Renee E Sieving1,2, Annie-Laurie McRee2, Christopher Mehus3, Janna R Gewirtz O'Brien2, Shuo Wang4, Pooja Brar5, Marina Catallozzi6,7, Julie Gorzkowski8, Stephanie Grilo7, Kristen Kaseeska8, John Santelli7, Riley J Steiner9, Jonathan D Klein10. 1. School of Nursing sievi001@umn.edu. 2. Department of Pediatrics. 3. Center for Applied Research and Educational Improvement, College of Education and Human Development, University of Minnesota, Minneapolis, Minnesota. 4. School of Nursing. 5. Department of Family Studies and Community Development, Towson University, Towson, Maryland. 6. Department of Pediatrics, Vagelos College of Physicians and Surgeons. 7. Heilbrunn Department of Population and Family Health, Mailman School of Public Health, Columbia University and Columbia University Irving Medical Center, New York, New York. 8. American Academy of Pediatrics, Itasca, Illinois. 9. Division of Reproductive Health, Centers for Disease Control and Prevention, Atlanta, Georgia. 10. Department of Pediatrics, University of Illinois at Chicago, Chicago Illinois.
Abstract
OBJECTIVES: To quantify adolescent- and parent-perceived importance of provider-adolescent discussions about sexual and reproductive health (SRH), describe prevalence of provider confidentiality practices and provider-adolescent discussions about SRH topics during preventive visits, and identify missed opportunities for such conversations. METHODS: We used data from a national Internet survey of 11- to 17-year-old adolescents and their parents. Data were weighted to represent the noninstitutionalized US adolescent population. Adolescents who had a preventive visit in the past 2 years and their parents reported on perceived importance of provider-adolescent discussions about SRH topics: puberty, safe dating, gender identity, sexual orientation, sexual decision-making, sexually transmitted infections and HIV, methods of birth control, and where to get SRH services. Adolescents and parents reported whether they had ever discussed confidentiality with the adolescent's provider. Adolescents reported experiences at their most recent preventive visit, including whether a provider spoke about specific SRH topics and whether they had time alone with a provider. RESULTS: A majority of adolescents and parents deemed provider-adolescent discussions about puberty, sexually transmitted infections and HIV, and birth control as important. However, fewer than one-third of adolescents reported discussions about SRH topics other than puberty at their most recent preventive visit. These discussions were particularly uncommon among younger adolescents. Within age groups, discussions about several topics varied by sex. CONCLUSIONS: Although most parents and adolescents value provider-adolescent discussions of selected SRH topics, these discussions do not occur routinely during preventive visits. Preventive visits represent a missed opportunity for adolescents to receive screening, education, and guidance related to SRH.
OBJECTIVES: To quantify adolescent- and parent-perceived importance of provider-adolescent discussions about sexual and reproductive health (SRH), describe prevalence of provider confidentiality practices and provider-adolescent discussions about SRH topics during preventive visits, and identify missed opportunities for such conversations. METHODS: We used data from a national Internet survey of 11- to 17-year-old adolescents and their parents. Data were weighted to represent the noninstitutionalized US adolescent population. Adolescents who had a preventive visit in the past 2 years and their parents reported on perceived importance of provider-adolescent discussions about SRH topics: puberty, safe dating, gender identity, sexual orientation, sexual decision-making, sexually transmitted infections and HIV, methods of birth control, and where to get SRH services. Adolescents and parents reported whether they had ever discussed confidentiality with the adolescent's provider. Adolescents reported experiences at their most recent preventive visit, including whether a provider spoke about specific SRH topics and whether they had time alone with a provider. RESULTS: A majority of adolescents and parents deemed provider-adolescent discussions about puberty, sexually transmitted infections and HIV, and birth control as important. However, fewer than one-third of adolescents reported discussions about SRH topics other than puberty at their most recent preventive visit. These discussions were particularly uncommon among younger adolescents. Within age groups, discussions about several topics varied by sex. CONCLUSIONS: Although most parents and adolescents value provider-adolescent discussions of selected SRH topics, these discussions do not occur routinely during preventive visits. Preventive visits represent a missed opportunity for adolescents to receive screening, education, and guidance related to SRH.
Authors: Stewart C Alexander; Sharon L Christ; J Dennis Fortenberry; Kathryn I Pollak; Truls Østbye; Terrill Bravender; Cleveland G Shields Journal: Sex Health Date: 2016-02 Impact factor: 2.706
Authors: Stephanie A Grilo; Marina Catallozzi; John S Santelli; Hanying Yan; Xiaoyu Song; Jennifer Heitel; Kristen Kaseeska; Julie Gorzkowski; Alexandra E Dereix; Jonathan D Klein Journal: J Adolesc Health Date: 2019-01-09 Impact factor: 5.012
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
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