Sexual and Reproductive Health Care: A Position Paper of the Society for Adolescent Health and Medicine

Burke, Pamela; Coles, Mandy S.; Meglio, Giuseppina Di; Gibson, Erica; Handschin, Sara M.; Lau, May; Marcell, Arik V.; Tebb, Kathleen; Urbach, Kim

doi:10.1016/j.jadohealth.2014.01.010

Cited by 110 publications

(38 citation statements)

References 46 publications

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“…Multiple clinical guidelines recommend screening of health-related behaviors in the domains of substance use, weight-related, and sexual risk behaviors, 18,22,24 as well as tailoring clinical care for sexual minority adolescents, 25 as part of routine care. Our study was the first to examine possible sexual orientation disparities in physician screening.…”

Section: Discussionmentioning

confidence: 99%

“…12–15 This discrepancy reflects potential missed opportunities for prevention. For example, while health care providers are ideally positioned to deliver sexual risk prevention services, 16–18 sexually experienced adolescents are more likely to obtain sexual health information from parents and teachers than from health care providers. 19 In addition, sexual minority adolescents may be especially prone to experience or anticipate rejections from physicians, 11,15 which may hinder access and self-disclosure of sexual orientation and sexual behaviors to providers and thus limit access to optimal care.…”

Section: Introductionmentioning

confidence: 99%

“…23,24 According to the position paper published by SAHM, comprehensive sexual and reproductive health information and services should be provided to all adolescents in a culturally sensitive and developmentally appropriate manner. 18 In addition, adolescent health care providers are particularly encouraged to attend to the specific needs of sexual minority adolescents, screen for possible mental health issues, and provide tailored health information and/or intervention as appropriate. 25 …”

Section: Introductionmentioning

confidence: 99%

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Sexual Orientation Differences in Adolescent Health Care Access and Health-Promoting Physician Advice

Luk

Gilman

Haynie

et al. 2017

Journal of Adolescent Health

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Purpose Physician screening and advice on health-related behaviors are an integral part of adolescent health care. Sexual minority adolescents encounter more barriers to health services, yet no prior research has examined whether they also experience disparity in physician screening and advice. We examined possible sexual orientation disparities in health care access, physician screening and advice on six health-related behaviors. Methods Data were from a national sample of U.S. adolescents who participated in Wave 2 of the NEXT Generation Health Study (n = 2023). Poisson regressions were conducted separately for males and females to estimate sexual orientation differences in health care access and health-related screening and advice. Results Compared to heterosexual males, sexual minority males were more likely to report unmet medical needs in the past year (ARR = 2.23), but did not differ with respect to receiving physician advice concerning health-related behaviors. Compared to heterosexual females, sexual minority females were more likely to report no routine physical check-up in the past year (ARR = 1.67), but were more likely to receive physician advice to reduce or stop drinking, smoking, drug use, increase physical activity, and improve diet (ARRs = 1.56–1.99), even after controlling for corresponding health-related behaviors. Sexual minority females were also more likely to receive advice about risk associated with sexual behavior (ARR = 1.35) and advice to avoid sexually transmitted diseases (ARR = 1.49). Conclusions Both sexual minority males and females experienced disparities in aspects of health care access. Improved health-promoting advice would better serve sexual minority males. Implications and Contribution Clinical guidelines recommend physician screening and advice as part of routine care. Compared to heterosexual females, sexual minority females received more health-promoting advice and did not report greater unmet medical needs. The reverse pattern was found among males, highlighting the potential benefits of increasing health-promoting advice targeting sexual minority males.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Sexual Orientation Differences in Adolescent Health Care Access and Health-Promoting Physician Advice

Luk

Gilman

Haynie

et al. 2017

Journal of Adolescent Health

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“…21 In response, the Society for Adolescent Health and Medicine (SAHM) issued a position paper that called for improvements in adolescent sexual and reproductive health care. 22 The SAHM’s three core goals were accompanied by a number of recommendations to health care providers and other professionals who work with adolescents. The goals and recommendations align with those set forth by the American Academy of Pediatrics and the World Health Organization.…”

Section: Calls For Improvementmentioning

confidence: 99%

Nurses on the Front Lines

Maria

Guilamo‐Ramos

Jemmott

et al. 2017

AJN, American Journal of Nursing

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Nurses care for adolescents in a variety of settings, including communities, schools, and public health and acute care clinics, which affords them many opportunities to improve adolescents’ sexual and reproductive health and reduce the rates of unplanned pregnancy and sexually transmitted infections. To ensure that adolescents have access to sexual and reproductive health care (which includes both preventive counseling and treatment) in all nursing practice sites, nurses need to gain the knowledge and hone the skills required to deliver evidence-based counseling and services to adolescents and parents. Collectively, nurses can use their unique combination of knowledge and skills to make a positive impact on adolescent sexual and reproductive outcomes. Nurses have the capacity and opportunity to disseminate information about sexual and reproductive health to adolescents and their parents in communities, schools, public health clinics, and acute care settings. This article discusses the Society for Adolescent Health and Medicine’s goals and recommendations, which address adolescent sexual and reproductive health as both a health care and a human rights issue.

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“…Recent studies have found that the use of highly effective contraceptives such as intrauterine contraception (IUC) can decrease adolescent unplanned pregnancy. 5–7 Although current professional guidelines recommend IUC as a potential first line contraceptive for adolescents 8–10 only 5% of contracepting U.S. women aged 15–24 use IUC. 11 …”

Section: Introductionmentioning

confidence: 99%

Urban Adolescents' and Young Adults' Decision-Making Process around Selection of Intrauterine Contraception

Rubin

Felsher

Korich

et al. 2016

Journal of Pediatric and Adolescent Gynecology

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Study Objective To examine adolescent and young adults’ priorities, values and preferences affecting the choice to use intrauterine contraception (IUC). Design and participants Qualitative exploratory semi-structured interviews with 27 females 16–25 years old on the day of their IUC insertion. Analysis was done using a modified grounded theory approach. Setting Outpatient adolescent medicine clinic located within an academic children’s hospital in the Bronx, New York Results We identified four broad factors affecting choice: (1) personal, (2) IUC device-specific, (3) health care provider (HCP), and (4) social network. The majority of the participants perceived an ease with a user-independent method and were attracted by the IUC’s high efficacy, potential longevity of use and the option to remove the device prior to its’ expiration. Participants described their HCP as being the most influential individual during the IUC decision-process via provision of reliable, accurate contraceptive information and demonstration of an actual device. Of all people in their social network, mothers played the biggest role. Conclusions Adolescents and young women choosing IUC appear to value IUCs’ efficacy and convenience, their relationship with and elements of clinicians’ contraceptive counseling, and their mother’s support. Our results suggest that during IUC counseling, clinicians should discuss these device-specific benefits, elicit patient questions and concerns, and use visual aids including the device itself. Incorporating the factors we found most salient into routine IUC counseling may increase the number of adolescents and young women who choose IUC as a good fit for them.

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Sexual and Reproductive Health Care: A Position Paper of the Society for Adolescent Health and Medicine

Cited by 110 publications

References 46 publications

Sexual Orientation Differences in Adolescent Health Care Access and Health-Promoting Physician Advice

Sexual Orientation Differences in Adolescent Health Care Access and Health-Promoting Physician Advice

Nurses on the Front Lines

Urban Adolescents' and Young Adults' Decision-Making Process around Selection of Intrauterine Contraception

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