Adolescents' Views Regarding Sexual History Taking

Rosenthal, Susan L.; Lewis, Lena A.; Succop, Paul; Burklow, Kathleen A.; Nelson, Patrick R.; Shedd, Kimberly D.; Heyman, Richard B.; Biro, Frank M.

doi:10.1177/000992289903800404

Cited by 34 publications

(15 citation statements)

References 10 publications

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“…Adolescents often see providers without their parent present and keep some of their health care confidential, especially when seeking care for sexual health, substance use, and other sensitive issues. 23 Therefore, parents’ perspectives may be incomplete when reporting on adolescent receipt of PCC as they are not privy to all care provided at the visit. In addition, even when parents are present for care, their own and their adolescents’ perspectives on PCC might differ.…”

Section: Introductionmentioning

confidence: 99%

Relationship Between Adolescent Report of Patient-Centered Care and of Quality of Primary Care

Toomey

Elliott

Schwebel

et al. 2016

Academic Pediatrics

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Objective Few studies have examined adolescent self-report of patient-centered care (PCC). We investigated whether adolescent self-report of PCC varied by patient characteristics and whether receipt of PCC is associated with measures of adolescent primary care quality. Methods We analyzed cross-sectional data from Healthy Passages, a population-based survey with 4,105 tenth-graders and their parents. Adolescent report of PCC was derived from four items. Adolescent primary care quality was assessed by measuring access to confidential care, screening for important adolescent health topics, unmet need, and overall rating of health care. We conducted weighted bivariate analyses and multivariate logistic regression models of the association of PCC with adolescent characteristics and primary care quality. Results Forty-seven percent of adolescents reported that they received PCC. Report of receiving PCC was associated with high quality for other measures such as having a private conversation with a clinician (AOR 2.2; 95%CI [1.9, 2.6]) and having talked about health behaviors (AOR 1.6; 95%CI [1.4, 1.8]); it was also associated with lower likelihood for self-reported unmet need for care (AOR 0.8; 95% CI [0.7, 0.9]) and having a serious untreated health problem (AOR 0.4; 95% CI [0.3, 0.5]). Conclusions Many adolescents do not report receiving PCC. Adolescent-reported PCC positively correlates with measures of high-quality adolescent primary care. Our study provides support for using adolescent-report of PCC as a measure of adolescent primary care quality.

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Section: Introductionmentioning

confidence: 99%

Relationship Between Adolescent Report of Patient-Centered Care and of Quality of Primary Care

Toomey

Elliott

Schwebel

et al. 2016

Academic Pediatrics

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“…Yet research has shown that many primary health care professionals find it difficult to talk about sexual matters and key opportunities for prevention and intervention are missed [4][5][6][7][8][9]. Research suggests, however, that patients would welcome increased opportunities for discussion of personal topics [10,11]. The evidence is that a higher proportion of young people prefer to receive information about sexual matters from health care professionals than do so in practice [12] and parents believe doctors to be the appropriate expert to help in this respect [13].…”

Section: Introductionmentioning

confidence: 99%

‘Talking of Sex’: Developing and piloting a sexual health communication tool for use in primary care

Macdowall

Parker

Nanchahal

et al. 2010

Patient Education and Counseling

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“…Although we did not query these young women about anticipatory guidance conversations on vaginal health, previous research suggests that adolescents often prefer that physicians initiate topics about sensitive subjects 17 even though physicians rarely feel comfortable introducing these topics. 18–21 And given that adolescent knowledge of the vagina has shown large gaps in the basic understanding of female anatomy, 1,22 menarche, 23 sexual health 24,25 and contraception, 26,27 it seems logical to assume that conversations about vaginal health and hygiene are not initiated often enough by health care providers.…”

Section: Discussionmentioning

confidence: 99%

Qualitative Analysis of Sexually Experienced Female Adolescents: Attitudes about Vaginal Health

Francis

Fraiz

Catallozzi

et al. 2016

Journal of Pediatric and Adolescent Gynecology

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Structured Abstract Study Objective To explore adolescent’s perceptions of vaginal health, practices, and vaginally-placed products. Design Semi-structured interviews were audio-recorded and transcribed until achieving theoretical saturation. Setting Adolescent medicine clinics in NYC. Participants Adolescent females (n = 22) who were sexually experienced, predominately Hispanic (73%) with a mean age of 17.7 years (range 15–20 years). Interventions None Main Outcome Measures Interviews assessed perspectives on vaginal health, specific vaginal hygiene practices and attitudes about vaginally-placed products (contraceptive rings, intrauterine devices (IUDs), and proposed multi-purpose technologies (MPTs) administered as ring or gel). The interviews were transcribed and coded for relevant themes. Results Overlapping themes included young women’s view of their vagina as a space that needed to be healthy for sexual partners and future fertility. The vagina could not be presumed to be healthy and conversations about vaginal health were limited to only include specific individuals. All reported a variety of practices to maintain their vaginal health, including showering 1 to 5 times a day and using soaps specifically for the vagina. Attitudes about vaginally-placed products revealed concerns about the sensory experience of having a product in the vagina, safety concerns and interest in the product’s objective (prevention of pregnancy or infection). Conclusions Adolescents have very specific views and practices about their vaginas. Clinicians should initiate conversations about vaginal health and hygiene with adolescents and focus on the normalcy of the vagina. Development of vaginally-placed products should focus on the sensory experience, safety and purpose of the product.

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Adolescents' Views Regarding Sexual History Taking

Cited by 34 publications

References 10 publications

Relationship Between Adolescent Report of Patient-Centered Care and of Quality of Primary Care

Relationship Between Adolescent Report of Patient-Centered Care and of Quality of Primary Care

‘Talking of Sex’: Developing and piloting a sexual health communication tool for use in primary care

Qualitative Analysis of Sexually Experienced Female Adolescents: Attitudes about Vaginal Health

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