Confidentiality Matters but How Do We Improve Implementation in Adolescent Sexual and Reproductive Health Care?

Overview

Journal J Adolesc Health

Publisher Elsevier

Specialty Pediatrics

Date 2019 Jun 23

PMID 31227388

Citations 29

Authors

Sanjana Pampati

Nicole Liddon

Patricia J Dittus

Susan Hocevar Adkins

Riley J Steiner

Affiliations

Soon will be listed here.

Abstract

Confidentiality protections are a key component of high-quality adolescent sexual and reproductive health (SRH) care. Research has shown that adolescents value confidentiality and are more likely to seek care and provide honest information when confidentiality protections are implemented. However, many adolescents do not receive confidential SRH care. We synthesize studies of adolescents, parents, and providers to identify confidentiality-related factors that may explain why adolescents do not seek care or receive confidential services when they do access care. We present themes relevant to each population that address individual-level knowledge, attitudes, and behaviors, as well as clinic-level characteristics such as protocols, billing mechanisms, and clinic type. These findings have the potential to inform intervention efforts to improve the delivery of confidential SRH care for young people.

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