National Survey of Pediatricians' Violence Prevention Counseling

Borowsky, Iris Wagman; Ireland, Marjorie

doi:10.1001/archpedi.153.11.1170

Cited by 60 publications

(39 citation statements)

References 56 publications

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“…46 Providers, including pediatricians, have reported feeling inadequately prepared to discuss sensitive adolescent health issues such as mental health illness, reproductive health, and violence. [47][48][49] In a qualitative study of adult and pediatric HIV providers, differences in the awareness of the developmental features of adolescence and young adulthood emerged as a possible influencing factor regarding providers' approaches to care for youth. 12 Determining the impact of provider-targeted interventions focusing on effective competencies for adolescent health care may be an important step towards improving care for YLHIV and improving retention among this population.…”

Section: Discussionmentioning

confidence: 99%

The Impact of Youth-Friendly Structures of Care on Retention Among HIV-Infected Youth

Lee

Yehia

Gaur

et al. 2016

AIDS Patient Care and STDs

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Limited data exist on how structures of care impact retention among youth living with HIV (YLHIV). We describe the availability of youth-friendly structures of care within HIV Research Network (HIVRN) clinics and examine their association with retention in HIV care. Data from 680 15-to 24-year-old YLHIV receiving care at 7 adult and 5 pediatric clinics in 2011 were included in the analysis. The primary outcome was retention in care, defined as completing ‡2 primary HIV care visits ‡90 days apart in a 12-month period. Sites were surveyed to assess the availability of clinic structures defined a priori as 'youth-friendly'. Univariate and multivariable logistic regression models assessed structures associated with retention in care. Among 680 YLHIV, 85% were retained. Nearly half (48%) of the 680 YLHIV attended clinics with youth-friendly waiting areas, 36% attended clinics with evening hours, 73% attended clinics with adolescent health-trained providers, 87% could email or text message providers, and 73% could schedule a routine appointment within 2 weeks. Adjusting for demographic and clinical factors, YLHIV were more likely to be retained in care at clinics with a youth-friendly waiting area (AOR 2.47, 95% CI [1.11-5.52]), evening clinic hours (AOR 1.94; 95% CI [1.13-3.33]), and providers with adolescent health training (AOR 1.98; 95% CI [1.01-3.86]). Youth-friendly structures of care impact retention in care among YLHIV. Further investigations are needed to determine how to effectively implement youth-friendly strategies across clinical settings where YLHIV receive care.

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Section: Discussionmentioning

confidence: 99%

The Impact of Youth-Friendly Structures of Care on Retention Among HIV-Infected Youth

Lee

Yehia

Gaur

et al. 2016

AIDS Patient Care and STDs

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“…Physicians, community leaders, and parents perceive a critical role for pediatricians in preventing youth violence. There is physician willingness and desire to intervene, but actual participation in routine prevention behavior and practices such as screening, counseling, and referral are less common (8,10,20). Wright (100) described the importance of and need for developing effective educational tools for health professionals in youth violence prevention.…”

Section: Training and Educationmentioning

confidence: 99%

Youth Violence Prevention Comes of Age: Research, Training and Future Directions

Williams

Rivera

Neighbours

et al. 2007

Annu. Rev. Public Health

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Youth violence is recognized as a major public health problem in the United States and the world. Over the past ten years, progress has been made in documenting the factors that contribute to violent behavior. Emerging research is deepening our understanding of the individual and societal influences that contribute to and protect against youth violence. However, much work still remains to be done in this field, both in examining potential causes and in designing effective intervention strategies. This chapter highlights specific dimensions of youth violence prevention selected by the authors because these dimensions are the focus of public attention, are emerging as critical issues in the study of youth violence, or have a unique place in the current political and social context. We focus on the developmental pathways to violence, factors that mediate and moderate youth violence, the role of culture and media in youth violence, school-based violence such as school shootings and bullying, and the training of health care professionals.

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“…[13][14][15][16][17][18][19][20][21][22][23][24][25][26] However, these studies have limitations that affect the usefulness of their results. First, most have included only a limited number of topics such as gun safety or other injuries, [13][14][15][16][17][18] physical activity, 19 smoking, 20 sexual activity, 21 or 3 cardiovascular disease risk factors. 22 Second, studies that did include multiple preventive health topics were limited because they queried about patients in a select age group, in particular adolescents, 23,24 or about patients of all ages as a single group.…”

mentioning

confidence: 99%

Pediatrician Counseling About Preventive Health Topics: Results From the Physicians’ Practices Survey, 1998–1999

et al. 2002

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ABSTRACT. Objective. Government agencies and national organizations recommend that physicians counsel their child and adolescent patients about preventive health topics. Using data from a national survey, we describe the counseling patterns of pediatricians in regard to 9 recommended preventive health topics.Methodology. Between October 1998 and April 1999, information was collected from 907 of 1760 primary care pediatricians randomly selected from a nationally representative sample. Through either a telephone interview or a mail survey, pediatricians were asked how frequently in the past month they counseled about 9 preventive health topics during the well-care visits or routine check-ups of their patients. Pediatricians answered questions regarding their patients aged 2 to 5, 6 to 12, and 13 to 18 years.Results. Over 80% of the pediatricians counseled about 1 or more recommended preventive health topics during the well-care visits or routine check-ups of their patients. As compared with pediatricians who did not counsel about any topic, pediatricians who counseled were significantly more likely to be female and spend longer amounts of time with their patients during these visits. The frequency with which specific preventive health topics were discussed varied with the topic and the age of the patient.Conclusion. Most pediatricians routinely counsel about some, but not all, recommended preventive health topics. An understanding of why pediatricians selectively counsel about specific topics is needed. Pediatrics 2002;109(5). URL: http://www.pediatrics.org/cgi/content/ full/109/5/e83; pediatrician, counseling, preventive health services, physician's practice patterns.

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National Survey of Pediatricians' Violence Prevention Counseling

Cited by 60 publications

References 56 publications

The Impact of Youth-Friendly Structures of Care on Retention Among HIV-Infected Youth

The Impact of Youth-Friendly Structures of Care on Retention Among HIV-Infected Youth

Youth Violence Prevention Comes of Age: Research, Training and Future Directions

Pediatrician Counseling About Preventive Health Topics: Results From the Physicians’ Practices Survey, 1998–1999

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