Sexual and Reproductive Health Discussions During Preventive Visits
To quantify adolescent- and parent-perceived importance of provider-adolescent discussions about sexual and reproductive health (SRH), describe prevalence of provider confidentiality practices and provider-adolescent discussions about SRH topics during preventive visits, and identify missed opportun...
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| Veröffentlicht in: | Pediatrics (Evanston) 2021-08, Vol.148 (2), p.1 |
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| creator | Sieving, Renee E McRee, Annie-Laurie Mehus, Christopher Gewirtz O'Brien, Janna R Wang, Shuo Brar, Pooja Catallozzi, Marina Gorzkowski, Julie Grilo, Stephanie Kaseeska, Kristen Santelli, John Steiner, Riley J Klein, Jonathan D |
| description | To quantify adolescent- and parent-perceived importance of provider-adolescent discussions about sexual and reproductive health (SRH), describe prevalence of provider confidentiality practices and provider-adolescent discussions about SRH topics during preventive visits, and identify missed opportunities for such conversations.
We used data from a national Internet survey of 11- to 17-year-old adolescents and their parents. Data were weighted to represent the noninstitutionalized US adolescent population. Adolescents who had a preventive visit in the past 2 years and their parents reported on perceived importance of provider-adolescent discussions about SRH topics: puberty, safe dating, gender identity, sexual orientation, sexual decision-making, sexually transmitted infections and HIV, methods of birth control, and where to get SRH services. Adolescents and parents reported whether they had ever discussed confidentiality with the adolescent's provider. Adolescents reported experiences at their most recent preventive visit, including whether a provider spoke about specific SRH topics and whether they had time alone with a provider.
A majority of adolescents and parents deemed provider-adolescent discussions about puberty, sexually transmitted infections and HIV, and birth control as important. However, fewer than one-third of adolescents reported discussions about SRH topics other than puberty at their most recent preventive visit. These discussions were particularly uncommon among younger adolescents. Within age groups, discussions about several topics varied by sex.
Although most parents and adolescents value provider-adolescent discussions of selected SRH topics, these discussions do not occur routinely during preventive visits. Preventive visits represent a missed opportunity for adolescents to receive screening, education, and guidance related to SRH. |
| doi_str_mv | 10.1542/peds.2020-049411 |
| format | Article |
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We used data from a national Internet survey of 11- to 17-year-old adolescents and their parents. Data were weighted to represent the noninstitutionalized US adolescent population. Adolescents who had a preventive visit in the past 2 years and their parents reported on perceived importance of provider-adolescent discussions about SRH topics: puberty, safe dating, gender identity, sexual orientation, sexual decision-making, sexually transmitted infections and HIV, methods of birth control, and where to get SRH services. Adolescents and parents reported whether they had ever discussed confidentiality with the adolescent's provider. Adolescents reported experiences at their most recent preventive visit, including whether a provider spoke about specific SRH topics and whether they had time alone with a provider.
A majority of adolescents and parents deemed provider-adolescent discussions about puberty, sexually transmitted infections and HIV, and birth control as important. However, fewer than one-third of adolescents reported discussions about SRH topics other than puberty at their most recent preventive visit. These discussions were particularly uncommon among younger adolescents. Within age groups, discussions about several topics varied by sex.
