Adolescents' Discussion of Sexual and Reproductive Health Care Topics With Providers: Findings From a Nationally Representative Probability Sample of U.S. Adolescents

Hensel, Devon J.; Herbenick, Debby; Beckmeyer, Jonathon J.; Fu, Tsu‐Tan; Dodge, Brian

doi:10.1016/j.jadohealth.2020.06.037

Cited by 9 publications

(4 citation statements)

References 6 publications

(6 reference statements)

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“…Of those who opened the study link, 88.8% (3017/3398) completed the survey (49.7% [3017/6123] of the initial sampling frame) and represent the analytical sample in this study. This completion rate is similar to other Ipsos-conducted nationally representative studies of sexuality and sexual behavior (44%–51%) [ 5 , 26 – 28 ]. Post-stratification, study-specific weights adjusted for over- or under-sampling as well as non-response.…”

Section: Methodssupporting

confidence: 85%

Women’s techniques for pleasure from anal touch: Results from a U.S. probability sample of women ages 18–93

Hensel

Hippel²,

Lapage³

et al. 2022

PLoS ONE

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The study purpose was to assess, in a U.S. probability sample of women, the specific ways women have discovered to experience pleasure from anal touch. Through qualitative pilot research with women that informed the development of the survey instrument used in this study, we identified three previously unnamed, but distinct, anal touch techniques that many women find pleasurable and that expand the anal sexual repertoire beyond the more commonly studied anal intercourse behaviors: Anal Surfacing, Anal Shallowing, and Anal Pairing. This study defines each technique and describes its prevalence among U.S. adult women. Weighted frequencies were drawn from the Second OMGYES Pleasure Report—a cross-sectional, online, national probability survey of 3017 American women’s (age 18–93) sexual experiences and discoveries. Participants were recruited via the Ipsos KnowledgePanel®. Data suggest that 40% of women find ‘Anal Surfacing’ pleasurable: sexual touch by a finger, penis, or sex toy on and around the anus. Approximately 35% of women have experienced pleasure using ‘Anal Shallowing’: penetrative touch by a finger, penis, or sex toy just inside the anal opening, no deeper than a fingertip/knuckle. Finally, 40% of women make other forms of sexual touch more pleasurable using ‘Anal Pairing’: touch on or inside the anus that happens at the same time as other kinds of sexual touch such as vaginal penetration or clitoral touching. These data provide techniques that women can and do use to explore the anus as a pleasurable region for touch—which can enable women to better identify their own preferences, communicate about them and advocate for their sexual pleasure.

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Section: Methodssupporting

confidence: 85%

Women’s techniques for pleasure from anal touch: Results from a U.S. probability sample of women ages 18–93

Hensel

Hippel²,

Lapage³

et al. 2022

PLoS ONE

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show abstract

“…[4][5][6] As a result, adolescents' reproductive health needs often go unaddressed. 7 Compared to youth without mental health problems, adolescents with mental health disorders are more likely to engage in risky sexual behaviors. For example, adolescents with mental health symptoms have higher rates of condom and contraception non-use (especially short acting contraceptives) [8][9][10][11] and earlier sexual debut.…”

Section: Introductionmentioning

confidence: 99%

“…However, primary care pediatricians rarely discuss sexual and reproductive health (SRH) issues with their adolescent patients and adolescents experience significant logistical, economic, and social barriers to accessing contraception 4–6 . As a result, adolescents' reproductive health needs often go unaddressed 7 …”

Section: Introductionmentioning

confidence: 99%

Assessing perspectives on an intervention connecting adolescents in outpatient psychiatry care to contraceptive counseling in the United States

