Sexual and Reproductive Health Discussions During Preventive Visits

作者：Renee E. Sieving, Annie‐Laurie McRee, Christopher J. Mehus, Janna R. Gewirtz O’Brien, Shuo Wang, Pooja Brar, Marina Catallozzi, Julie Gorzkowski, Stephanie A. Grilo, Kristen R. Kaseeska, John S. Santelli, Riley J. Steiner, Jonathan D. Klein · 发表于：PEDIATRICS · 年份：2021 · DOI：10.1542/peds.2020-049411 · 被引用次数：55 · 研究领域：Adolescent Sexual and Reproductive Health、HIV/AIDS Research and Interventions、Adolescent and Pediatric Healthcare

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 discussi...