, F(1, 62) ¼ 11.65, p < .001, g2 ¼ .16, which were qualified by a significant
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Method: Study 2
Participants
A total of 303 participants were drawn from the department of communication
subject pool, of whom 180 were females, 96 males, and 27 unidentified as to sex, with
a mean age of 20.86 (SD ¼ 3.49) for all participants, who were 3% Asians, 9% African
Americans, 5% Latinos, 67% Whites, 5% Native Americans, 3% indicating Other,
and 8% who did not report race. Year in college was also recorded, with 25%
freshmen, 25% sophomores, 21% juniors, 20% seniors, 0.3% graduate, and 9%
not indicating grade level. Roughly 0.5% (n ¼ 16) reported having had a sexually
transmitted disease (STD) infection of some kind. As in Study 1, all experimental
materials were approved by the human subjects institutional review board.
Procedures
The experimental design used a 2 (lexical: simple vs. complex) 2 (syntactic: simple
vs. complex) design. After providing demographic information, participants read
a message encouraging testing for sexually transmitted diseases, followed by measures
assessing message derogation and message effectiveness. Finally, participants com-
pleted the cognitive complexity measures developed in Study 1.
Message Complexity
The seven syntactic differential items described above were used as a manipulation
check for the two language complexity predictor variables, with the resulting scale
showing good internal consistency (seven-item a ¼ .90, M ¼ 2.30, SD ¼ 1.11).
80 J. M. Averbeck & C. Miller
Predictor Variables
Cognitive complexity was assessed using the Cognitive Complexity Instrument (CCI;
Bagdasarov, 2009), which consisted of a 21-item three-dimensional measure of
cognitive complexity, capturing one’s affinity for thinking on an abstract level,
abilities to integrate new information, and capacity to differentiate psychological
constructs. The CCI, compared to the Role Category Questionnaire (RCQ; Crockett,
1965; Delia, 1972), examines the ways in which an individual may think on a complex
level beyond being able to identify multiple personality characteristics of others. The
abstractness component of this measure consists of seven items, for example, ‘‘I like
to think about abstract ideas’’ and ‘‘Typically, I avoid philosophical discussions’’
(seven-item a ¼ .69, M ¼ 4.51, SD ¼ 0.92). The integration component, also com-
prised of seven items, included ‘‘I spend a lot of time reflecting on how things are
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connected,’’ and ‘‘I can bring a new perspective to a situation’’ (seven-item a ¼ .84,
M ¼ 5.44, SD ¼ 0.85). Finally, the differentiation component also consisted of seven
items, for example, ‘‘When describing a person, I typically go beyond just physical
description,’’ and ‘‘When someone is telling a story I wish they would get straight
to the point,’’ although demonstrating less internal consistency (seven-item
a ¼ .58, M ¼ 4.63, SD ¼ 0.73).
Dependent Variables
Message derogation concerned the extent to which a message was considered
manipulative, for example, ‘‘This message was exaggerated,’’ and ‘‘This message
was overblown’’ (Smalec & Klingle, 2000) (four-item a ¼ .93, M ¼ 2.19, SD ¼ 1.07).
Perceived persuasiveness (Miller & Averbeck, in press) was assessed with items
measured along a 7-point syntactic differential scale, asking if the message was
persuasive=unpersuasive, effective=ineffective, and influential=not influential (five-
item a ¼ .95, M ¼ 5.30, SD ¼ 1.30).
Behavioral intentions (three-item a ¼ .95, M ¼ 3.61, SD ¼ 1.76) was assessed using
a scale adapted from Park, Klein, and Smith (2007), including ‘‘I plan to get tested for
sexually transmitted diseases before my next sexual encounter.’’
(e.g., lexical complexity), the moderating variable (e.g., cognitive complexity), and
a multiplicative term of the two independent variables. Graphs were generated based
on Cohen and Cohen’s (1983) recommendation of designating a high and low value of
moderating variables based on one standard deviation above and below the mean of
cognitive complexity. These equations were then plotted to display the interactions.
