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Area of Science:

  • Adolescent Medicine
  • Public Health
  • Qualitative Research

Background:

  • Healthcare providers are recommended to discuss adolescent sexual and reproductive health (SRH) during all encounters, including hospitalizations.
  • Understanding hospitalized adolescents' perspectives on SRH discussions (SHDs) is crucial for patient-centered care.

Purpose of the Study:

  • To explore hospitalized adolescents' experiences and viewpoints on sexual and reproductive health discussions with healthcare providers.

Main Methods:

  • Conducted private, semistructured interviews with 20 hospitalized adolescents aged 13-17.
  • Employed thematic analysis to identify key themes in participants' experiences and preferences regarding SHDs.

Main Results:

  • Adolescents expressed diverse preferences for SHDs, highlighting varied experiences during hospitalization.
  • Facilitators for effective SHDs include provider nonjudgmental demeanor, privacy assurance, and tailored communication.
  • Some discussions addressed unmet needs, while others were perceived as irrelevant by participants.

Conclusions:

  • Adolescent preferences for SHDs with healthcare providers vary significantly.
  • Initiating SHDs with clear statements of purpose and confidentiality is recommended.
  • Utilizing tools for self-reported behaviors can help providers personalize conversations to adolescent SRH needs and communication styles.