Contraception for Adolescents and Young Adults in the Inpatient Setting: The Providers’ Perspective

Goldstein, Rachel; Carlson, Jennifer; Halpern‐Felsher, Bonnie

doi:10.1542/hpeds.2017-0167

Cited by 20 publications

(17 citation statements)

References 24 publications

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“…Youth recalled discussing options of birth control and receiving contraceptive counselling (Alexander et al, 2016; Donaldson et al, 2013; Hoopes et al, 2017; Marcell et al, 2010; Richards et al, 2016; Santelli et al, 2019; Snyder et al, 2016), including youth with latent tuberculosis (Hill et al, 2013), sickle cell disease (Nahata et al, 2018) and mobility limitations (Seburg et al, 2015). Likewise, HCPs reported providing anticipatory guidance about pregnancy prevention (Akers et al, 2010; Goldstein et al, 2018; Helitzer et al, 2011; Henry‐Reid et al, 2010; Marcell & Ellen, 2012; O'Sullivan et al, 2010). Among these articles, four provided details about the content of the conversations: HCPs noted that they discussed benefits and side effects of contraceptive methods (Akers et al, 2010; Marcell & Ellen, 2012); HCPs who specialized in male reproductive care prioritized discussion with male youth about female hormonal contraception and ways to support partners taking contraception (Marcell & Ellen, 2012).…”

Section: Resultsmentioning

confidence: 99%

“…Youth noted that the power differential with an adult HCP prevented them from divulging sensitive information (Córdova et al, 2018; Hoopes et al, 2017). HCPs also reported feeling uncomfortable discussing sexuality due to cultural differences and religious reasons (Bray et al, 2010; Goldstein et al, 2018). When the subject of sexuality was broached, youth reported that they were able to recognize HCPs' discomfort and embarrassment in their use of vocal fillers, quick change of topics and lack of vocabulary precision in their conversations (Fuzzell et al, 2016; Hoopes et al, 2017).…”

Section: Resultsmentioning

confidence: 99%

“…Youth reported that having a parent present in the room deterred sexuality conversations as they felt fearful about parents knowing what had been shared with HCPs (Córdova et al, 2018; Friedman & Bloodgood, 2010; Fuzzell et al, 2016; Lee, 2017; Snyder et al, 2016). HCPs also reported difficulty explaining to parents the importance of confidentiality in sexuality discussions, because parents might feel uncomfortable with HCPs spending time alone with their children and not knowing what was discussed (Goldstein et al, 2018; Helitzer et al, 2011).…”

Section: Resultsmentioning

confidence: 99%

See 2 more Smart Citations

Are healthcare providers and young people talking about sexuality? A scoping review to characterize conversations and identify barriers

Lung

Wincentak

Gan

et al. 2021

Child

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Background Conversations about sexuality with healthcare providers (HCPs) are critical to youth's positive development, including youth with disabilities or chronic conditions. Yet, little is known about the characteristics of sexuality conversations with youth in healthcare settings. This scoping review examined the nature and extent of sexuality conversations between HCPs and youth (with and without a disability or chronic condition) and aimed to identify barriers to these conversations. Methods Scoping review methodology using rapid review principles was employed. Inclusion criteria: studies published between 2009 and 2019; examined conversations between HCPs and youth aged 21 and below; addressed sexuality; and took place in a healthcare setting. Study characteristics were described and clustered into thematic groups. Results Of the 5543 identified, 32 articles were included. Articles addressed (i) the content of sexuality conversations, (ii) prevalence of sexuality conversations and (iii) barriers to discussing sexuality. The content of sexuality discussions was largely biologically focused. The prevalence of sexuality discussions varied, with some discrepancy between youth‐reported and HCP‐reported rates. Seven barriers (three personal and four systemic) were identified. Youth with disabilities or chronic conditions were vastly under‐represented in the published literature. Conclusions This study highlighted that sexuality is an underexplored topic between HCPs and young people, especially young people with disabilities and/or chronic conditions. Given the importance of sexuality to young people's mental and physical health, research addressing barriers to these discussions and development of evidence‐informed resources to support HCPs and youth to engage in conversations about sexuality should be a priority.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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Are healthcare providers and young people talking about sexuality? A scoping review to characterize conversations and identify barriers

