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A Novel Approach for the Administration of Medications and Fluids in Emergency Scenarios and Settings

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Contraception Initiation in the Emergency Department: Adolescent Perspectives.

Tara Ketterer¹, Erin Sieke², Jungwon Min³

¹Policylab, Children's Hospital of Philadelphia (CHOP), Roberts Center for Pediatric Research, Philadelphia, Pennsylvania.

The Journal of Adolescent Health : Official Publication of the Society for Adolescent Medicine

|March 17, 2024

Summary

Adolescent contraceptive intention is influenced by prior experiences, education access, and safety concerns. Social media and peer/family discussions are key information sources for teens seeking contraception.

Keywords:

Adolescent health/medicine Contraception Emergency medicine

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Area of Science:

Adolescent health
Reproductive health
Public health

Background:

Adolescent females in emergency departments are at risk for unintended pregnancy.
Understanding factors influencing contraceptive use is crucial for this population.

Purpose of the Study:

To identify factors affecting contraceptive intention and behavior among adolescent females in the pediatric Emergency Department (ED).

Main Methods:

Qualitative interview study nested within a prospective cohort study.
Utilized an ecologically expanded Theory of Planned Behavior, expert opinion, and literature review to guide interviews.
Interviews were recorded, transcribed, coded, and analyzed for thematic saturation.

Main Results:

Prior contraceptive experiences and patient-clinician interactions influenced health system factors.
Contraceptive education, knowledge/misinformation, teen pregnancy norms, and social media impacted community influences.
Attitudes were shaped by side-effect concerns, motivations, and teen pregnancy beliefs.
Peer and family influenced subjective norms, while ED counseling impacted perceived behavioral control.

Conclusions:

Prior interactions, limited education access, misinformation, and safety concerns affect adolescent contraceptive initiation.
Social media and peer/family are primary sources of contraceptive information.
Intervention design for adolescent ED populations should consider these identified factors to maximize benefit.