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Related Experiment Videos

Recording what happens in the under-16 consultation.

Pauline McGough1, Chris Thow, Ambreen Butt

  • 1The Sandyford Initiative, Glasgow, UK. Pauline.McGough@glacomen.scot.nhs.uk

The Journal of Family Planning and Reproductive Health Care
|July 11, 2006
PubMed
Summary

Young people under 16 accessing sexual health services often seek emergency contraception or pregnancy testing, indicating common unprotected sexual activity. While child protection concerns arise, they are not frequent in these consultations.

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Area of Science:

  • Adolescent sexual health
  • Public health
  • Clinical practice

Background:

  • Sexual health services for young people require balancing patient confidentiality with safeguarding.
  • Complex needs of young clients raise ethical and medico-legal issues for healthcare providers.

Purpose of the Study:

  • To systematically record data from consultations with clients under 16.
  • To identify common presentations in young sexual health clients.
  • To determine the frequency of child protection concerns.

Main Methods:

  • Implementation of a standardized 'recording form' in a large, integrated sexual health service.
  • Data collection from over 500 consultations between April and October 2004.
  • Analysis of client demographics, relationship status, and reported sexual activity.

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Main Results:

  • Clients aged 12-15 years presented, with a median age of first sexual intercourse at 14.
  • Most clients were in consensual relationships, but 10% reported short-term relationships.
  • A significant proportion did not disclose sexual activity to parents; child protection issues were infrequent.

Conclusions:

  • Clients frequently seek emergency contraception or pregnancy testing, suggesting prevalent unprotected sexual activity prior to service engagement.
  • Collected data offers valuable insights into clinical issues faced by young people.
  • Findings can inform targeted training and highlight potential child protection concerns.