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Adolescent Perspectives on Patient-Provider Sexual Health Communication: A Qualitative Study
Andrea J Hoopes1, Samantha K Benson2, Heather B Howard2
11 Kaiser Permanente Washington, Bellevue, WA, USA.
Journal of Primary Care & Community Health
|September 21, 2017
Summary
Adolescents need tailored sexual health services. Understanding their perspectives on patient-provider communication is key to improving care and addressing needs related to sexual health.
Area of Science:
- Adolescent medicine
- Sexual health
- Patient-provider communication
Background:
- Adolescents face high rates of sexually transmitted infections and unintended pregnancies in the US.
- Adolescent-centered care may reduce healthcare barriers, but research on their communication preferences is limited.
Purpose of the Study:
- To explore adolescents' perspectives on patient-provider communication during sexual health visits.
- To identify adolescent preferences for provider characteristics and communication strategies.
Main Methods:
- Qualitative interviews were conducted with 24 adolescents (ages 14-19) in Washington State.
- Interviews focused on past experiences and preferences regarding healthcare providers and communication.
Main Results:
- Adolescent experiences are shaped by individual factors (maturity, autonomy, sexual experience) and interactions with providers.
- Adolescents view providers as sources of information and supplies (contraception, condoms).
- Concerns include provider judgment, power dynamics, and confidentiality.
Conclusions:
- Adolescents have evolving sexual health needs and communication preferences.
- Understanding these diverse needs is crucial for effective clinical interactions and care.
- Tailored approaches are necessary to support adolescent sexual and emotional development.
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