Physicians Talking About Sex, Sexuality, and Protection With Adolescents

Fuzzell, Lindsay; Shields, Cleveland G.; Alexander, Stewart C.; Fortenberry, J. Dennis

doi:10.1016/j.jadohealth.2017.01.017

Cited by 35 publications

(29 citation statements)

References 42 publications

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“…Research has shown parents initially hear about the vaccine from media reports, which could preemptively influence their perception of the vaccine prior to a discussion with their HCP [27]. While vaccine hesitancy among parents has been well-documented across multiple studies and can predict vaccination uptake/completion [22,25,28–31], stakeholders also felt HCPs may have preconceived notions about parental beliefs about HPV vaccination and may also experience discomfort or hesitation in having the discussion about vaccination. This hesitancy and discomfort could lead to the HCP omitting the conversation to avoid confrontation [32–34], Considering this, the HCPs’ discomfort in discussing the vaccine and a possible lack of effective communication training may play a much larger role in the conversation surrounding vaccination than previous research has accounted for.…”

Section: Discussionmentioning

confidence: 99%

An environmental scan to examine stakeholder perspectives on human papillomavirus vaccination: A mixed methods study

Lake

Kasting

Malo

et al. 2019

Vaccine

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Section: Discussionmentioning

confidence: 99%

An environmental scan to examine stakeholder perspectives on human papillomavirus vaccination: A mixed methods study

Lake

Kasting

Malo

et al. 2019

Vaccine

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“…Due to these AP challenges, various strategies have been adopted to deal with them. One of the key strategies in addressing adolescent pregnancy which form a major aspect of adolescent sexual and reproductive health service delivery is access to pregnancy prevention information and services (33)(34)(35). Access to pregnancy prevention information and services includes but not limited to information regarding anatomy and the physiology of biological sex and reproduction, healthy sexual development, gender identity, interpersonal relationships, affection, sexual development, intimacy, body image for all adolescents (33,36), and contraceptives (37)(38)(39).…”

Section: Introductionmentioning

confidence: 99%

Access to Adolescent Pregnancy Prevention Information and Services in Ghana: A Community-Based Case-Control Study

Hagan

Seidu

Budu

et al. 2019

Front. Public Health

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Background: Pregnancy among girls 10-19 years remains a challenge that requires critical resolution all over the world. Despite this worrying sexual phenomenon, research pertaining to prevention information and related services in Sub-Saharan nations like Ghana is sparse. This study sought to determine the influence of access to pregnancy prevention information and services on adolescent pregnancy in the Komenda-Edina-Eguafo-Abrem Municipality in the Central Region of Ghana. Methods and Results: Adopting a matched case-control research design with a 1:1 mapping, female adolescents aged between 15 and 19 years in the KEEA Municipality were selected using a facility based sampling technique. Results from both bivariate and multivariate analyses revealed that non-pregnant adolescents were about two times more likely to have access to pregnancy prevention information from health workers compared to pregnant adolescents [OR = 0.57, 95% CI = (0.33-0.96), p = 0.036]. Likewise, pregnant adolescents were five times more likely to have access to pregnancy prevention information from media compared to non-pregnant adolescents [OR = 5.44, 95% CI = (2.64-11.23), p = 0.000]. Additionally, non-pregnant adolescents were two times more likely to receive information on pregnancy prevention from school compared to pregnant adolescents [OR = 0.48, 95% CI = (0.28-0.81), p = 0.006]. Conclusion: Sexuality and reproductive health (SRH) programme organizers should target specific intervention programmes that focus on training health workers and/or other analogous staff to enhance their awareness, attitudes, and skills to more effectively meet with the specific needs of adolescents. Specific health workers training and redesign of health facilities to foster more adolescent user friendly working environment (e.g., extension in operational times, reduction in fees of SRH services, transforming physical design to promote privacy or confidentiality) ought to be encouraged. Different media outreach programmes should also combine other community level events [e.g., Ahinkorah et al. Adolescent Pregnancy Prevention Information and Services informative methods through schools (e.g., focus group discussions, participatory learning), assisting connections to health services, community information network (e.g., use of sirens)] to provide well-tailored advocacy that would help modify SRH and sociocultural norms that hinder positive sexual behaviors among young people.

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“…They specifically recommend that adolescent patients spend time alone with their provider and that providers do not disclose protected information to parents or guardians [ 1 – 5 ]. These recommendations are based on the idea that the provision of confidential care encourages adolescents to share sensitive information with health-care providers [ 6 – 8 ], and thus improve quality of care.…”

mentioning

confidence: 99%

Adolescents' and Young Adults' Reports of Barriers to Confidential Health Care and Receipt of Contraceptive Services

Fuentes

Ingerick

Jones

et al. 2018

Journal of Adolescent Health

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Purpose The purpose of this study was to describe adolescents’ and young adults’ concerns about confidential reproductive health care and experience with time alone with a provider, and examine the association of these confidentiality issues with receipt of contraceptive services. Methods Data from the 2013 to 2015 National Survey of Family Growth were analyzed using Poisson regression to describe 15- to 25-year-olds’ confidential reproductive health-care concerns and time alone with a provider at last health-care visit according to sociodemographic characteristics. We also assessed whether confidentiality issues were associated with obtaining contraceptive services among females. Results Concerns about confidential reproductive health care were less common among 15- to 17-year-olds who were covered by Medicaid compared to their parents’ private insurance (adjusted risk ratio [ARR] = .61, confidence interval [CI] .41–.91) and had high-school graduate mothers compared to college-graduate mothers (ARR = .68, CI .47–.99), and were more common among those who lived with neither parent compared to living with both parents (ARR = 2.0, CI 1.27–3.16). Time alone with a provider was more common among black girls than white girls (ARR = 1.57, CI 1.11–2.22) and less common among girls covered by Medicaid than those with parents’ private insurance (ARR = .72, CI .56–.92). Time alone was less common among boys living with neither parent compared to living with two parents (ARR = .48, CI .25–.91) and with high-school graduate mothers compared to college-graduate mothers (ARR = .59, CI .42–.84). Among sexually experienced girls and women, confidentiality concerns were associated with a reduced likelihood of having received a contraceptive service in the past year. Conclusions Greater efforts are needed to support young Americans in receiving confidential care.

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Physicians Talking About Sex, Sexuality, and Protection With Adolescents

Cited by 35 publications

References 42 publications

An environmental scan to examine stakeholder perspectives on human papillomavirus vaccination: A mixed methods study

An environmental scan to examine stakeholder perspectives on human papillomavirus vaccination: A mixed methods study

Access to Adolescent Pregnancy Prevention Information and Services in Ghana: A Community-Based Case-Control Study

Adolescents' and Young Adults' Reports of Barriers to Confidential Health Care and Receipt of Contraceptive Services

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