Underwood,

Hyzak,

Ebersole

et al. 2024

Perspect Sexual Reproductive

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BackgroundAdolescents with psychiatric disorders have high rates of unintended pregnancy and experience barriers to accessing sexual and reproductive health (SRH) care. Outpatient psychiatry visits are potential opportunities to connect adolescents to SRH care. This study informs the development of the Link2BC intervention which links adolescents in outpatient psychiatry care to SRH care.MethodsWe conducted group interviews with adolescents (3 groups, 7 total participants) and caregivers (3 groups, 9 total participants) and individual interviews with 8 psychiatry providers who received or provided outpatient psychiatric treatment in clinics in a pediatric hospital in a city in the Midwestern United States. We asked questions about the acceptability of Link2BC, potential implementation needs, and implementation determinants. Using consensus‐building techniques, two coders analyzed transcriptions using a codebook informed by the Consolidated Framework for Implementation Research 2.0.ResultsParticipants agreed on the need for interventions that expand access to SRH care. Adolescents emphasized that services should be confidential and accessible and were open to their psychiatrists introducing SRH topics during appointments. Providers expressed preference for training and clear workflows. Participants agreed that psychiatry providers could serve as liaisons between adolescents and their caregivers to facilitate conversations about contraception. Participants had concerns about time constraints during visits but mentioned few other barriers to the intervention.ConclusionThis study demonstrates the acceptability of connecting adolescents in outpatient psychiatry care to contraceptive counseling and informs the refinement and implementation of Link2BC. Integrating contraception counseling in outpatient psychiatry settings is an innovative approach to prevent unintended pregnancy among adolescents by increasing access to SRH care services.

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“…A recent study conducted in the USA concluded that healthcare providers appear to address SRH topics both infrequently and inconsistently during encounters with young people, and called for targeted interventions to strengthen the regularity and depth of clinicians' SRH conversations. 8 In Sweden, a recent research project at youth clinics has addressed the problem and demonstrated that the systematic use of the SEXual health Identification Tool (SEXIT) may facilitate raising important questions on sexual risk-taking and sexual ill health with youth clinic visitors. 9 The tool was also found to be feasible and valuable from the perspective of the healthcare professionals, by ensuring consistency and quality in assessing visitors.…”

Section: Introductionmentioning

confidence: 99%

Ask me, listen to me, treat me well and I shall tell: a qualitative study of Swedish youths’ experiences of systematic assessment of sexual health and risk-taking (SEXIT)

Hammarström

Bernhardsson

Nilsén

et al. 2022

Sexual and Reproductive Health Matters

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Sexual ill health among young people, in terms of sexually transmitted infections (STIs), unintended pregnancy, transactional sex and sexual violence, is a global public health concern. To that end, the SEXual health Identification Tool (SEXIT) was developed. The purpose of this study was to explore the visitors' experiences of a youth clinic visit when SEXIT was used. A purposively selected sample of 20 participants (16-24 years of age) was recruited from three Swedish youth clinics using SEXIT. Participants were interviewed individually in March and April 2016, and data were analysed using inductive qualitative content analysis. The analysis resulted in four main categories describing the participants' experiences of using SEXIT: "Issues of concern" includes descriptions of the items in SEXIT as important; "Enabling disclosure" describes how SEXIT serves as an invitation to talk and facilitates disclosure of negative experiences; "Road to change" captures experiences of the conversation with the healthcare professional; and "Managing power imbalance" describes experiences regarding the response and attitudes of the healthcare professional as well as the participants' fears of being judged. The categories are connected by the overarching theme "Ask me, listen to me, treat me well and I shall tell". This study contributes knowledge on young people's experiences of a tool-supported dialogue on sexual health and risk-taking initiated by the healthcare professional. Structured questions in a written format, as a basis for dialogue, are appreciated and experienced as a functioning way of addressing sexual ill health and risk-taking at Swedish youth clinics.

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Adolescents' Discussion of Sexual and Reproductive Health Care Topics With Providers: Findings From a Nationally Representative Probability Sample of U.S. Adolescents

Cited by 9 publications

References 6 publications

Women’s techniques for pleasure from anal touch: Results from a U.S. probability sample of women ages 18–93

Women’s techniques for pleasure from anal touch: Results from a U.S. probability sample of women ages 18–93

Assessing perspectives on an intervention connecting adolescents in outpatient psychiatry care to contraceptive counseling in the United States

Ask me, listen to me, treat me well and I shall tell: a qualitative study of Swedish youths’ experiences of systematic assessment of sexual health and risk-taking (SEXIT)

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