Renee E Sieving1, Christopher Mehus2, Janna R Gewirtz O'Brien3, Riley J Steiner4, Shuo Wang5, Marina Catallozzi6, Julie Gorzkowski7, Stephanie A Grilo8, Kristen Kaseeska7, Annie-Laurie McRee3, John Santelli8, Jonathan D Klein9. 1. School of Nursing, University of Minnesota, Minneapolis, Minnesota; Department of Pediatrics, University of Minnesota, Minneapolis, Minnesota. Electronic address: sievi001@umn.edu. 2. Center for Applied Research and Educational Improvement, College of Education and Human Development, University of Minnesota, Minneapolis, Minnesota. 3. Department of Pediatrics, University of Minnesota, Minneapolis, Minnesota. 4. Division of Reproductive Health, Centers for Disease Control and Prevention, Atlanta, Georgia. 5. Division of Epidemiology & Community Health, School of Public Health, University of Minnesota, Minneapolis, Minnesota. 6. Department of Pediatrics, Vagelos College of Physicians & Surgeons, Columbia University Medical Center, New York, New York; Heilbrunn Department of Population & Family Health, Mailman School of Public Health, Columbia University Irving Medical Center, New York, New York. 7. Department of Healthy Resilient Children, Youth and Families, American Academy of Pediatrics, Itasca, Illinois. 8. Heilbrunn Department of Population & Family Health, Mailman School of Public Health, Columbia University Irving Medical Center, New York, New York. 9. Department of Pediatrics, University of Illinois at Chicago, Chicago Illinois.
Abstract
PURPOSE: This study examines characteristics of healthcare delivery, providers, and adolescents associated with provider-adolescent discussions about sexual and reproductive health (SRH) during preventive visits. METHODS: Data were from a 2019 national internet survey of U.S. adolescents ages 11-17 years and their parents. Adolescents who had a preventive visit in the past 2 years (n = 853) were asked whether their provider discussed each of eight SRH topics at that visit: puberty, safe dating, gender identity, sexual orientation, whether or not to have sex, sexually transmitted infections including human immunodeficiency virus, birth control methods, and where to get SRH services. Eight multivariable logistic regression models were examined (one for each SRH topic as the outcome), with each model including modifiable healthcare delivery and provider characteristics, adolescent beliefs, behaviors, and demographic characteristics as potential correlates. RESULTS: Provider-adolescent discussions about SRH topics at the last preventive visit were positively associated with face-to-face screening about sexual activity for all eight topics (range of adjusted odds ratios [AORs] = 3.40-9.61), having time alone with the adolescent during that visit (seven topics; AORs = 1.87-3.87), and ever having communicated about confidentiality with adolescents (two topics; AORs = 1.88-2.19) and with parents (one topic; AOR = 2.73). Adolescents' perception that a topic was important to discuss with their provider was associated with provider-adolescent discussions about seven topics (AORs = 2.34-5.46). CONCLUSIONS: Findings that provider-adolescent discussions about SRH during preventive visits were associated with modifiable practices including time alone between providers and adolescents and screening about sexual activity can inform efforts to improve the delivery of adolescent SRH services within primary care.
PURPOSE: This study examines characteristics of healthcare delivery, providers, and adolescents associated with provider-adolescent discussions about sexual and reproductive health (SRH) during preventive visits. METHODS: Data were from a 2019 national internet survey of U.S. adolescents ages 11-17 years and their parents. Adolescents who had a preventive visit in the past 2 years (n = 853) were asked whether their provider discussed each of eight SRH topics at that visit: puberty, safe dating, gender identity, sexual orientation, whether or not to have sex, sexually transmitted infections including human immunodeficiency virus, birth control methods, and where to get SRH services. Eight multivariable logistic regression models were examined (one for each SRH topic as the outcome), with each model including modifiable healthcare delivery and provider characteristics, adolescent beliefs, behaviors, and demographic characteristics as potential correlates. RESULTS: Provider-adolescent discussions about SRH topics at the last preventive visit were positively associated with face-to-face screening about sexual activity for all eight topics (range of adjusted odds ratios [AORs] = 3.40-9.61), having time alone with the adolescent during that visit (seven topics; AORs = 1.87-3.87), and ever having communicated about confidentiality with adolescents (two topics; AORs = 1.88-2.19) and with parents (one topic; AOR = 2.73). Adolescents' perception that a topic was important to discuss with their provider was associated with provider-adolescent discussions about seven topics (AORs = 2.34-5.46). CONCLUSIONS: Findings that provider-adolescent discussions about SRH during preventive visits were associated with modifiable practices including time alone between providers and adolescents and screening about sexual activity can inform efforts to improve the delivery of adolescent SRH services within primary care.
Authors: Pamela J Burke; Mandy S Coles; Giuseppina Di Meglio; Erica J Gibson; Sara M Handschin; May Lau; Arik V Marcell; Kathleen P Tebb; Kim Urbach Journal: J Adolesc Health Date: 2014-04 Impact factor: 5.012
Authors: John S Santelli; Jonathan D Klein; Xiaoyu Song; Jennifer Heitel; Stephanie Grilo; Mengru Wang; Hanying Yan; Kristen Kaseeska; Julie Gorzkowski; Madeline Schneider; Alexandra E Dereix; Marina Catallozzi Journal: Pediatrics Date: 2019-01-16 Impact factor: 7.124