Will You Ask? Will They Tell You? Are You Ready to Hear and Respond?

Boekeloo, Bradley O.

doi:10.1001/jamapediatrics.2013.4605

Cited by 35 publications

(14 citation statements)

References 17 publications

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“…Research examining adolescent reports of primary care provider behavior indicates that providers screen for sexual behavior approximately 52–61% of the time, screen for AOD use approximately 60–67% of the time, and provide counseling for these behaviors approximately 50–60% of the time (Ozer et al, 2004; Ozer et al, 2005). Factors such as provider self-efficacy, comfort, and confidence with the topic may impact likelihood of screening for risky behaviors (Boekeloo, 2014; Ozer et al, 2004). There is evidence that training and education can increase rates of screening and counseling by primary care providers (Buckelew, Adams, Irwin Jr, Gee, & Ozer, 2008; Duncan et al, 2012; Ozer et al, 2005), and addressing the correlation between conduct problems and risky sexual behavior as part of these types of programs may help to ensure that providers are targeting those adolescents who are at the highest risk.…”

Section: Discussionmentioning

confidence: 99%

Gender differences in the association between conduct disorder and risky sexual behavior

Holliday

Ewing

Storholm

et al. 2017

Journal of Adolescence

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Despite suggestions that there are gender differences in the association between conduct disorder (CD) and risky sexual behavior, limited empirical research has examined this question. Youth (N = 616) were recruited from four primary care clinics and completed questions related to risky sexual behavior, alcohol and marijuana use, and CD. Results of stratified multivariate models indicated that the association between CD and having four or more lifetime partners, having two or more partners in the last 3 months, and engaging in condomless sex was stronger among female youth. However, association between CD and alcohol and other drug use before sex was stronger in male youth. This is an important contribution to our understanding of gender-specific manifestations of conduct disorder, and has the potential to inform screening and brief intervention efforts for this population.

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Section: Discussionmentioning

confidence: 99%

Gender differences in the association between conduct disorder and risky sexual behavior

Holliday

Ewing

Storholm

et al. 2017

Journal of Adolescence

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“…We will also have to advocate for information gathering during the initial intake, as well as at all subsequent follow-up assessments. This will likely require additional provider training to ensure that they are comfortable talking to youth about sexual health topics, and to provide a safe space to acknowledge and repudiate unconscious biases about adolescent sexuality (Boekeloo, 2014). …”

Section: Integrating Hiv and Mental Health Services For Hiv Preventionmentioning

confidence: 99%

Addressing Unmet Sexual Health Needs among Black Adolescents with Mental Illnesses

Brawner

Fannin

Reason

et al. 2016

Journal of Black Sexuality and Relationships

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Despite advances in HIV epidemiologic and prevention research, adolescents with mental illnesses remain a historically underserved group with respect to human immunodeficiency virus (HIV)/sexually transmitted infection (STI) prevention resources. Black adolescents with mental illnesses in particular are a relatively underserved, hidden population in the field of sexual health. Strategies and guidelines are needed to account for underlying psychopathology among Black adolescents with mental illnesses in ways that current models have yet to address. In this paper, we propose several actionable mechanisms to better integrate HIV/STI and mental health related services and activities for sexual health promotion.

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“…We acknowledge that some of the items are very direct and may make providers or clients uncomfortable; however, we contend that such information must be elicited to fully understand a client's sexual health promotion and risk reduction needs. In support of a forthright approach, the literature consistently demonstrates that, once provider-client rapport is established, clients are receptive to indepth conversations about their sexual health with providers (Boekeloo, 2014;Goyal et al, 2013;Slinkard & Kazer, 2011).…”

Section: Relevance To Clinical Practicementioning

confidence: 99%

“…The World Health Organization (WHO) notes that "Accessible, acceptable, affordable and highquality sexual health services are fundamental for achieving a sexually healthy society" (World Health Organization, 2010, p. vi). Although effective HIV risk assessments and interventions are needed, sexual health professionals, including nurses, lack a shared conceptual understanding of "risky sexual behavior" (RSB; Boekeloo, 2014)-especially as it relates to increased risk of HIV transmission. For the purposes of this paper, we broadly view RSB as sexual behavior that increases one's risk for unintended sexual health outcomes.…”

mentioning

confidence: 99%

The Role of Sexual Health Professionals in Developing a Shared Concept of Risky Sexual Behavior as it Relates to HIV Transmission

Brawner

Alexander

Fannin

et al. 2015

Public Health Nursing

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“Risky sexual behavior” accounts for the majority of new HIV infections regardless of gender, age, geographic location, or ethnicity. The phrase, however, refers to a relatively nebulous concept that hampers development of effective sexual health communication strategies. The purpose of this paper is to propose development of a shared conceptual understanding of “risky sexual behavior.” We reviewed multidisciplinary HIV/AIDS literature to identify definitions of risky sexual behavior. Both the linguistic components and the social mechanisms that contribute to the concept of risky sexual behaviors were noted. Risky sexual behavior was often defined in a subjective manner in the literature, even in the scientific research. We urge a paradigm shift to focus on explicit behaviors and the social context of those behaviors in determining HIV risk. We also propose a new definition that reduces individual biases and promotes a broader discussion of the degree of sexual risk across a diversity of behavioral contexts. Sexual health professionals can strengthen practice and research initiatives by operating from a concise working definition of risky sexual behavior that is broadly transferable and expands beyond a traditional focus on identity-based groups.

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Will You Ask? Will They Tell You? Are You Ready to Hear and Respond?

Cited by 35 publications

References 17 publications

Gender differences in the association between conduct disorder and risky sexual behavior

Gender differences in the association between conduct disorder and risky sexual behavior

Addressing Unmet Sexual Health Needs among Black Adolescents with Mental Illnesses

The Role of Sexual Health Professionals in Developing a Shared Concept of Risky Sexual Behavior as it Relates to HIV Transmission

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