Lung

Wincentak

Gan

et al. 2021

Child

View full text Add to dashboard Cite

show abstract

“…The pediatric hospital setting is uniquely equipped to address unmet reproductive care needs, given specific advantages such as prolonged providerepatient interactions across multiple days and the opportunity for confidential conversations when caregivers are not present. Previous studies show that although pediatric hospitalists agree that it is appropriate to provide reproductive services, most only infrequently offer safer sex counseling, condoms, or referral for contraception [18,30]. McFadden et al confirm that screening for sexual activity and unmet reproductive health needs does not routinely occur.…”

mentioning

confidence: 99%

Caring for Hospitalized Adolescents: Opportunities to Identify and Address Unmet Reproductive Health Needs

Masonbrink

Miller

2019

Journal of Adolescent Health

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“…The authors of "Contraception for Adolescents and Young Adults in the Inpatient Setting: The Providers' Perspective" contribute to the conversation on whether contraceptive services should be offered in the inpatient settings by offering the perspective of medical providers. This brief report by Goldstein et al 16 reveals an important finding: .80% of providers surveyed thought it would be appropriate to start a contraceptive for inpatients. Additionally, more than one-third of the respondents had already done so.…”

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confidence: 99%

No Matter Where, Adolescent Sexual Health Is Everyone’s Job

Guss

2018

Hospital Pediatrics

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The United States should be proud of its declining teenaged pregnancy rates over the past several years, with data from 2016 revealing a continued and significant decrease in birth rates in adolescents aged 15 to 19 years from 2007 to 2016. 1 However, we still lag far behind other developed nations. 2 Moreover, adolescents and young adults still share a disproportionate burden of sexually transmitted infections (STIs) compared with other age groups. 3-5 The Centers for Disease Control and Prevention estimate that individuals aged 15 to 24 years account for one-half of all new STIs in the United States and one-quarter of new HIV diagnoses but account for only one-quarter of the population that is sexually active. 6,7 Despite this, one-third of adolescents have health maintenance examinations without any mention of sexual health. If sexual health is discussed at all, it is for an average of merely 36 seconds. 8 The American Academy of Pediatrics emphasizes the significant role that pediatricians can play in preventing these avoidable health outcomes, primarily by focusing on the pediatric office setting. 9 However, it is time for pediatric hospitalists to embrace sexual and reproductive health, including STI and HIV testing, as routine inpatient care regardless of the chief complaint or reason for admission. Currently, there is limited research in this area. In this issue of Hospital Pediatrics, 3 important articles related to sexual and reproductive health for adolescents are presented in which researchers look beyond the classic office scenario to the hospital setting. Studies have already revealed that adolescents are open to receiving contraceptive counseling in a variety of settings, such as school-based health centers, 10,11 the emergency department (ED), 12-14 and while hospitalized on the wards. 15 The researchers in these 3 Hospital Pediatrics articles contribute to the literature by providing evidence that hospitalists want to provide sexual health services, 16 that documentation of sexual history must be improved on the hospital wards, 17 and that hospitalized adolescents find HIV screening acceptable. 18

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Contraception for Adolescents and Young Adults in the Inpatient Setting: The Providers’ Perspective

Abstract: Initiation of a contraceptive method in the inpatient setting is acceptable to providers. In our findings, it is suggested that strategies are needed to enhance provision of these services by addressing confidentiality concerns and educating providers.

Cited by 20 publications

References 24 publications

Are healthcare providers and young people talking about sexuality? A scoping review to characterize conversations and identify barriers

Are healthcare providers and young people talking about sexuality? A scoping review to characterize conversations and identify barriers

Caring for Hospitalized Adolescents: Opportunities to Identify and Address Unmet Reproductive Health Needs

No Matter Where, Adolescent Sexual Health Is Everyone’s Job

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