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Purpose To examine parental acceptability of contraceptive methods offered confidentially to their adolescent daughter. Methods A random sample of 261 parents/guardians with a daughter between 12–17 completed a telephone survey examining the relationship between parental acceptability of seven contraceptive methods with adolescents’ likelihood to have sex, parenting beliefs, parents’ sexual health as teens, sexually transmitted infection (STI) knowledge, and demographic factors. Results Acceptability was highest for oral contraceptive pills (59%), and lowest for intrauterine device (IUD) (18%). Parental acceptance of teens’ autonomy was significantly associated with increased acceptability of all methods. Parental knowledge of STIs was poor and 51% found it acceptable for clinicians to provide their sexually active teen with condoms. Conclusion Conclusions: Parents were more accepting of OCPs and condoms, compared to IUDs and implants. Parental recognition of their teen’s autonomy was associated with greater parental acceptability of clinicians providing their adolescent with contraceptives (regardless of the specific type of method being offered).

Objectives To explore the knowledge and attitudes that Latino parents have about confidential health services for their teens and identify factors that may influence those attitudes. Methods Latino parents of teens (12-17 years old) were randomly selected from a large health maintenance organization and a community-based hospital to participate in one-hour focus groups. We conducted eight focus groups in the parent's preferred language. Spanish and English transcripts were translated and coded with inter-coder reliability > 80%. Results There were 52 participants (30 mothers, 22 fathers). There is a wide range of parental knowledge and attitudes about confidential health services for teens. Parents felt they had the right to know about their teens’ health but were uncomfortable discussing sexual topics and thought confidential teen-clinician discussions would be helpful. Factors that influence parental acceptability of confidential health services include: parental trust in the clinician, clinician's interpersonal skills; clinical competencies, ability to partner with parents and teens and clinician-teen gender concordance. Most parents preferred teens’ access to confidential services than having their teens forego needed care. Conclusions This study identifies several underlying issues that may influence Latino youth's access to confidential health services. Implications for clinical application and future research are discussed.

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Conclusions:Nulliparous adolescents go through a complex decisionmaking process regarding the adoption and continued use of IUC. This process is influenced by multiple factors, including the medical provider. Findings from this study may be used by medical professionals in the future to effectively counsel and support adolescents regarding use of IUC.

Methods My Sexuality Matters, a re-orientation base programming was employed to reach out to youth early with sexual health prevention messages through the parents. Parent-child communication, we developed and rigorously evaluated program that enables parents to help shape their children's decisions about sexual behaviour. My sexuality Matters (MSM) is base on intervention provided directly by parents who are care givers of children; this gives parents knowledge and skills to communicate about sexuality with their children. Lesson Learnt: Significant cultural taboos exist in Nigeria that bars parents from speaking with children about sexuality and sexual decision making. Additional challenges include rites of passing rituals, and cultural Challenges that the altered the context of sexuality education. Despite these challenges, over 40 000 Nigerian families have participated in My Sexuality Matters (MSM), and the program has been adopted by other countries and many families have continued embracing MSM initiatives. Conclusion The success of MSM demonstrates that programmes involving parents as sexuality educators and motivators can be implemented and embraced and reduce to the vulnerability of adolescent, youths to STIs. The willingness of parents to rebrand the cultural norms to protect their children's sexual health. Background While depression is associated with sexual risk taking in adolescents, Canadian studies are few, many studies have not controlled for other risk factors, and none has examined associations of depression with having multiple sexual risks. We tested associations between multiple sexual risk taking and risk of depression while controlling for other salient factors in high school students in Cape Breton, Nova Scotia, Canada. Methods We surveyed sexually active male (n¼418) and females (n¼467) adolescents aged 15e19. Participants were asked about their risk of depression, perception of trust and helpfulness at school (social capital), sexual behaviours, substance use and sociodemographic factors. Logistic regressions were carried out to determine associations of depression with various levels of sexual risk-taking (none, one or two or more). P2-S1.04 ASSOCIATIONS OF SYMPTOMS OF DEPRESSIONResults In unadjusted models depression predicted having two or more vs no sexual risk behaviours among both males and females. After controlling for other variables risk of depression remained significantly associated with having two or more sexual risks vs no risks for both males and females [RR Ratios 2.5 (95% CI 1.4 to 4) and 3.5 (95% CI 1.6 to 7.82) respectively] and in relation to one vs no risks for females (RRR¼1.9; 95% CI 1.1 to 3.5). Conclusions These consistent and independent associations of depression risk with multiple sexual risk-taking behaviours should lead healthcare workers interacting with adolescents to consider asking about sexual risk behaviours or testing for sexually transmitted infections among patients showing symptoms of depression. Alternatively, patients engaging in sexually risk...

This study examined the acceptability of Chlamydia trachomatis screening among 138 young women in a university-based urgent care setting and the extent to which the urgent care setting represents a missed-opportunity for screening at-risk women. Most women (86%) in need of a chlamydial test found it acceptable to be screened at their urgent care visit-even though their visit was unrelated to a reproductive health issue. Women who were in need of a chlamydial test were significantly less likely to have a primary-care provider than those who were up-to-date (41% vs. 24%, respectively; X 2 =4.2, df=1, p=0.04). This study found chlamydial screening acceptable to young women who are being seen for non-reproductive related health visits in the urgent care setting. Implementing such efforts in urgent care settings can successfully reach a substantial proportion of at risk women who would otherwise not be screened for chlamydial.

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