ArticleThe Journal of adolescent health : official publication of the Society for Adolescent Medicine2020
Understanding Primary Care Providers' Perceptions and Practices in Implementing Confidential Adolescent Sexual and Reproductive Health Services.
Article in The Journal of adolescent health : official publication of the Society for Adolescent Medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.
What it found
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The trial behind it
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Who cites it
18 citing papers in PubMed.
- Development and Psychometric Evaluation of the Provider Confidence in Adolescent Sexual Health (P-CASH) Scale.Academic pediatrics · 2026Article
- Primary Care Provider Confidence Delivering Sexual Health Services and Education to Adolescents.Journal of pediatric and adolescent gynecology · 2026Article
- Visual analysis of the research frontiers, hotspots and development trends of immunization programs for women and children.Human vaccines & immunotherapeutics · 2025Article
- The Use and Effectiveness of Different Emergency Contraception Methods Among Adolescent Girls and Young Women in a Greek Clinic: A Cross-Sectional, Comparative, Observational Study.Clinics and practice · 2025Article
- A Previsit Mobile Health App (Health-E You/Salud iTu) for Male Adolescents to Promote Sexual and Reproductive Health Care Receipt: Protocol for a Randomized Controlled Trial.JMIR research protocols · 2025Article
- Adolescent Pregnancies and Perinatal Mental Health-Needs and Complex Support Options: A Literature Review.Journal of clinical medicine · 2025Review
- Adolescent-Parent Communication on Sexual and Reproductive Health Issues in Nyarugenge and Kamonyi Districts, Rwanda: A Qualitative Exploration of Adolescent Insights.Rwanda journal of medicine and health sciences · 2025Article
- Pediatricians' Discomfort With Pre-exposure Prophylaxis (PrEP) for HIV Prevention: The Need for Greater Education.Cureus · 2025Article
- Article
- Exploring psychosocial factors influencing sexually transmitted infection intention testing among medical students: a cross-sectional study in two universities.Frontiers in public health · 2024Observational
- Association of Adolescents' Body Mass Index Classification With Preventive Clinical Care Receipt.The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2023Article
- Feasibility of using an app-based coaching intervention to improve provider communication about HPV vaccination.Translational behavioral medicine · 2023Article
- Correlates of Sexual and Reproductive Health Discussions During Preventive Visits: Findings From a National Sample of U.S. Adolescents.The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2022Article
- Using Telehealth to Deliver Primary Care to Adolescents During and After the COVID-19 Pandemic: National Survey Study of US Primary Care Professionals.Journal of medical Internet research · 2021Article
- Sexual and Reproductive Health Discussions During Preventive Visits.Pediatrics · 2021Article
- Clinician Recommendations for Discussing Online Health Information With Adolescents: A Qualitative Study.Journal of primary care & community healthArticle
- Provider Facilitation of Parent-Adolescent Health Communication: Findings From a National Survey.Journal of pediatric health care : official publication of National Association of Pediatric Nurse Associates & PractitionersArticle
- Exploring Primary Care Clinicians' Sexual and Reproductive Health Care Delivery to Male Adolescents and Young Adults.Journal of pediatric health care : official publication of National Association of Pediatric Nurse Associates & PractitionersArticle
Corrections and comments
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Authors and funding
14 authors.
Funding
Abstract
purposeSubstantial gaps exist between professional guidelines and practice around confidential adolescent services, including private time between health-care providers and adolescents. Efforts to provide quality sexual and reproductive health services (SRHS) require an understanding of barriers and facilitators to care from the perspectives of primary care providers working with adolescents and their parents.
methodsWe conducted structured qualitative interviews with a purposive sample of pediatricians, family physicians, and nurse practitioners (n = 25) from urban and rural Minnesota communities with higher and lower rates of adolescent pregnancy. Provider interviews included confidentiality beliefs and practices; SRHS screening and counseling; and referral practices.
resultsThe analysis identified two key themes: (1) individual and structural factors were related to variations in SRH screening and counseling and (2) a wide range of factors influenced provider decision-making in initiating private time. A nuanced set of factors informed SRHS provided, including provider comfort with specific topics; provider engagement and relationship with parents; use of adolescent screening tools; practices, policies, and resources within the clinic setting; and community norms including openness with communication about sex and religious considerations regarding adolescent sexuality. Factors that shaped providers' decisions in initiating private time included adolescent age, developmental stage, health behaviors and other characteristics; observed adolescent-parent interactions; parent support for private time; reason for clinic visit; laws and professional guidelines; and cultural considerations.
conclusionsFindings suggest opportunities for interventions related to provider and clinic staff training, routine communication with adolescents and their parents, and clinic policies and protocols that can improve the quality of adolescent SRHS.
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