Approach to and Evaluation of the Adolescent Female

Nucci-Sack, Anne; Rojas, Mary; Alpert, Ivanya L.; Lorde‐Rollins, Elizabeth; Minguez, Mara; Díaz, Ángela

doi:10.1002/9781444311662.ch14

Cited by 2 publications

(1 citation statement)

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“…[2] All adolescents must navigate a period associated with physical, cognitive, emotional and behavioural change. [3] In females, the hypothalamic-pituitary-ovarian axis gradually matures to result in fully ovulatory cycles and the potential for pregnancy. The endocrine and physical changes lead to sexual feelings and desire, which may lead to erotic activities or different sexual behaviours with a partner (or partners) of the opposite or same sex.…”

Section: Introductionmentioning

confidence: 99%

Targeting factors for change: contraceptive counselling and care of female adolescents

Bitzer

Abalos²,

Apter

et al. 2016

The European Journal of Contraception & Reproductive Health

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Introduction: Sexual and reproductive health care should empower and enable all individuals to have a sex life that is as safe and pleasurable as possible. Achievement of this goal for adolescents is often impeded by regional and sociocultural barriers. Objectives: To review global barriers to provision of effective counselling and care of adolescents seeking advice on contraception and sexual and reproductive health and identify elements of best practice that can be adapted to meet their needs at regional level. Methods: Experts with clinical experience and a scholarly background in the provision of contraceptive services to adolescents participated in a stepwise process of literature review and discussion according to the agreed objectives. Results: The Global CARE (Contraception: Access, Resources, Education) group identified barriers to the access, availability and acceptance of contraception by adolescents, not only at the political and sociocultural level but also within health care practice. The group collected and summarized successful local strategies and tools suitable for adaptation in other regions. Elements of best practice for providing contraception regardless of setting or regional constraints, including required skills, knowledge, and attitudes, were also proposed. Conclusion: Sharing of evidence-based best practice in delivering contraceptive services, improvements in health care provider education, and sharing of experience between countries will hopefully help to overcome the barriers to appropriate and effective counselling and care of adolescents.

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Section: Introductionmentioning

confidence: 99%

Targeting factors for change: contraceptive counselling and care of female adolescents

Bitzer

Abalos²,

Apter

et al. 2016

The European Journal of Contraception & Reproductive Health

View full text Add to dashboard Cite

show abstract

Decisional needs and interventions for young women considering contraceptive options: an umbrella review

Bortoli,

Kantymir,

Pacheco-Brousseau

et al. 2024

BMC Women's Health

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Background Although women face a wide range of contraceptive options, globally, young women are at risk of unintended pregnancies. Our umbrella review aimed to determine the decisional needs of nulligravida women aged 11 to 30 considering contraceptive options and identify effective interventions to support their involvement in making decisions about contraceptive use. Methods We followed Joanna Briggs Institute methods for umbrella reviews, theoretically guided by the Ottawa Decision Support Framework. We searched six electronic databases. Two reviewers independently screened citations, extracted data, and appraised quality using AMSTAR2. We analysed findings descriptively. Results Of 124 citations, we identified 11 reviews of variable quality (critically low to moderate quality): Six reported decisional needs and 5 reported on interventions. Decisional needs of young women were: (a) information needs about contraceptive options (e.g., mechanism of actions, eligibility, administration, side effects); (b) unclear values (concerns about hormone use) and features of different options (based on their religious values); and (c) need for support and resources (support from society and need for privacy). Compared to controls, decision support interventions including patient decision aids and patient education material increased knowledge and improved discussion of options with their clinicians. Conclusion Young women making contraceptive decisions experience unmet decisional needs. Effective interventions such as patient decision aids and general patient education materials may address their decisional needs and enhance their level of participation in making contraception decisions. Implications and contribution to the field: Young women’s decisional needs when considering contraceptive use are informational needs, unclear values (including religious influences), need for support and resources when facing this decision. Interventions, such as patient decision aid and patient education material can, address decisional needs by improving young women’s knowledge about contraceptive options.

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Approach to and Evaluation of the Adolescent Female

Cited by 2 publications

References 0 publications

Targeting factors for change: contraceptive counselling and care of female adolescents

Targeting factors for change: contraceptive counselling and care of female adolescents

Decisional needs and interventions for young women considering contraceptive options: an umbrella review

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