Evidence map›Paper›PMID 34253569›Full record

ArticlePediatrics2021

Sexual and Reproductive Health Discussions During Preventive Visits.

Renee E Sieving, Annie-Laurie McRee, Christopher Mehus, Janna R Gewirtz O'Brien, Shuo Wang, Pooja Brar, Marina Catallozzi, Julie Gorzkowski, Stephanie Grilo, Kristen Kaseeska and 3 more

Erratum issuedOpen access · greenAbstract read
In one paragraph

Article in Pediatrics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 25 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 1 pooled it
10.4field-weighted citation impact, top 2% 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

25 citing papers in PubMed, 1 synthesis or guideline pooled it, 48 citations in OpenAlex.

  1. Sexual Health and Relationship Abuse Interventions in Pediatric Primary Care: A Systematic Review.The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2023
    Pooled it
  2. Trial
  3. Trial
  4. Article
  5. An Innovative Youth-Friendly Electronic Questionnaire to Identify Mental, Sexual and Reproductive Health Risks: A Validation Study of the Total Teen Assessment.Health expectations : an international journal of public participation in health care and health policy · 2025
    Article
  6. Facilitators to implementing preventive health interventions for adolescents in the emergency department: A multicenter qualitative analysis.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2025
    Article
  7. Neighborhoods, Caregiver Sexuality Communication, and Sexual Health of Adolescents Involved in the Legal System.Journal of correctional health care : the official journal of the National Commission on Correctional Health Care · 2025
    Article
  8. Article
  9. Contraception Initiation in the Emergency Department: Adolescent Perspectives.The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2024
    Article
  10. Review
  11. Article
  12. Article
  13. Article
  14. Pornography use among adolescents and the role of primary care.Family medicine and community health · 2023
    Article
  15. Article
  16. Article
  17. Article
  18. 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 · 2022
    Article
  19. Article
  20. 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 & Practitioners
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

13 authors at 6 institutions in 2 countries.

Renee E SievingSchool of Nursing sievi001@umn.edu.
Annie-Laurie McReeDepartment of Pediatrics.
Christopher MehusCenter for Applied Research and Educational Improvement, College of Education and Human Development, University of Minnesota, Minneapolis, Minnesota.
Janna R Gewirtz O'BrienDepartment of Pediatrics.
Shuo WangSchool of Nursing.
Pooja BrarDepartment of Family Studies and Community Development, Towson University, Towson, Maryland.
Marina CatallozziDepartment of Pediatrics, Vagelos College of Physicians and Surgeons.
Julie GorzkowskiAmerican Academy of Pediatrics, Itasca, Illinois.
Stephanie GriloHeilbrunn Department of Population and Family Health, Mailman School of Public Health, Columbia University and Columbia University Irving Medical Center, New York, New York.
Kristen KaseeskaAmerican Academy of Pediatrics, Itasca, Illinois.
John SantelliHeilbrunn Department of Population and Family Health, Mailman School of Public Health, Columbia University and Columbia University Irving Medical Center, New York, New York.
Riley J SteinerDivision of Reproductive Health, Centers for Disease Control and Prevention, Atlanta, Georgia.
Jonathan D KleinDepartment of Pediatrics, University of Illinois at Chicago, Chicago Illinois.
Columbia University · USAmerican Academy of Pediatrics · USCenters for Disease Control and Prevention · USTowson University · USUniversity of Illinois Chicago · USUniversity of Minnesota · US

Funding

Intramural CDC HHS CC999999NCCDPHP CDC HHS U48 DP005022
6 · The paper itself

Abstract

objectivesTo 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.

methodsWe 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.

resultsA 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 discussions were particularly uncommon among younger adolescents. Within age groups, discussions about several topics varied by sex.

conclusionsAlthough most parents and adolescents value provider-adolescent discussions of selected SRH topics, these discussions do not occur routinely during preventive visits. Preventive visits represent a missed opportunity for adolescents to receive screening, education, and guidance related to SRH.

Indexed as

Preventive Health ServicesReproductive HealthSex EducationSexual HealthAdolescentChildFemaleHumansMaleParentsRetrospective StudiesSelf Report

Identifiers

PMID34253569
PMCPMC9125413
OpenAlexW3181158848

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.