Hypotheses 1–3 predicted individuals higher in cognitive complexity would prefer
lexically complex messages, which would elicit greater perceived persuasiveness,
more positive behavioral intentions, and decreased message derogation compared to
lexically simple messages. To test this, a multivariate analysis of variance (MANOVA)
was calculated. The independent variables were lexical complexity and the three
dimensions of the cognitive complexity instrument (CCI). The dependent variables
were perceived persuasiveness, behavior intentions, and message derogation. Multi-
variate tests are reported first then, followed by univariate effects only if a significant
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Figure 1 Interaction between abstraction and lexical complexity for message derogation.
82 J. M. Averbeck & C. Miller
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Figure 3 Interaction between differentiation and lexical complexity for behavior intentions.
Expanding LET 83
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Figure 4 Interaction between differentiation and lexical complexity for message derogation.
but there was also greater message derogation compared to the lexically simple
message. However, message derogation decreased as differentiation abilities increased.
In summary, Hypothesis 1 received mixed results: For lexically complex messages,
there was greater perceived persuasiveness when individuals reported higher levels of
differentiation. Hypothesis 2 also appears to have received mixed support: As ability
to think on an abstract level increased, lexically simple messages were derogated more
than lexically complex messages; however, higher cognitive complexity was associated
with less behavior intentions for lexically complex messages rather than lexically
simple messages, as predicted. Hypothesis 3 also received mixed support: Lexically
simple messages were derogated more based on one’s ability to think abstractly
but were derogated less based on differentiation.
Hypotheses 4–6 predicted individuals higher in cognitive complexity would prefer
syntactically complex messages, which would elicit greater perceived persuasiveness,
more positive behavioral intentions, and decreased message derogation compared to
syntactically complex messages.
Although the interaction between syntactic complexity and abstractness was not
significant, Wilks’ Lambda ¼ .92, F(10, 414) ¼ 1.67, ns, g2p ¼ :04, there was a signifi-
cant interaction between syntactic complexity and integration, Wilks’ Lambda ¼ .86,
F(10, 414) ¼ 3.35, p < .001, g2p ¼ :08, and syntactic complexity and differentiation,
Wilks’ Lambda ¼ .82, F(10, 414) ¼ 4.25, p < .001, g2p ¼ :09.
For syntactic complexity and integration, there was a significant univariate effect
for persuasiveness, F(2, 211) ¼ 5.20, p < .01, g2p ¼ :05, and, as Figure 5 indicates,
syntactically simple messages were perceived as more persuasive by receivers
who were lower in information integration ability. On the other hand, contrary
to Hypothesis 4, the syntactically complex message was more persuasive when
integration abilities were high. On the other hand, message derogation was higher for
syntactically complex messages when integration scores were low, F(2, 211) ¼ 6.94,
p < .001, g2p ¼ :06. However, contrary to Hypothesis 6, syntactically complex
messages were derogated less when integration scores were high (see Figure 6). There
84 J. M. Averbeck & C. Miller
were no significant univariate effects for behavior intentions, thus Hypothesis 5 was
not supported.
For syntactic complexity and differentiation, there were significant univariate
effects for persuasiveness, F(2, 211) ¼ 7.35, p < .001, g2p ¼ :07, such that messages
were rated as being more persuasive as differentiation increased (see Figure 7). More-
over, syntactically simple messages were more persuasive than syntactically complex
messages regardless of level of differentiation abilities, providing a measure of
support for Hypothesis 4. As Figure 8 illustrates, behavior intentions were higher
as differentiation scores increased, F(2, 211) ¼ 3.35, p < .05, g2p ¼ :03. Despite the
syntactically simple message eliciting greater behavior intentions when differentiation
was higher, the difference between syntactically complex and simple messages was
minimal. As Figure 9 shows, message derogation was highest for the syntactically
complex message combined with low differentiation, F(2, 211) ¼ 13.57, p < .001,
g2p ¼ :11. Furthermore, syntactically complex messages were derogated more regard-
less of differentiation scores, providing support for Hypothesis 6.
Figure 6 Interaction between integration and syntactic complexity for message derogation.
Expanding LET 85
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Figure 8 Interaction between differentiation and syntactic complexity for behavior intentions.
