Current Pediatrician Practices in Identifying High-risk Behaviors of Adolescents

Henry-Reid, Lisa; O’Connor, Karen G.; Klein, Jonathan D.; Cooper, Ellen; Flynn, Pat; Futterman, Donna

doi:10.1542/peds.2009-0271

Cited by 111 publications

(83 citation statements)

References 14 publications

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“…In a national survey of the pediatric ED providers, <25% of pediatric ED physicians and staff reported that they had rapid HIV testing available in the ED, and 82.5% reported that they did not believe or were unsure whether their institution had a policy or guideline about rapid HIV testing [39]. It is necessary to increase the level of comfort for pediatric providers in addressing HIV screening in pediatric EDs to efficiently confront the HIV epidemic among American youth [3,40]. …”

Section: Discussionmentioning

confidence: 99%

Factors Affecting Acceptance of Routine Human Immunodeficiency Virus Screening by Adolescents in Pediatric Emergency Departments

Rakhmanina

Messenger

Phillips

et al. 2014

Journal of Adolescent Health

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Section: Discussionmentioning

confidence: 99%

Factors Affecting Acceptance of Routine Human Immunodeficiency Virus Screening by Adolescents in Pediatric Emergency Departments

Rakhmanina

Messenger

Phillips

et al. 2014

Journal of Adolescent Health

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“…Adolescence is a developmental stage associated with increased risk-taking behaviors that contribute to negative sexual health outcomes. 1,2 The 2011 Youth Risk Behavior Survey documented the prevalence of sexual risk behaviors among US high school students. This survey showed that 47% of students in grades 9 to 12 have ever had sexual intercourse and 40% of currently sexually active high school students did not use a condom at their last sexual intercourse, 3 indicating that many adolescents are at risk for pregnancy and sexually transmitted infections (STIs), including HIV.…”

Section: Discussionmentioning

confidence: 99%

Paternal Influences on Adolescent Sexual Risk Behaviors: A Structured Literature Review

et al. 2012

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BACKGROUND AND OBJECTIVE: To date, most parent-based research has neglected the role of fathers in shaping adolescent sexual behavior and has focused on mothers. The objective of this study was to conduct a structured review to assess the role of paternal influence on adolescent sexual behavior and to assess the methodological quality of the paternal influence literature related to adolescent sexual behavior. METHODS:We searched electronic databases: PubMed, PsychINFO, Social Services Abstracts, Family Studies Abstracts, Sociological Abstracts, and the Cumulative Index to Nursing and Allied Health Literature. Studies published between 1980 and 2011 that targeted adolescents 11 to 18 years and focused on paternal parenting processes were included. Methodological quality was assessed by using an 11-item scoring system. RESULTS: Thirteen articles were identified and reviewed. Findings suggest paternal factors are independently associated with adolescent sexual behavior relative to maternal factors. The most commonly studied paternal influence was emotional qualities of the father-adolescent relationship. Paternal communication about sex was most consistently associated with adolescent sexual behavior, whereas paternal attitudes about sex was least associated. Methodological limitations include a tendency to rely on cross-sectional design, nonprobability sampling methods, and focus on sexual debut versus broader sexual behavior. CONCLUSIONS:Existing research preliminarily suggests fathers influence the sexual behavior of their adolescent children; however, more rigorous research examining diverse facets of paternal influence on adolescent sexual behavior is needed. We provide recommendations for primary care providers and public health practitioners to better incorporate fathers into interventions designed to reduce adolescent sexual risk behavior.

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“…11 However, data from a 2005 survey suggest that few of the academy's members routinely discuss sexual orientation with patients during preventive care visits. 12 Furthermore, it is unclear what questions care providers should ask to identify at-risk sexual minority girls. The American Academy of Pediatrics and others have suggested possible patient interview questions that address sexual identity, sexual attraction, romantic behavior, or sexual behavior.…”

mentioning

confidence: 99%

Sexual Identity, Partner Gender, and Sexual Health Among Adolescent Girls in the United States

et al. 2014

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Objectives. We examined associations between adolescent girls’ sexual identity and the gender of their sexual partners, on one hand, and their reports of sexual health behaviors and reproductive health outcomes, on the other. Methods. We analyzed weighted data from pooled Youth Risk Behavior Surveys (2005 and 2007) representative of 13 US jurisdictions, focusing on sexually experienced girls in 8th through 12th grade (weighted n = 6879.56). We used logistic regression with hierarchical linear modeling to examine the strength of associations between reports about sexual orientation and sexual and reproductive health. Results. Sexual minority girls consistently reported riskier behaviors than did other girls. Lesbian girls’ reports of risky sexual behaviors (e.g., sex under the influence of drugs or alcohol) and negative reproductive health outcomes (e.g., pregnancy) were similar to those of bisexual girls. Partner gender and sexual identity were similarly strong predictors of all of the sexual behaviors and reproductive health outcomes we examined. Conclusions. Many sexual minority girls, whether categorized according to sexual identity or partner gender, are vulnerable to sexual and reproductive health risks. Attention to these risks is needed to help sexual minority girls receive necessary services.

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Current Pediatrician Practices in Identifying High-risk Behaviors of Adolescents

Abstract: Pediatricians believed it is important to deliver reproductive health services, and most addressed adolescent sexual activity at preventive care visits but did not routinely address homosexuality/sexual identity. Counseling and testing practices varied by physician characteristics.

Cited by 111 publications

References 14 publications

Factors Affecting Acceptance of Routine Human Immunodeficiency Virus Screening by Adolescents in Pediatric Emergency Departments

Factors Affecting Acceptance of Routine Human Immunodeficiency Virus Screening by Adolescents in Pediatric Emergency Departments

Paternal Influences on Adolescent Sexual Risk Behaviors: A Structured Literature Review

Sexual Identity, Partner Gender, and Sexual Health Among Adolescent Girls in the United States

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