Journal article
Addressing Reproductive Health in Hospitalized Adolescents-A Missed Opportunity
Journal of adolescent health, Vol.64(6), pp.721-724
06/01/2019
DOI: 10.1016/j.jadohealth.2019.01.005
PMID: 30878183
Abstract
Purpose: Adolescents are at high risk for sexually transmitted infections (STIs) and pregnancy. Since many adolescents have poor access to preventive care, hospitalizations present a critical opportunity to address adolescents' reproductive health. The purpose of this study was to assess provision of reproductive health services within a hospital setting.
Methods: Retrospective study of a consecutive sample of adolescent patients aged 13 years and older hospitalized on the hospitalist service at a large academic pediatric tertiary care center. Measures included sexual history documentation, pregnancy and STI testing, Human papillomavirus immunization status and administration, and provision of contraception.
Results: Only 55% of 150 patients had sexual history documentation, and of those, 47% endorsed sexual activity. Associations with increased likelihood of sexual history documentation included female patients (67% vs. 36%, p < .01), hospitalizations for ingestion (71% vs. 48%, p < .01), hospitalizations to hospital medicine compared with critical care (59% vs. 14%, p<.01), and admission note written by an intern compared with a senior resident, advanced practice provider, or fellow (67% vs. 44%, 29%, 13%, p < .01). Eighteen patients (12%) were tested for STIs. Only 19% of patients due for human papillomavirus immunization received it. Sixty percent of females received a pregnancy test. Contraception was provided in two encounters (2% of females).
Conclusions: Results demonstrate a substantial missed opportunity to provide reproductive health services to hospitalized adolescents. Providers in hospital settings should optimize the opportunity to screen for sexual activity and reproductive health needs, provide indicated services, and offer education regarding reproductive health to hospitalized adolescents. (C) 2019 Society for Adolescent Health and Medicine. All rights reserved.
Details
- Title: Subtitle
- Addressing Reproductive Health in Hospitalized Adolescents-A Missed Opportunity
- Creators
- Vanessa McFadden - Medical College of WisconsinAnna Schmitz - Medical College of WisconsinKelsey Porada - Medical College of WisconsinSonia Mehta - Medical College of WisconsinAlyssa Stephany - Medical College of WisconsinMichelle Pickett - Medical College of Wisconsin
- Resource Type
- Journal article
- Publication Details
- Journal of adolescent health, Vol.64(6), pp.721-724
- Publisher
- Elsevier
- DOI
- 10.1016/j.jadohealth.2019.01.005
- PMID
- 30878183
- ISSN
- 1054-139X
- eISSN
- 1879-1972
- Number of pages
- 4
- Grant note
- American Academy of Pediatrics Community Access to Child Health Grant
- Language
- English
- Date published
- 06/01/2019
- Academic Unit
- Stead Family Department of Pediatrics; Hospital Medicine
- Record Identifier
- 9984353948702771
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