Stephanie A Grilo1, Marina Catallozzi2, John S Santelli3, Hanying Yan4, Xiaoyu Song5, Jennifer Heitel3, Kristen Kaseeska6, Julie Gorzkowski6, Alexandra E Dereix3, Jonathan D Klein7. 1. Department of Sociomedical Sciences, Columbia University Mailman School of Public Health, New York, New York. Electronic address: sag2179@cumc.columbia.edu. 2. Heilbrunn Department of Population & Family Health, Columbia University Mailman School of Public Health, New York, New York; Department of Pediatrics, Columbia University Medical Center, New York, New York; Morgan Stanley Children's Hospital, New York-Presbyterian Hospital, New York, New York. 3. Heilbrunn Department of Population & Family Health, Columbia University Mailman School of Public Health, New York, New York. 4. Department of Biostatistics, Columbia University Mailman School of Public Health, New York, New York. 5. Population Health Science and Policy, Icahn School of Medicine at Mount Sinai, New York, New York; The Tisch Cancer Institute, Icahn School of Medicine at Mount Sinai, New York, New York. 6. American Academy of Pediatrics, Julius B. Richmond Center of Excellence, Illinois. 7. Department of Pediatrics, University of Illinois at Chicago College of Medicine, Chicago, Illinois.
Abstract
PURPOSE: The objective of the study was to define factors associated with adolescent and young adult (AYA) experiences with private time and having discussed confidentiality and the impact of these experiences on improving delivery of clinical preventive services. METHODS: In 2016, a nationally representative sample of 1,918 US AYAs (13- to 26-year-olds) was surveyed. Survey questionnaire domains were based on prior research and Fishers' information-motivation-behavior skills conceptual model. Data were weighted to represent US households with AYA and analyzed to identify factors independently associated with ever experiencing private time and discussions of confidentiality with a regular health-care provider (HCP). We examined the association of these experiences on AYA attitudes about health care. RESULTS: Fifty-five percent of female and 49% of male AYA reported ever having had private time with an HCP and 55% of female and 44% of male AYA had spoken to an HCP about confidentiality. Independent predictors of having experienced private time and confidentiality included older age, race, higher household income, gender of the provider, amount of years with the provider, and involvement in risk behaviors. AYA who had experienced private time and confidentiality discussions had more positive attitudes about their providers, were more willing and comfortable discussing sensitive topics, and thought that these discussions should happen at younger ages. CONCLUSIONS: Although confidentiality and private time are important to AYA, many are not experiencing these components of care. Providing private time and discussions of confidentiality can improve the delivery of health care for young people by enhancing positive youth attitudes about preventive care.
PURPOSE: The objective of the study was to define factors associated with adolescent and young adult (AYA) experiences with private time and having discussed confidentiality and the impact of these experiences on improving delivery of clinical preventive services. METHODS: In 2016, a nationally representative sample of 1,918 US AYAs (13- to 26-year-olds) was surveyed. Survey questionnaire domains were based on prior research and Fishers' information-motivation-behavior skills conceptual model. Data were weighted to represent US households with AYA and analyzed to identify factors independently associated with ever experiencing private time and discussions of confidentiality with a regular health-care provider (HCP). We examined the association of these experiences on AYA attitudes about health care. RESULTS: Fifty-five percent of female and 49% of male AYA reported ever having had private time with an HCP and 55% of female and 44% of male AYA had spoken to an HCP about confidentiality. Independent predictors of having experienced private time and confidentiality included older age, race, higher household income, gender of the provider, amount of years with the provider, and involvement in risk behaviors. AYA who had experienced private time and confidentiality discussions had more positive attitudes about their providers, were more willing and comfortable discussing sensitive topics, and thought that these discussions should happen at younger ages. CONCLUSIONS: Although confidentiality and private time are important to AYA, many are not experiencing these components of care. Providing private time and discussions of confidentiality can improve the delivery of health care for young people by enhancing positive youth attitudes about preventive care.
Authors: Renee E Sieving; Christopher Mehus; Janna R Gewirtz O'Brien; Riley J Steiner; Shuo Wang; Marina Catallozzi; Julie Gorzkowski; Stephanie A Grilo; Kristen Kaseeska; Annie-Laurie McRee; John Santelli; Jonathan D Klein Journal: J Adolesc Health Date: 2021-11-24 Impact factor: 7.830
Authors: Renee E Sieving; Annie-Laurie McRee; Christopher Mehus; Janna R Gewirtz O'Brien; Shuo Wang; Pooja Brar; Marina Catallozzi; Julie Gorzkowski; Stephanie Grilo; Kristen Kaseeska; John Santelli; Riley J Steiner; Jonathan D Klein Journal: Pediatrics Date: 2021-07-12 Impact factor: 9.703
Authors: Renee E Sieving; Christopher Mehus; Marina Catallozzi; Stephanie Grilo; Riley J Steiner; Pooja Brar; Janna R Gewirtz O'Brien; Julie Gorzkowski; Kristen Kaseeska; Emily Denight Kelly; Jonathan D Klein; Annie-Laurie McRee; Lia Randazzo; John Santelli Journal: J Adolesc Health Date: 2020-05-07 Impact factor: 7.830