Although most parents and adolescents value provider-adolescent discussions of selected SRH topics, these discussions do not occur routinely during preventive visits. Preventive visits represent a missed opportunity for adolescents to receive screening, education, and guidance related to SRH.</description><identifier>ISSN: 0031-4005</identifier><identifier>EISSN: 1098-4275</identifier><identifier>DOI: 10.1542/peds.2020-049411</identifier><identifier>PMID: 34253569</identifier><language>eng</language><publisher>United States: American Academy of Pediatrics</publisher><subject>Adolescent ; Adolescents ; Birth control ; Child ; Confidentiality ; Contraception ; Decision making ; Demographic aspects ; Female ; HIV ; Human immunodeficiency virus ; Humans ; Male ; Medicine, Preventive ; Parents ; Pediatrics ; Preventive Health Services ; Preventive medicine ; Puberty ; Reproductive Health ; Retrospective Studies ; Self Report ; Sex Education ; Sexual behavior ; Sexual Health ; Teenage sexual behavior ; Teenage sexual behaviour ; Teenagers</subject><ispartof>Pediatrics (Evanston), 2021-08, Vol.148 (2), p.1</ispartof><rights>Copyright © 2021 by the American Academy of Pediatrics.</rights><rights>COPYRIGHT 2021 American Academy of Pediatrics</rights><rights>Copyright American Academy of Pediatrics Aug 1, 2021</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c462t-851ba1bc3835eadfcc11330e27752255a4e0dfbe25444dc8d98d701659a13d683</citedby><cites>FETCH-LOGICAL-c462t-851ba1bc3835eadfcc11330e27752255a4e0dfbe25444dc8d98d701659a13d683</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,314,776,780,881,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/34253569$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Sieving, Renee E</creatorcontrib><creatorcontrib>McRee, Annie-Laurie</creatorcontrib><creatorcontrib>Mehus, Christopher</creatorcontrib><creatorcontrib>Gewirtz O'Brien, Janna R</creatorcontrib><creatorcontrib>Wang, Shuo</creatorcontrib><creatorcontrib>Brar, Pooja</creatorcontrib><creatorcontrib>Catallozzi, Marina</creatorcontrib><creatorcontrib>Gorzkowski, Julie</creatorcontrib><creatorcontrib>Grilo, Stephanie</creatorcontrib><creatorcontrib>Kaseeska, Kristen</creatorcontrib><creatorcontrib>Santelli, John</creatorcontrib><creatorcontrib>Steiner, Riley J</creatorcontrib><creatorcontrib>Klein, Jonathan D</creatorcontrib><title>Sexual and Reproductive Health Discussions During Preventive Visits</title><title>Pediatrics (Evanston)</title><addtitle>Pediatrics</addtitle><description>To quantify adolescent- and parent-perceived importance of provider-adolescent discussions about sexual and reproductive health (SRH), describe prevalence of provider confidentiality practices and provider-adolescent discussions about SRH topics during preventive visits, and identify missed opportunities for such conversations.
We used data from a national Internet survey of 11- to 17-year-old adolescents and their parents. Data were weighted to represent the noninstitutionalized US adolescent population. Adolescents who had a preventive visit in the past 2 years and their parents reported on perceived importance of provider-adolescent discussions about SRH topics: puberty, safe dating, gender identity, sexual orientation, sexual decision-making, sexually transmitted infections and HIV, methods of birth control, and where to get SRH services. Adolescents and parents reported whether they had ever discussed confidentiality with the adolescent's provider. Adolescents reported experiences at their most recent preventive visit, including whether a provider spoke about specific SRH topics and whether they had time alone with a provider.
A majority of adolescents and parents deemed provider-adolescent discussions about puberty, sexually transmitted infections and HIV, and birth control as important. However, fewer than one-third of adolescents reported discussions about SRH topics other than puberty at their most recent preventive visit. These discussions were particularly uncommon among younger adolescents. Within age groups, discussions about several topics varied by sex.
