Evidence map›Paper›PMID 25101138›Full record

ArticleVulnerable children and youth studies2014

Accessing General and Sexual Healthcare: Experiences of Urban Youth.

Melissa K Miller, Joi Wickliffe, Sara Jahnke, Jennifer S Linebarger, Denise Dowd

Open access · greenAbstract read
In one paragraph

Article in Vulnerable children and youth studies, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
4.5field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 27 citations in OpenAlex.

  1. Trial
  2. Article
  3. Hey ChatGPT, Let's Talk About Sexual Consent.Journal of sex research · 2025
    Article
  4. Young People's Trust in Digital Sexual Healthcare: A Narrative Review.International journal of sexual health : official journal of the World Association for Sexual Health · 2025
    Article
  5. Article
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  7. Article
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  9. Article
  10. Development of a Theoretically Grounded, Web-Based Intervention to Reduce Adolescent Driver Inattention.The Journal of school nursing : the official publication of the National Association of School Nurses · 2018
    Article
  11. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 3 institutions in 1 country.

Melissa K MillerEmergency and Urgent Care, Children's Mercy Hospital, 2401 Gillham Road, Kansas City, 64108 USA.
Joi WickliffePreventive Medicine and Public Health, University of Kansas Medical Center, Kansas City, USA.
Sara JahnkeCenter for Fire, Rescue & EMS Health Research, National Development & Research Institutes, Overland Park, USA.
Jennifer S LinebargerPalliative Medicine, Children's Mercy Hospital, Kansas City, USA.
Denise DowdEmergency and Urgent Care, Children's Mercy Hospital, 2401 Gillham Road, Kansas City, 64108 USA.
Children's Mercy Hospital · USNational Development and Research Institutes · USUniversity of Kansas Medical Center · US

Funding

Heartland Institute for Clinical and Translational ResearchUL1TR000001 · NCATS · UNIVERSITY OF KANSAS MEDICAL CENTER · PI BAROHN, RICHARD J. · 2012 to 2015
$13.0M
Heartland Institute for Clinical and Translational ResearchKL2TR000119 · NCATS · UNIVERSITY OF KANSAS MEDICAL CENTER · PI BAROHN, RICHARD J. · 2012 to 2015
$2.5M
NCATS NIH HHS KL2 TR000119NCATS NIH HHS UL1 TR000001
6 · The paper itself

Abstract

Urban adolescents face many barriers to health care that contribute to health disparities in rates of sexually transmitted infections (STIs) and unintended pregnancy. Designing interventions to increase access to health care is a complex process that requires understanding the perspectives of adolescents. We conducted six focus groups to explore the attitudes and beliefs about general and sexual health care access as well as barriers to care among urban, economically disadvantaged adolescents. Participants first completed a written survey assessing health behaviors, health care utilization, and demographics. The discussion guide was based on the Theory of Planned Behavior and its constructs: attitudes, subjective norms, and perceived behavioral control. Transcripts of group discussions were analyzed using directed content analysis with triangulation and consensus to resolve differences. Fifty youth participated (mean age 15.5 years; 64% female; 90% African American). Many (23%) reported missed health care in the previous year. About half (53%) reported previous sexual intercourse; of these, 35% reported no previous sexual health care. Youth valued adults as important referents for accessing care as well as multiple factors that increased comfort such as good communication skills, and an established relationship. However, many reported mistrust of physicians and identified barriers to accessing care including fear and lack of time. Most felt that accessing sexual health care was more difficult than general care. These findings could inform future interventions to improve access to care and care-seeking behaviors among disadvantaged youth.

Indexed as

AccessAdolescentEvaluationHealth Care DisparitiesHealth Care Quality

Identifiers

PMID25101138
PMCPMC4119761
OpenAlexW2015987119

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.