Sexual Activity Screening and Referral to Gynecology Services among Adolescent Women with Chronic Disease in the Pediatric Subspecialty Setting

Moore, Amy; Truehart, Amber; Alvarez, Isa; Ott, Emily; Steenbergh, Kylie; Reiser, Hannah; Haider, Sadia

doi:10.1016/j.jpag.2022.08.008

Cited by 1 publication

(2 citation statements)

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“…Factors associated with a positive screening included care by a female clinician, older patient age, non-private insurance, and non-Hispanic Black race/ethnicity (Goyal et al, 2014). Moore et al (2022) investigated sexual activity screening and referral practices among providers caring for adolescent females with chronic disease. A self-report survey and a retrospective review of 222 medical records (documented by 39 pediatricians) revealed 46% of providers reported routinely screening for sexual activity.…”

Section: Introductionmentioning

confidence: 99%

“…A self-report survey and a retrospective review of 222 medical records (documented by 39 pediatricians) revealed 46% of providers reported routinely screening for sexual activity. A coupled review of documentation demonstrated only 11 instances of sexual activity screening (4.9%) among medically complex females (Moore et al, 2022). In a similar study, Pfaff et al (2021a) investigated screening for high-risk behaviors (substance abuse, sex, mood, abuse/violence, suicidal ideation) in hospitalized adolescents.…”

Section: Introductionmentioning

confidence: 99%

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Increasing Adolescent Sexual Activity Screening Through a Provider-Based Intervention

Parker,

Braswell,

Peterson

2024

Clin Nurs Res

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Screening for adolescent sexual activity is a vital aspect of comprehensive pediatric care. Adolescents engage in risky sexual behaviors. Thus, a complete and accurate sexual health history can assist in the prevention and treatment of disease, prevention of unwanted pregnancy, treatment of existing diseases, and optimal planning of future healthcare for adolescents. Current evidence shows that provider-focused strategies improve the delivery of preventive services, including sexual health screenings. In this initiative, we assessed and examined pre- and post-screening rates for sexual activity among adolescents by advanced practice providers. This multi-site initiative was implemented in four school-based health centers and a school-linked center that included 2,102 unique patients ages 9 to 24 years. Our biphasic intervention included education for advanced practice providers and electronic health record modifications. Pre- and post-data collection was conducted to determine changes in the rate of screening for sexual activity during a primary care adolescent health visit over a 3-year period. Data were collected via retrospective medical chart review and analyzed in three time periods for comparison from 2018 to 2021. Screening rates for sexual activity increased significantly after the intervention (all p < .001) with the likelihood more than double that of the year before it was implemented. The intervention was deemed to be a feasible and cost-effective strategy to improve the provider’s willingness and ability to provide more adolescent sexual health screenings.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%