Although most parents and adolescents value provider-adolescent discussions of selected SRH topics, these discussions do not occur routinely during preventive visits. Preventive visits represent a missed opportunity for adolescents to receive screening, education, and guidance related to SRH.</description><subject>Adolescent</subject><subject>Adolescents</subject><subject>Birth control</subject><subject>Child</subject><subject>Confidentiality</subject><subject>Contraception</subject><subject>Decision making</subject><subject>Demographic aspects</subject><subject>Female</subject><subject>HIV</subject><subject>Human immunodeficiency virus</subject><subject>Humans</subject><subject>Male</subject><subject>Medicine, Preventive</subject><subject>Parents</subject><subject>Pediatrics</subject><subject>Preventive Health Services</subject><subject>Preventive medicine</subject><subject>Puberty</subject><subject>Reproductive Health</subject><subject>Retrospective Studies</subject><subject>Self Report</subject><subject>Sex Education</subject><subject>Sexual behavior</subject><subject>Sexual Health</subject><subject>Teenage sexual behavior</subject><subject>Teenage sexual behaviour</subject><subject>Teenagers</subject><issn>0031-4005</issn><issn>1098-4275</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpdkUtPWzEQhS1UBCFlz6q6UjdsLh2_7mNTCQUolZCo-mBrOfYkGDl2at8b0X-P0wBqWc1ivjlzjg4hJxTOqBTs0xptPmPAoAbRC0r3yIRC39WCtfIdmQBwWgsAeUiOcn4AACFbdkAOuWCSy6afkNkPfBy1r3Sw1Xdcp2hHM7gNVteo_XBfXbhsxpxdDLm6GJMLy-pbwg2Gv9Cdy27I78n-QvuMx89zSn5dXf6cXdc3t1--zs5vaiMaNtSdpHNN54Z3XKK2C2Mo5RyQta1kTEotEOxijkwKIazpbN_ZFmgje025bTo-JZ93uutxvkJriomkvVont9Lpj4raqf83wd2rZdyonhbN8mtKTp8FUvw9Yh7UqsRD73XAOGZVTFBGQYimoB_foA9xTKHEK1QDAnpeFKek3lFL7VG5YGIY8HEw0XtcoirpZ7fqvOk6JoBxKDzseJNizgkXr-YpqG2jatuo2jaqdo2Wkw__hn49eKmQPwHaKZvX</recordid><startdate>20210801</startdate><enddate>20210801</enddate><creator>Sieving, Renee E</creator><creator>McRee, Annie-Laurie</creator><creator>Mehus, Christopher</creator><creator>Gewirtz O'Brien, Janna R</creator><creator>Wang, Shuo</creator><creator>Brar, Pooja</creator><creator>Catallozzi, Marina</creator><creator>Gorzkowski, Julie</creator><creator>Grilo, Stephanie</creator><creator>Kaseeska, Kristen</creator><creator>Santelli, John</creator><creator>Steiner, Riley J</creator><creator>Klein, Jonathan D</creator><general>American Academy of Pediatrics</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7TS</scope><scope>7U9</scope><scope>H94</scope><scope>K9.</scope><scope>M7N</scope><scope>NAPCQ</scope><scope>U9A</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20210801</creationdate><title>Sexual and Reproductive Health Discussions During Preventive Visits</title><author>Sieving, Renee E ; McRee, Annie-Laurie ; Mehus, Christopher ; Gewirtz O'Brien, Janna R ; Wang, Shuo ; Brar, Pooja ; Catallozzi, Marina ; Gorzkowski, Julie ; Grilo, Stephanie ; Kaseeska, Kristen ; Santelli, John ; Steiner, Riley J ; Klein, Jonathan D</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c462t-851ba1bc3835eadfcc11330e27752255a4e0dfbe25444dc8d98d701659a13d683</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Adolescent</topic><topic>Adolescents</topic><topic>Birth control</topic><topic>Child</topic><topic>Confidentiality</topic><topic>Contraception</topic><topic>Decision making</topic><topic>Demographic aspects</topic><topic>Female</topic><topic>HIV</topic><topic>Human immunodeficiency virus</topic><topic>Humans</topic><topic>Male</topic><topic>Medicine, Preventive</topic><topic>Parents</topic><topic>Pediatrics</topic><topic>Preventive Health Services</topic><topic>Preventive medicine</topic><topic>Puberty</topic><topic>Reproductive Health</topic><topic>Retrospective Studies</topic><topic>Self Report</topic><topic>Sex Education</topic><topic>Sexual behavior</topic><topic>Sexual Health</topic><topic>Teenage sexual behavior</topic><topic>Teenage sexual behaviour</topic><topic>Teenagers</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Sieving, Renee E</creatorcontrib><creatorcontrib>McRee, Annie-Laurie</creatorcontrib><creatorcontrib>Mehus, Christopher</creatorcontrib><creatorcontrib>Gewirtz