Evidence map›Paper›PMID 34838444›Full record

ArticleThe Journal of adolescent health : official publication of the Society for Adolescent Medicine2022

Correlates of Sexual and Reproductive Health Discussions During Preventive Visits: Findings From a National Sample of U.S. Adolescents.

Renee E Sieving, Christopher Mehus, Janna R Gewirtz O'Brien, Riley J Steiner, Shuo Wang, Marina Catallozzi, Julie Gorzkowski, Stephanie A Grilo, Kristen Kaseeska, Annie-Laurie McRee and 2 more

Open access · greenAbstract read
In one paragraph

Article in The Journal of adolescent health : official publication of the Society for Adolescent Medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.5field-weighted citation impact, top 15% 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

4 citing papers in PubMed, 11 citations in OpenAlex.

  1. Article
  2. Article
  3. 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
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

12 authors at 6 institutions in 1 country.

Renee E SievingSchool of Nursing, University of Minnesota, Minneapolis, Minnesota; Department of Pediatrics, University of Minnesota, Minneapolis, Minnesota. Electronic address: sievi001@umn.edu.
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, University of Minnesota, Minneapolis, Minnesota.
Riley J SteinerDivision of Reproductive Health, Centers for Disease Control and Prevention, Atlanta, Georgia.
Shuo WangDivision of Epidemiology & Community Health, School of Public Health, University of Minnesota, Minneapolis, Minnesota.
Marina CatallozziDepartment of Pediatrics, Vagelos College of Physicians & Surgeons, Columbia University Medical Center, New York, New York; Heilbrunn Department of Population & Family Health, Mailman School of Public Health, Columbia University Irving Medical Center, New York, New York.
Julie GorzkowskiDepartment of Healthy Resilient Children, Youth and Families, American Academy of Pediatrics, Itasca, Illinois.
Stephanie A GriloHeilbrunn Department of Population & Family Health, Mailman School of Public Health, Columbia University Irving Medical Center, New York, New York.
Kristen KaseeskaDepartment of Healthy Resilient Children, Youth and Families, American Academy of Pediatrics, Itasca, Illinois.
Annie-Laurie McReeDepartment of Pediatrics, University of Minnesota, Minneapolis, Minnesota.
John SantelliHeilbrunn Department of Population & Family Health, Mailman School of Public Health, Columbia University Irving Medical Center, New York, New York.
Jonathan D KleinDepartment of Pediatrics, University of Illinois at Chicago, Chicago Illinois.
University of Minnesota · USAmerican Academy of Pediatrics · USColumbia University · USCenters for Disease Control and Prevention · USColumbia University Irving Medical Center · USUniversity of Illinois Chicago · US

Funding

ACL HHS U48DP006414Intramural CDC HHS CC999999NCCDPHP CDC HHS U48 DP006414
6 · The paper itself

Abstract

purposeThis study examines characteristics of healthcare delivery, providers, and adolescents associated with provider-adolescent discussions about sexual and reproductive health (SRH) during preventive visits.

methodsData were from a 2019 national internet survey of U.S. adolescents ages 11-17 years and their parents. Adolescents who had a preventive visit in the past 2 years (n = 853) were asked whether their provider discussed each of eight SRH topics at that visit: puberty, safe dating, gender identity, sexual orientation, whether or not to have sex, sexually transmitted infections including human immunodeficiency virus, birth control methods, and where to get SRH services. Eight multivariable logistic regression models were examined (one for each SRH topic as the outcome), with each model including modifiable healthcare delivery and provider characteristics, adolescent beliefs, behaviors, and demographic characteristics as potential correlates.

resultsProvider-adolescent discussions about SRH topics at the last preventive visit were positively associated with face-to-face screening about sexual activity for all eight topics (range of adjusted odds ratios [AORs] = 3.40-9.61), having time alone with the adolescent during that visit (seven topics; AORs = 1.87-3.87), and ever having communicated about confidentiality with adolescents (two topics; AORs = 1.88-2.19) and with parents (one topic; AOR = 2.73). Adolescents' perception that a topic was important to discuss with their provider was associated with provider-adolescent discussions about seven topics (AORs = 2.34-5.46).

conclusionsFindings that provider-adolescent discussions about SRH during preventive visits were associated with modifiable practices including time alone between providers and adolescents and screening about sexual activity can inform efforts to improve the delivery of adolescent SRH services within primary care.

Indexed as

Reproductive Health ServicesSexual HealthAdolescentChildFemaleGender IdentityHumansMaleReproductive HealthSexual BehaviorAdolescent healthConfidentialityHealth servicesPrimary careSexual and reproductive health

Identifiers

PMID34838444
PMCPMC9066357
OpenAlexW3215112148

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.