Figure 9 Interaction between differentiation and syntactic complexity for message derogation.
86 J. M. Averbeck & C. Miller
In sum, Hypothesis 5 did not receive support: Behavior intentions did not appear
to be affected by syntactic complexity. However, mixed support was found for both
Hypotheses 4 and 6: Increases in integration were associated with higher ratings of
persuasiveness and less message derogation for syntactically complex messages.
Moreover, syntactically simple messages were more persuasive and resulted in less
message derogation when differentiation skills increased.
Discussion
To assess the effects of lexical complexity and syntactic complexity on the persuasive-
ness of a health message, two studies were conducted. The first, serving as a pilot,
demonstrated the differences in perceived message complexity for lexical and syn-
tactic complexity manipulations. The second study examined the effects of these
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Message Characteristics
Based on Study 1, it appears people form expectations and preferences about the lexi-
cal and syntactic complexity of the message they receive. In particular, messages
designed to be higher in lexical complexity were indeed considered more complex.
Although the syntactically simple messages were also rated as complex, the expecta-
tions associated with them appear to depend more heavily upon individual
differences.
For the most part, participants who were cognitively complex showed a distinct
preference for lexically simple message when reporting behavior intentions. Indivi-
duals who think about issues longer differentiate between ideas, but lack abilities
to identify different personality constructs in others, found lexically complex
messages more persuasive. Lexically complex messages were derogated less by those
who have a greater tendency to think on an abstract level and have less abilities to
differentiate between ideas.
Perhaps lexically simple messages do not allow for as much interpretation, nor
effectively satisfy the reflective needs of receivers. Lexically complex messages may
help receivers distinguish concepts from one another and may provide more useful
language features for receivers to contemplate at length. As argued in the reasoning
leading up to the hypotheses, related expectations and preferences may be tied to
one’s reading comprehension levels and experience with complex ideas. That is,
individuals who do not have much experience with complex ideas may shy away
from complex terminology and prefer a lexically simple message. Those who have
Expanding LET 87
more experience with complicated terminology may be less concerned with how to
understand the message in front of them. Rather, these individuals may be more
interested in thinking about all possible meanings and considering applications
for the message’s content. Thus, lexically complex messages may do a better job of
providing the raw materials for more a cognitively complex individual to think on
more abstract levels.
The integrative aspect of cognitive complexity also affected the reception of
syntactically complex messages. Greater abilities to integrate new information and
to differentiate between personality constructs in others were associated with
a preference for syntactically complex messages. Specifically, relative to syntactically
simple messages, individuals with higher integrative abilities found syntactically
complex messages more persuasive, reported more favorable attitudes and expressed
less message derogation. Integration abilities should make syntactically complex
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messages easier to process; therefore, it makes sense those who have greater inte-
gration abilities should have a preference for messages that provide a clearer context
for integrating the information. Thus, syntactically complex messages may positively
violate the expectations of those who have greater integration abilities.
On the other hand, those who showed greater differentiation abilities found syn-
tactically simple messages more persuasive, reported more favorable attitudes, and
less message and source derogation. Differentiation skills may create a preference for
messages providing content without as much need for context. An individual with such
a preference might prefer to think about how this information is new or different from
previous knowledge and to decide whether or not to incorporate the new information.
Given their lack of contextualization, syntactically simple messages may meet—or
perhaps even positively violate—the expectations of high-differentiation receivers.
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Appendix A – Messages
Syntactically Simple, Lexically Simple
Being tested for STDs can be one of the most essential things you can do to stay
healthy. You have to ask for an STD test. Doctors will not routinely test for STDs.
You should feel comfortable to ask. It’s absolutely essential to get tested. It is
essential to be treated as soon as possible if you do have an STD— like chlamydia
or gonorrhea, for example. You and your doctor will decide what STD tests make
the most sense for your case.
. Think of problems or questions you have. It is helpful to write them down even if
you have only one or two questions so you have them with you.
. Tell the receptionist that you would like to be tested for STDs when you make your
appointment and you will be tested.
The appointment
It is the day of your appointment. Take a deep breath! Bring a family member or friend
with you if you want company. It may even be OK to bring someone else into the room
during your test. Just let the doctor know in advance that you would like to do that.
