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Adolescents' and Young Adults' Reports of Barriers to Confidential Health Care and Receipt of Contraceptive Services.
- Source :
-
The Journal of adolescent health : official publication of the Society for Adolescent Medicine [J Adolesc Health] 2018 Jan; Vol. 62 (1), pp. 36-43. Date of Electronic Publication: 2017 Nov 20. - Publication Year :
- 2018
-
Abstract
- Purpose: The purpose of this study was to describe adolescents' and young adults' concerns about confidential reproductive health care and experience with time alone with a provider, and examine the association of these confidentiality issues with receipt of contraceptive services.<br />Methods: Data from the 2013 to 2015 National Survey of Family Growth were analyzed using Poisson regression to describe 15- to 25-year-olds' confidential reproductive health-care concerns and time alone with a provider at last health-care visit according to sociodemographic characteristics. We also assessed whether confidentiality issues were associated with obtaining contraceptive services among females.<br />Results: Concerns about confidential reproductive health care were less common among 15- to 17-year-olds who were covered by Medicaid compared to their parents' private insurance (adjusted risk ratio [ARR] = .61, confidence interval [CI] .41-.91) and had high-school graduate mothers compared to college-graduate mothers (ARR = .68, CI .47-.99), and were more common among those who lived with neither parent compared to living with both parents (ARR = 2.0, CI 1.27-3.16). Time alone with a provider was more common among black girls than white girls (ARR = 1.57, CI 1.11-2.22) and less common among girls covered by Medicaid than those with parents' private insurance (ARR = .72, CI .56-.92). Time alone was less common among boys living with neither parent compared to living with two parents (ARR = .48, CI .25-.91) and with high-school graduate mothers compared to college-graduate mothers (ARR = .59, CI .42-.84). Among sexually experienced girls and women, confidentiality concerns were associated with a reduced likelihood of having received a contraceptive service in the past year.<br />Conclusions: Greater efforts are needed to support young Americans in receiving confidential care.<br /> (Copyright © 2017 The Society for Adolescent Health and Medicine. Published by Elsevier Inc. All rights reserved.)
Details
- Language :
- English
- ISSN :
- 1879-1972
- Volume :
- 62
- Issue :
- 1
- Database :
- MEDLINE
- Journal :
- The Journal of adolescent health : official publication of the Society for Adolescent Medicine
- Publication Type :
- Academic Journal
- Accession number :
- 29157859
- Full Text :
- https://doi.org/10.1016/j.jadohealth.2017.10.011