O'Brien, Janna R</creatorcontrib><creatorcontrib>Wang, Shuo</creatorcontrib><creatorcontrib>Brar, Pooja</creatorcontrib><creatorcontrib>Catallozzi, Marina</creatorcontrib><creatorcontrib>Gorzkowski, Julie</creatorcontrib><creatorcontrib>Grilo, Stephanie</creatorcontrib><creatorcontrib>Kaseeska, Kristen</creatorcontrib><creatorcontrib>Santelli, John</creatorcontrib><creatorcontrib>Steiner, Riley J</creatorcontrib><creatorcontrib>Klein, Jonathan D</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Physical Education Index</collection><collection>Virology and AIDS Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Pediatrics (Evanston)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Sieving, Renee E</au><au>McRee, Annie-Laurie</au><au>Mehus, Christopher</au><au>Gewirtz O'Brien, Janna R</au><au>Wang, Shuo</au><au>Brar, Pooja</au><au>Catallozzi, Marina</au><au>Gorzkowski, Julie</au><au>Grilo, Stephanie</au><au>Kaseeska, Kristen</au><au>Santelli, John</au><au>Steiner, Riley J</au><au>Klein, Jonathan D</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Sexual and Reproductive Health Discussions During Preventive Visits</atitle><jtitle>Pediatrics (Evanston)</jtitle><addtitle>Pediatrics</addtitle><date>2021-08-01</date><risdate>2021</risdate><volume>148</volume><issue>2</issue><spage>1</spage><pages>1-</pages><issn>0031-4005</issn><eissn>1098-4275</eissn><abstract>To quantify adolescent- and parent-perceived importance of provider-adolescent discussions about sexual and reproductive health (SRH), describe prevalence of provider confidentiality practices and provider-adolescent discussions about SRH topics during preventive visits, and identify missed opportunities for such conversations.
We used data from a national Internet survey of 11- to 17-year-old adolescents and their parents. Data were weighted to represent the noninstitutionalized US adolescent population. Adolescents who had a preventive visit in the past 2 years and their parents reported on perceived importance of provider-adolescent discussions about SRH topics: puberty, safe dating, gender identity, sexual orientation, sexual decision-making, sexually transmitted infections and HIV, methods of birth control, and where to get SRH services. Adolescents and parents reported whether they had ever discussed confidentiality with the adolescent's provider. Adolescents reported experiences at their most recent preventive visit, including whether a provider spoke about specific SRH topics and whether they had time alone with a provider.
A majority of adolescents and parents deemed provider-adolescent discussions about puberty, sexually transmitted infections and HIV, and birth control as important. However, fewer than one-third of adolescents reported discussions about SRH topics other than puberty at their most recent preventive visit. These discussions were particularly uncommon among younger adolescents. Within age groups, discussions about several topics varied by sex.
Although most parents and adolescents value provider-adolescent discussions of selected SRH topics, these discussions do not occur routinely during preventive visits. Preventive visits represent a missed opportunity for adolescents to receive screening, education, and guidance related to SRH.</abstract><cop>United States</cop><pub>American Academy of Pediatrics</pub><pmid>34253569</pmid><doi>10.1542/peds.2020-049411</doi><oa>free_for_read</oa></addata></record> |
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| source | MEDLINE; EZB-FREE-00999 freely available EZB journals; Alma/SFX Local Collection |
| subjects | Adolescent Adolescents Birth control Child Confidentiality Contraception Decision making Demographic aspects Female HIV Human immunodeficiency virus Humans Male Medicine, Preventive Parents Pediatrics Preventive Health Services Preventive medicine Puberty Reproductive Health Retrospective Studies Self Report Sex Education Sexual behavior Sexual Health Teenage sexual behavior Teenage sexual behaviour Teenagers |
| title | Sexual and Reproductive Health Discussions During Preventive Visits |
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