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Parent Perspectives about Initiating Contraception Conversations with Adolescent Daughters
Julia C Durante1, Robin T Higashi2, May Lau1
1Department of Pediatrics, University of Texas Southwestern Medical Center, Dallas, Texas; Children's Health System of Texas, Dallas, Texas.
Many parents delay discussing contraception with youth due to cultural factors and fears. Pediatricians can bridge this gap by initiating confidential conversations about sexual and reproductive health (SRH) to prevent adolescent pregnancy.
Area of Science:
- Public Health
- Adolescent Health
- Reproductive Health
Background:
- Parent-youth sexual and reproductive health (SRH) conversations are vital for preventing adolescent pregnancy.
- Many parents hesitate to discuss contraception before their children become sexually active.
Purpose of the Study:
- To understand parental views on initiating contraception discussions with youth.
- To identify motivators for these conversations and the role of healthcare providers.
Main Methods:
- Semi-structured interviews were conducted with 20 parents of female youth (ages 9-20) in Dallas, Texas.
- Interview transcripts were analyzed using a combined deductive and inductive approach.
Main Results:
- Parents initiated discussions based on age, maturity, or perceived sexual activity.
- Motivators included reducing pregnancy risk and managing youth autonomy, despite fears of encouraging sexual activity.
- Parents desired pediatricians to facilitate confidential contraception discussions.
Conclusions:
- A conflict exists between preventing pregnancy, cultural norms, and fears of encouraging sex, leading to delayed contraception talks.
- Healthcare providers can act as intermediaries, promoting early, confidential, and tailored contraception discussions.
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