Also, tell your doctor if you want to talk in private. Ask lots of questions and
be honest. Ask for explanations when you do not understand a question or answer
so you can understand it.
The talk
A good sexual health exam begins with a good sexual health history. Here are some
common questions that doctors ask:
These questions might seem really personal. It is essential to be honest with your doc-
tor so you get the most out of your test. Your doctor will help you make essential
decisions about what test(s) you may need.
And remember! Be sure to ask about when you will get the results.
Below is contact information to schedule your screening today.
OU Health Services
Goddard Health Center
620 Elm Avenue
Norman, Oklahoma 73019-3146
405-325-4441
Planned Parenthood
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. Think of concerns or questions you have. It’s helpful to put them in writing to
remember them even if you have only one or two inquiries.
. Tell the receptionist that you’d like to be checked for sexually transmitted infec-
tions when you make your appointment so you receive a complete examination.
The appointment
It’s the day of your scheduled examination. Inhale deeply! Bring a family member or
friend with you if you want. It may even be acceptable to bring someone else into the
92 J. M. Averbeck & C. Miller
room during your assessment. Just let the provider know in advance that you would
like to do that.
Also, tell your general practitioner if you want to speak in confidence. Ask
numerous questions and be straightforward. Ask for explanations when you don’t
comprehend a query or response so you can best utilize the prognosis.
The talk
A good sexual health exam commences with an extensive sexual health history.
There are several inquiries that health care providers ask:
. How many sexual partners have you had recently?
. How many sexual partners have you had in your lifetime?
. Do you have sex with women, men, or both?
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The appointment
On the day of your visit, take a deep breath! If you want someone else in the room
with you during your test, it is okay to bring family or a friend. When you want
someone to be with you, just let the doctor know in advance.
If you want to talk in private, tell your doctor. As soon as there is a question
or answer you would like explained, ask for an explanation, ask lots of questions,
and be honest so you can use the answers you get.
The talk
To have a good sexual health exam, you will provide a sexual health history. There
are many questions a doctor can ask, and here are some common ones:
. How many sexual partners have you had recently?
. How many sexual partners have you had in your lifetime?
. Do you have sex with women, men, or both?
. Do you have oral sex?
. Do you have anal sex?
. Do you use condoms?
. Do you have symptoms?
. Have you have had symptoms in the past?
. Have you ever had a sexually transmitted infection?
. Have you used over-the-counter medications to treat your symptoms?
. Do your partner(s) have any STIs or symptoms of STIs?
. Do you have any drug allergies?
. When was your last period? (if you are a woman)
Some of these questions might seem really personal, but it is essential to be open with
your doctor to stay healthy. When deciding what test(s) you may need, your doctor
can help you make this essential decision.
94 J. M. Averbeck & C. Miller
Remember, ask about when you will get the results.
To schedule your screening today, use the information below:
OU Health Services
Goddard Health Center
620 Elm Avenue
Norman, Oklahoma 73019-3146
405-325-4441
Planned Parenthood
2100 W Lindsey St Ste B
Norman, Oklahoma 73069
405-360-1556
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800-230-7526
Cleveland County Health Department
250 12th Ave NE
Norman, Oklahoma 73071
405-321-4048
The appointment
On the day of your scheduled examination, inhale deeply! If you want someone else
in the room with you during your assessment, it’s acceptable to bring a family mem-
ber or friend. When you want someone to accompany you, just let the physician
know beforehand.
If you prefer to speak in confidence, tell your general practitioner. As soon as there’s
a query or response you would prefer clarification on, then ask for an explanation, ask
Expanding LET 95
numerous questions and be straightforward so you are better equipped to utilize the
prognosis.
The talk
For a good sexual health exam, you will provide an extensive sexual health history. There
are several inquiries a health care provider can ask, and here are some typical ones:
. How many sexual partners have you had recently?
. How many sexual partners have you had in your lifetime?
. Do you have sex with women, men, or both?
. Do you have oral sex?
. Do you have anal sex?
. Do you use condoms?
Downloaded by [University Of Pittsburgh] at 11:49 21 March 2015