Health care access, sexually transmitted diseases, and adolescents: Identifying barriers and creating solutions

Oberg, Charles N.; Hogan, Mary‐Ellen; Bertrand, Jolene; Juve, Catherine

doi:10.1067/mps.2002.128719

Cited by 11 publications

(5 citation statements)

References 85 publications

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“…4 These obstacles include prohibitive financial costs, lack of transportation, and concerns around confidentiality. 5 Recognizing that young people require care that addresses their needs and helps them overcome barriers, programs that provide family planning and reproductive health services to young people recently have adopted youth-friendly approaches. 6…”

Section: Contextmentioning

confidence: 99%

Youth-Friendly Family Planning Services for Young People: A Systematic Review Update

Brittain

Briceño

Pazol

et al. 2018

American Journal of Preventive Medicine

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Context: Youth-friendly family planning services may improve youth reproductive health outcomes. A systematic review conducted in 2011 was updated in 2016 to incorporate recent data examining the effects of youth-friendly family planning services on reproductive health outcomes and the facilitators and barriers facing young people in accessing family planning services. Evidence acquisition: PubMed, POPLINE, EMBASE, and other databases were used to identify relevant articles published from March 2011 through April 2016. Evidence synthesis: Eighteen studies met inclusion criteria and were added to 19 studies from the review conducted in 2011. Of these, seven assessed the effect of youth-friendly services on outcomes: two showed a positive effect on reducing teen pregnancy, three on contraceptive use, and three on knowledge and patient satisfaction (not mutually exclusive). Facilitators or barriers were described in 32 studies. However, none were RCTs and most were at high risk for bias due to selection, self-report, and recall bias among others. Conclusions: The studies in this review suggest some positive effects of youth-friendly family planning services on reproductive health outcomes, but the need for more rigorous research persists. This review identified numerous factors relevant to young people’s access to family planning services, reaffirming findings from the initial review: young people value confidentiality, supportive provider interaction, specialized provider training, and the removal of logistic barriers. Further, it illuminates the importance young people place on receiving comprehensive, client-centered family planning counseling. These findings should be considered when developing, implementing, and evaluating reproductive health services for young people.

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Section: Contextmentioning

confidence: 99%

Youth-Friendly Family Planning Services for Young People: A Systematic Review Update

Brittain

Briceño

Pazol

et al. 2018

American Journal of Preventive Medicine

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“…2–5 The emergence of this concept of youth-friendly services stems from a recognition that adolescents have unique developmental needs and face distinct barriers that should be considered when providing health services. 6,7…”

Section: Contextmentioning

confidence: 99%

“…3,4,13,14 Fear of lack of confidentiality is also a barrier, especially when it comes to sensitive health issues such as contraception and pregnancy. 7,15,16…”

Section: Contextmentioning

confidence: 99%

Youth-Friendly Family Planning Services for Young People

Brittain¹,

Williams

Zapata³

et al. 2015

American Journal of Preventive Medicine

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This review demonstrates that there is limited evidence that youth-friendly services may improve reproductive health outcomes for young people and identifies service characteristics that might increase their receptivity to using these services. Although more rigorous studies are needed, the interventions and characteristics identified in this review should be considered in the development and evaluation of youth-friendly family planning interventions in clinical settings.

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“…Further, while only a minority of participants reported that cost was their greatest concern about moving oral contraceptives over‐the‐counter, the majority would not pay more than $20 per month for an over‐the‐counter product. Cost will be an important determinant of whether teenagers actually use this method, as financial barriers to contraceptive access are particularly pronounced among this population …”

Section: Discussionmentioning

confidence: 99%

“…Inconsistent use or nonuse of contraceptives accounts for the majority of all unintended pregnancies, and lack of access to contraceptives is a main reason for nonuse among teenagers experiencing an unintended pregnancy . Barriers to contraceptive access—including cost, lack of transportation or health insurance, inconvenient health care provider and pharmacy locations, and confidentiality concerns—can lead to gaps in contraceptive use or to contraceptive nonuse and increase teenagers’ risk of unintended pregnancy . Strategies to increase access and use among this population are needed.…”

mentioning

confidence: 99%

A Survey of Teenagers’ Attitudes Toward Moving Oral Contraceptives Over the Counter

Manski

Kottke²

2015

Perspect Sexual Reproductive

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Health care access, sexually transmitted diseases, and adolescents: Identifying barriers and creating solutions

Cited by 11 publications

References 85 publications

Youth-Friendly Family Planning Services for Young People: A Systematic Review Update

Youth-Friendly Family Planning Services for Young People: A Systematic Review Update

Youth-Friendly Family Planning Services for Young People

A Survey of Teenagers’ Attitudes Toward Moving Oral Contraceptives Over the Counter

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