Inpatient Adolescent Sexual Health Services and Long-Acting Reversible Contraception Training
Alice Zhao1, Robin T Higashi2, Shelby Edmondson1
1School of Medicine, University of Texas Southwestern Medical Center, Dallas, Texas.
Hospital Pediatrics
|March 20, 2025
Summary
Inpatient settings can improve adolescent sexual health services, but regional disparities exist in screening and management. Prioritizing training for long-acting reversible contraception (LARC) like implants may enhance care delivery.
Area of Science:
- Adolescent sexual health
- Inpatient healthcare services
- Contraception access
Background:
- Inpatient settings offer opportunities for adolescent sexual health services, including long-acting reversible contraception (LARC).
- Regional variations in screening and management of sexual health needs among adolescents in inpatient settings are not well-characterized.
- Clinician preferences and barriers regarding inpatient LARC training require investigation.
Purpose of the Study:
- To characterize regional differences in inpatient screening and management of sexual health services for adolescents.
- To assess clinician preferences and perceived barriers related to inpatient long-acting reversible contraception (LARC) training.
Main Methods:
- Convergent parallel mixed-methods study utilizing a national online survey and semistructured interviews.
- Survey and interview participants included pediatric residents, fellows, advanced practice providers, and midlevel clinicians.
- Quantitative analysis involved descriptive and bivariate statistics; qualitative analysis used iterative deductive and inductive approaches.
Main Results:
- A total of 669 clinicians completed the survey, and 32 participated in interviews, with findings supporting each other.
- Southern participants reported significantly less screening and management of sexual health needs compared to other regions.
- Identified gaps in services and training barriers, successful implementation of contraceptive implant training, and clinician concerns/solutions for future LARC training.
Conclusions:
- Contraceptive implant training may be a feasible priority for future inpatient educational programs.
- Educational interventions for inpatient clinicians are needed to ensure adequate, region-tailored sexual health service delivery to adolescents.
- Addressing regional disparities in sexual health service provision is crucial for adolescent well-being.
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