Forgone Health Care among U.S. Adolescents: Associations between Risk Characteristics and Confidentiality Concern

Lehrer, Jocelyn A.; Pantell, Robert H.; Tebb, Kathleen; Shafer, Mary–Ann

doi:10.1016/j.jadohealth.2006.09.015

Cited by 209 publications

(87 citation statements)

References 36 publications

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“…45 Laws concerning consent and confidentiality for HIV care and treatment vary among states; thus, physicians need to familiarize themselves with local laws. Public health statutes and legal precedents allow for medical evaluation and treatment of minors with certain illnesses-particularly STIs-without parental knowledge or consent.…”

Section: Perceived Barriers To Routine Testingmentioning

confidence: 99%

Adolescents and HIV Infection: The Pediatrician's Role in Promoting Routine Testing

Emmanuel¹,

Martinez²

2011

Pediatrics

101

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Pediatricians can play a key role in preventing and controlling HIV infection by promoting risk-reduction counseling and offering routine HIV testing to adolescent and young adult patients. Most sexually active youth do not feel that they are at risk of contracting HIV and have never been tested. Obtaining a sexual history and creating an atmosphere that promotes nonjudgmental risk counseling is a key component of the adolescent visit. In light of increasing numbers of people with HIV/AIDS and missed opportunities for HIV testing, the Centers for Disease Control and Prevention recommends universal and routine HIV testing for all patients seen in health care settings who are 13 to 64 years of age. There are advances in diagnostics and treatment that help support this recommendation. This policy statement reviews the epidemiologic data and recommends that routine screening be offered to all adolescents at least once by 16 to 18 years of age in health care settings when the prevalence of HIV in the patient population is more than 0.1%. In areas of lower community HIV prevalence, routine HIV testing is encouraged for all sexually active adolescents and those with other risk factors for HIV. This statement addresses many of the real and perceived barriers that pediatricians face in promoting routine HIV testing for their patients.

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Section: Perceived Barriers To Routine Testingmentioning

confidence: 99%

Adolescents and HIV Infection: The Pediatrician's Role in Promoting Routine Testing

Emmanuel¹,

Martinez²

2011

Pediatrics

101

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“…Salud sexual y reproductiva adolescente: visión de los padres -M. X. Luengo-Charath et al su resguardo aleja en especial a adolescentes en riesgo, afectando particularmente a mujeres con requerimientos en el área de la SSR 29,30 . Hallazgo interesante que confirma lo que indica la ley que fija normas sobre información, orientación y prestaciones en materia de regulación de la fertilidad.…”

Section: Discussionunclassified

Madres y padres de adolescentes urbanos: percepciones y expectativas de la atención en salud sexual y reproductiva para sus hijos

Luengo-Charath

Millán-Klüsse

et al. 2014

Rev. méd. Chile

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“…In fact, adolescents who engage in highrisk health behaviors are likely to cite confidentiality concerns as a reason for foregoing health care. 35 There are confidential care laws that allow adolescents to consent to their own health care without parental notification. These laws differ by state, but they appropriately allow for greater independence in the adolescent-provider relationship, particularly in the delivery of sensitive services, such as reproductive and mental health care.…”

Section: Confidentiality Concernsmentioning

confidence: 99%

Adverse Childhood Experiences and Resilience: Addressing the Unique Needs of Adolescents

Soleimanpour

Geierstanger

Brindis

2017

Academic Pediatrics

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Adolescents exposed to adverse childhood experiences (ACEs) have unique developmental needs that must be addressed by the health, education, and social welfare systems that serve them. Nationwide, over half of adolescents have reportedly been exposed to ACEs. This exposure can have detrimental effects, including increased risk for learning and behavioral issues and suicidal ideation. In response, clinical and community systems need to carefully plan and coordinate services to support adolescents who have been exposed to ACEs, with a particular focus on special populations. We discuss how adolescents' needs can be met, including considering confidentiality concerns and emerging independence; tailoring and testing screening tools for specific use with adolescents; identifying effective multipronged and cross-system trauma-informed interventions; and advocating for improved policies.KEYWORDS: adolescent health policy; adolescents; adverse childhood experiences; resilience; trauma ACADEMIC PEDIATRICS 2017;17:S108-S114 ADVERSE CHILDHOOD EXPERIENCES (ACEs) are increasingly a focus of both research and interventions nationwide, given emerging evidence of their high prevalence and lifelong health impacts. To date, much of the ACEs literature has focused on children and adults. Greater attention should be paid to the distinct developmental needs of adolescents and how the systems that serve them can more adequately respond.Distinct from both childhood and adulthood, adolescence is a unique developmental stage of rapid growth during which physiologic, cognitive, social, and emotional changes occur simultaneously. During this time (ages 11 to 21 years), adolescents experience physical and sexual maturation, develop more abstract and long-term thinking, and engage in risk-taking behaviors as they establish their independence. Adolescents who have experienced ACEs may be less able to successfully navigate this transformational stage as a result of the damaging effects of traumatic experiences on their emotional and cognitive development and/or lack of or limited positive supports.A large body of research has demonstrated that investments in early childhood can yield significant social and economic returns in adulthood and that this developmental stage should be prioritized for investments, particularly for disadvantaged youth. 1,2 However, this research also supports the notion that to maximize returns, there is a concurrent need to invest resources to address the needs of adolescents, particularly for those who may not have received needed supports in early childhood and/or who continue to experience ACEs into adolescence.Thus, adolescence represents a key window of opportunity to ameliorate the short-and longer-term impacts of trauma and positively alter the life course trajectory. High rates of trauma exposure have led to a pressing need to identify youth who have been exposed; recognize the varied ways in which youth respond to these experiences; identify effective strategies to provide traumainformed care; and d...

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Forgone Health Care among U.S. Adolescents: Associations between Risk Characteristics and Confidentiality Concern

Cited by 209 publications

References 36 publications

Adolescents and HIV Infection: The Pediatrician's Role in Promoting Routine Testing

Adolescents and HIV Infection: The Pediatrician's Role in Promoting Routine Testing

Madres y padres de adolescentes urbanos: percepciones y expectativas de la atención en salud sexual y reproductiva para sus hijos

Adverse Childhood Experiences and Resilience: Addressing the Unique Needs of Adolescents

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