Evidence map›Paper›PMID 9519517›Full record

ArticleThe British journal of general practice : the journal of the Royal College of General Practitioners1997

Teenagers' views on the general practice consultation and provision of contraception. The Adolescent Working Group.

C Donovan, A R Mellanby, L D Jacobson, B Taylor, J H Tripp

Open access · greenAbstract read
In one paragraph

Article in The British journal of general practice : the journal of the Royal College of General Practitioners, 1997. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 2 pooled it
13.8field-weighted citation impact, top 1% 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

26 citing papers in PubMed, 2 syntheses or guidelines pooled it, 81 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. How frequently do young people with potential cancer symptoms present in primary care?The British journal of general practice : the journal of the Royal College of General Practitioners · 2011
    Article
  10. Article
  11. The RCGP Adolescent Task Group reaches its teenage years.The British journal of general practice : the journal of the Royal College of General Practitioners · 2007
    Article
  12. Review
  13. Article
  14. Article
  15. Article
  16. Breaking the butterfly on the wheel.The British journal of general practice : the journal of the Royal College of General Practitioners · 2005
    Article
  17. Adolescents in primary care.BMJ (Clinical research ed.) · 2005
    Review
  18. How do teenagers and primary healthcare providers view each other? An overview of key themes.The British journal of general practice : the journal of the Royal College of General Practitioners · 2001
    Article
  19. Sexually transmitted infections in primary care: a need for education.The British journal of general practice : the journal of the Royal College of General Practitioners · 2001
    Article
  20. Exercise: the right prescription in practice.The British journal of general practice : the journal of the Royal College of General Practitioners · 2000
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors at 1 institution in 1 country.

C DonovanDepartment of Child Health, Royal Free Hospital NHS Trust, London.
A R Mellanby
L D Jacobson
B Taylor
J H Tripp
Royal Free London NHS Foundation Trust · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe rate of unwanted pregnancies in adolescents in the United Kingdom (UK) is one of the highest in Europe and is a major reason for the RCGP's concern at the under-use of general practitioners' (GPs') contraceptive services by young people.

aimTo discover the attitudes of 15- to 16-year-olds to the GP consultation and contraceptive services.

methodQuestionnaires were completed as part of an evaluation of a novel sex education programme in 30 schools in 1994, and provided the data for this study. A total of 4481 teenagers (51.6% male and 48.4% female completed the questionnaires in their classrooms under conditions of complete confidentiality.

resultsThe median consulting rate per year was two for males and three for females. Over 60% of adolescents attended the consultation with a parent. Of the males, 27.5% 'felt that the discussion with their GP could be relayed to their parents against their wishes', as did 25.1% of the females. Other difficulties with GP appointments were identified as embarrassment (63% of females and 46% of males), difficulty getting a quick appointment (44% of both males and females), and an unsympathetic GP (32% of females and 20.5% of males).

conclusionsAdolescents identify significant factors blocking them from easy access to consultation with their GP. These included lack of trust in confidentiality, lack of staff friendliness, and delay in appointment. Consideration of how these blocks can be removed will assist in providing improved contraceptive services in primary care. General practices need to consider the above factors when providing contraceptive and other services to their teenage patients.

Indexed as

AttitudeFamily PracticePsychology, AdolescentAdolescentContraceptionEnglandFamily Planning ServicesFemaleHumansMalePhysician-Patient RelationsSexual Behavior

Identifiers

PMID9519517
PMCPMC1409956
OpenAlexW1948331957

What OpenQuestion holds

Textmetadata
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.