ArticleThe Journal of adolescent health : official publication of the Society for Adolescent Medicine2025
Teen Secure Messaging is Associated With Use of Sexual and Reproductive Health Services in One Health System.
Article in The Journal of adolescent health : official publication of the Society for Adolescent Medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
What it found
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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.
The trial behind it
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Who cites it
3 citing papers in PubMed.
- A scoping review of studies on secure messaging through patient portals: persistent challenges and potential solutions.npj health systems · 2026Article
- Youth Uptake of Digital Sexual and Reproductive Health Services Across Sociodemographic Groups (2018-2022): A Total Population Study from Stockholm, Sweden.Mayo Clinic proceedings. Digital health · 2025Article
- Prevalence of genital and extragenital sexually transmitted infections among women of reproductive age with and without HIV in the Southern US: results from the study of treatment and reproductive outcomes.Frontiers in medicine · 2025Article
Corrections and comments
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Authors and funding
7 authors.
Funding
Abstract
purposePatient portal use may improve access to or use of sexual and reproductive health (SRH) services for adolescents. We examined the association between adolescent secure messaging on a portal and use of SRH services in one health system.
methodsWe conducted a retrospective cohort study using electronic health records of adolescents aged 13-17 at Kaiser Permanente Washington from 2019 to 2021. Using month of observation as our unit of analysis, we estimated unadjusted and adjusted odds ratios and 95% confidence intervals (CIs) for associations between secure messages sent and 3 outcomes: (1) sexually transmitted infection (STI) tests ordered in the observed month, and among pregnancy-capable individuals; (2) pregnancy tests; and (3) prescription contraceptive methods ordered.
resultsThirty-seven thousand eight hundred eighteen unique individuals contributed 667,678 months of individual observation. Among observed months with STI testing, 6.1% sent secure messages compared to 1.1% in months with no STI testing. Observed months with secure messaging had significantly greater odds of STI tests ordered than months without messaging, after adjusting for covariates (adjusted odds ratio (aOR) 3.5, 95% CI 2.9-4.3). Among observed months with prescription contraceptive orders, 5.0% sent a portal message compared to 1.4% without prescription contraceptive orders. Observed months with secure messaging among pregnancy-capable individuals had significantly greater odds of pregnancy tests (aOR 2.6, 95% CI 2.2-3.1) and prescription contraceptive orders (aOR 1.9, 95% CI 1.7-2.2) than months without messaging. DISCUSSION: The use of secure messaging by adolescents was more common among those with concurrent SRH care needs.
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Registered trials
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