Navigation Links
Researchers: Sexually active teens need confidential health care
Date:3/24/2011

After reviewing existing research regarding the common practices of health care providers who see adolescent patients across the country, Rebecca Allen, MD, MPH, a clinician and researcher at Women & Infants Hospital of Rhode Island, and her colleague, Michelle Forcier, MD, MPH, an adolescent medicine specialist at Hasbro Children's Hospital, asserted that the nation needs to offer more confidential care for teenagers who are sexually active.

This includes access to effective contraception, noted the doctors in the paper "Adolescent Sexuality and the Use of Contraception," which was published in a recent issue of the professional journal SRM: Sexuality, Reproduction and Menopause.

"With almost half of teens in high school being sexually active, effective contraception screening and counseling is a critical component of adolescent health visits," explained Dr. Allen, who is affiliated with Women & Infants' Contraceptive Consult Clinic and is an assistant professor of obstetrics and gynecology at The Warren Alpert Medical School of Brown University.

"Given the high rate of unintended adolescent pregnancies in the United States, effective adolescent contraception continues to be an elusive goal."

Forty-six percent of American teens aged 15 to 19 have had sex at least once, and 20% have had sex by the age of 15. Although 83% of females and 91% of males report using contraception, approximately 750,000 teens aged 15 to 19 become pregnant each year. This rate is 2 to 4 times higher than the birth rates among adolescents in such developed countries as Great Britain, Sweden and France where more adolescents use contraception.

"Counseling adolescents about using contraception and ensuring access to contraception to prevent pregnancy and sexually transmitted diseases is critical," Dr. Allen said.

The article includes tips for promoting contraceptive success in adolescents, including the use of the "Quick Start" method, which allows females to start hormonal contraceptives the same day as the doctor's visit regardless of the day of their menstrual cycle. Dr. Allen also stated that because adolescents might have more difficulty taking daily pills consistently, providers should discuss weekly or monthly methods, IUDs and implants.

Going forward, Dr. Forcier, who is part of the Hasbro Children's Hospital Adolescent Health Center and is an assistant professor of adolescent medicine at The Warren Alpert Medical School of Brown University, asserted that American medical practices should understand that working with adolescent females is specialized and tailor services accordingly.

"Medical practices that do not differentiate between the needs of adolescents versus children or adults may miss opportunities to provide developmentally appropriate care," Dr. Forcier said, adding that the major task of adolescent development is for the individual to progress anatomically, physiologically, psychologically, sociologically and interpersonally. "Associated behaviors that arise during adolescence often continue into later years, impacting morbidity, mortality and quality of life."

Health care practitioners should honor adolescents' desire for confidentiality and see them one on one, Dr. Forcier continued. Most adolescents, she said, have the psycho-emotional capacity to give informed consent, and it is legally allowable in most states. Title X Family Planning programs and Medicaid, for example, are designed to promote adolescent access to confidential services, including sexual health care.

However, research indicates that only 40% of adolescents ages 12 to 17 reported time alone with their pediatrician, and many fear that confidential health services undermine the relationship between parents and teenagers. That percentage needs to change, the doctors said, because other studies indicate that teenagers will simply stop seeking health care, testing for sexually transmitted diseases and prenatal care if parental consent is required for services.

"The desired standard of care is for teenagers to have private and confidential discussions so that clinicians can elicit accurate sexually histories, ascertain risks, and provide appropriate counseling and recommendations," Dr. Allen said.


'/>"/>

Contact: Susan McDonald
slmcdonald@wihri.org
401-681-2816
Women & Infants Hospital
Source:Eurekalert

Related medicine news :

1. IU researchers: Chemotherapy alters brain tissue in breast cancer patients
2. Ben-Gurion U. researchers: High resistance rates among acute otitis media pathogens in children
3. Researchers: Pay more attention to epilepsy
4. Researchers: Elderly patients 4 times more likely to die from treatment complications
5. Why do sexually experienced girls resume sexual activity after abstinence?
6. Helping fathers of sexually abused children
7. JustGetTested.com Recommends Confidential Blood Testing During Sexually Transmitted Disease (STD) Awareness Month (April)
8. Many Men Over 75 Still Sexually Active: Study
9. Embark Health Selects the Jellyvision Lab's Interactive Conversation Technology to Educate Website Visitors on Advance Directives
10. Abington Memorial Hospital's Travelers Clinic Can Protect Travelers From The Now Active Yellow Fever
11. Lumension Unveils Intelligent Application Whitelisting that Operationalizes a Proactive Endpoint Security Approach
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:6/26/2016)... ... 2016 , ... Brent Kasmer, a legally blind and certified personal trainer is helping to develop ... The fitness app plans to fix the two major problems leading the fitness industry today:, ... all type program , They don’t eliminate all the reasons people quit their ...
(Date:6/25/2016)... , ... June 25, 2016 , ... "With 30 hand-drawn ... specific project," said Christina Austin - CEO of Pixel Film Studios. , ProHand ... all within Final Cut Pro X . Simply select a ProHand generator and ...
(Date:6/25/2016)... ... , ... Conventional wisdom preaches the benefits of moderation, whether it’s a matter ... bar too high can result in disappointment, perhaps even self-loathing. However, those who set ... , Research from PsychTests.com reveals that behind the tendency to set low ...
(Date:6/24/2016)... ... 2016 , ... The Pulmonary Hypertension Association (PHA) learned during ... two significant new grants to support its work to advance research and patient ... recognizing patients, medical professionals and scientists for their work in fighting pulmonary hypertension ...
(Date:6/24/2016)... TX (PRWEB) , ... June 24, 2016 , ... People ... part in Genome magazine’s Code Talker Award, an essay contest in which patients and ... an award to be presented at the 2016 National Society of Genetic Counselors (NSGC) ...
Breaking Medicine News(10 mins):
(Date:6/26/2016)... Story Highlights: ... the health care industry is causing providers to review ... Deloitte offers a suite of solutions for health care ... cost optimization: labor resource analysis, revenue cycle optimization and ... outcomes and better economics ...
(Date:6/24/2016)... , June 24, 2016 ... has announced the addition of the " Global ... This report ... provides an updated review, including its applications in various ... total market, which includes three main industries: pharmaceutical and ...
(Date:6/24/2016)... 2016 Research and Markets has announced ... Diagnostic Tests" report to their offering. ... The World Market for Companion Diagnostics covers ... Market analysis in the report includes the following: ... Diagnostic Kits) by Region (N. America, EU, ROW), 2015-2020 ...
Breaking Medicine Technology: