Characteristics Associated with Confidential Consultation for Adolescents in Primary Care

Gilbert, Amy; McCord, Allison L.; Ouyang, Fangqian; Etter, Dillon J.; Rc, Williams; Hall, James A.; Tu, Wanzhu; Downs, Stephen M.; Aalsma, Matthew C.

doi:10.1016/j.jpeds.2018.02.044

Cited by 15 publications

(18 citation statements)

References 24 publications

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“…12 In the United States, the percentage of adolescents (similar in age) who have private time fluctuates between 29% 13 and 50% 14,15 and is even higher (up to 90%) when the appointment is with a specialist in adolescent medicine. 16 Our research has revealed a significant difference in the access of boys and girls to private time (1% vs. 8%, respectively). Although this raises suspicions of gender discrimination, the specific numbers should be interpreted carefully as they are close to the statistical error value.…”

Section: Exercising Adolescents' Right To Private Timementioning

confidence: 67%

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Polish adolescents’ right to confidential primary health care is not respected despite high public acceptance

et al. 2021

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Adolescent access to confidential health care is considered a right of young people in many countries. According to the World Health Organisation (WHO), for adolescents, it is one of the basic conditions for friendliness and accessibility of health care in general. 1 This confidentiality is understood in many different ways. For example, in some countries, a teenager has the right, to have an abortion without the knowledge of their parents (e.g., France, Luxembourg, Slovenia). 2 Confidentiality from another perspective is a practice allowing every adolescents, who come with a parent for a preventive visit, to have a few minutes of the so-called private time with the doctor (conversation without the parent being present in the office). 3 An important element of confidentiality is also the so-called conditional confidentiality-the rule that all information given to the doctor is covered by secrecy (from parents), excluding such information that concealment would pose a high risk for the health and /or the life of the teenager (e.g., suicidal ideation). 4 Private time and conditional confidentiality are necessary, for example, to conduct a reliable examination according to the HEADSS method (Home, Education, Activities, Drugs, Suicidality, Sex). Parental presence has shown to reduce not only the honesty of adolescents, but also the number of topics addressed during the visit, particularly those related to sexuality, substance use and mental health. 5 Adolescents' right to confidential health care demonstrates respect for human rights, including the right to be heard, 6 the right to the enjoyment of the highest attainable standard of health 7 and the right to a private life, which, as Article 16 of the Convention on the Rights of the Child states, should not be unreasonably

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Section: Exercising Adolescents' Right To Private Timementioning

confidence: 67%

“…In the United States, the percentage of adolescents (similar in age) who have private time fluctuates between 29% 13 and 50% 14,15 and is even higher (up to 90%) when the appointment is with a specialist in adolescent medicine 16 …”

Section: Discussionmentioning

confidence: 99%

Polish adolescents’ right to confidential primary health care is not respected despite high public acceptance

et al. 2021

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“…Our findings reinforce the importance of confidential consultations between adolescent patients and primary care providers. Studies have demonstrated that adolescent patients are more likely to discuss mental health concerns with primary care providers when parents are not present in the room (Gilbert, Rickert, & Aalsma, 2014; Lewis Gilbert et al, 2018). Latina adolescents may be less likely to hide or lie about their depression if primary care providers have private conversations with these patients.…”

Section: Discussionmentioning

confidence: 99%

Getting a Grip on My Depression: How Latina Adolescents Experience, Self-Manage, and Seek Treatment for Depressive Symptoms

et al. 2019

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Latina (female) adolescents are more likely to experience depressive symptoms and less likely to receive mental health services than their non-Latina White peers. We aimed to develop a framework that explains how Latina adolescents experience, self-manage, and seek treatment for depressive symptoms. Latina young women ( n = 25, M age = 16.8 years) who experienced depressive symptoms during adolescence were recruited from clinical and community settings and interviewed about experiences with depressive symptoms. The framework was developed using constructivist grounded theory methods. Participants experienced a psychosocial problem that we labeled being overburdened and becoming depressed. They responded to this problem through a five-phase psychosocial process that we labeled Getting a Grip on My Depression. Family members, peer groups, and mainstream authorities were influential in how participants experienced these phases. Future research should further develop this framework in diverse samples of Latino/a youth. Clinicians can use this framework in discussions with Latina adolescents about depressive symptoms.

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“…Synaptogenesis occurs at a rate of 1 million per second in infancy, and early development provides the circuitry that becomes the foundation for more complex subsequent development. 1 This development does not occur in a vacuum-each child's development occurs in the context of the complex interactions among biology, culture, and experiences, particularly caregiving experiences, with different interactions conferring risk or resilience to the developing child. The infancy and early childhood period also provides an opportunity to modify experiences, especially a child's caregiving experiences, in ways that can make significant changes in resilience and healthy development, thanks to the rapidity of early development.…”

Section: Discussionmentioning

confidence: 99%

“…Although schools provide key information through health and sex education classes and adolescents' peers represent major influences on their health behaviors, it is also clear that healthcare providers and parents play critical roles. In this volume of The Journal, these roles are examined in studies by Gilbert et al 1 and Edwards et al, 2 which both offer instructive insights for a more nuanced understanding of issues long recognized as important factors in promoting adolescents' health and well-being: confidential communications in healthcare settings and parent-adolescent communication about sensitive issues such as sexual behavior.…”

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confidence: 99%

Adolescent Health, Confidentiality in Healthcare, and Communication with Parents

English¹,

Ford

2018

The Journal of Pediatrics

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Characteristics Associated with Confidential Consultation for Adolescents in Primary Care

Abstract: Provider training is needed to reinforce the importance of confidential consultation for all adolescents.

Cited by 15 publications

References 24 publications

Polish adolescents’ right to confidential primary health care is not respected despite high public acceptance

Polish adolescents’ right to confidential primary health care is not respected despite high public acceptance

Getting a Grip on My Depression: How Latina Adolescents Experience, Self-Manage, and Seek Treatment for Depressive Symptoms

Adolescent Health, Confidentiality in Healthcare, and Communication with Parents

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