Parry Rachel A, Sayner Robyn, Davis Scott A, Beznos Bethany Y, Carpenter Delesha M, Sleath Betsy L
Division of Pharmaceutical Outcomes and Policy, UNC Eshelman School of Pharmacy, University of North Carolina at Chapel Hill, Chapel Hill, NC.
Division of Pharmaceutical Outcomes and Policy, UNC Eshelman School of Pharmacy, University of North Carolina at Chapel Hill, Chapel Hill, NC.
J Pediatr Adolesc Gynecol. 2020 Aug;33(4):372-376. doi: 10.1016/j.jpag.2020.02.005. Epub 2020 Feb 19.
The occurrence and characteristics of contraception discussions with adolescents are unexplored. Our study sought to address this gap using transcripts of audiotaped healthcare visits.
DESIGN, SETTING, AND PARTICIPANTS: This study was a secondary analysis of 153 transcripts of medical visits with female adolescents with asthma. Medical visits took place among 4 outpatient clinics in North Carolina.
Transcripts were reviewed for occurrence and characteristics of contraception discussions. Demographics were collected from adolescent interviews, caregiver questionnaires, and provider questionnaires.
Contraception was mentioned in 3% (n = 5) of office visits. Conversations about contraception included the topics of contraception efficacy (20%), contraception side effects (60%), contraception adherence (20%), and adolescent sexual health (20%). No conversations included the topics of contraception indication or alternative methods.
Conversations about contraception occurred infrequently in healthcare visits. When conversations did occur, the topics that they covered lacked alignment with guideline recommendations.
与青少年进行的避孕讨论的发生情况及特点尚未得到探讨。我们的研究试图利用录音的医疗就诊记录来填补这一空白。
设计、地点和参与者：本研究是对153份患有哮喘的女性青少年医疗就诊记录进行的二次分析。医疗就诊在北卡罗来纳州的4家门诊诊所进行。
审查记录以了解避孕讨论的发生情况及特点。从青少年访谈、照顾者问卷和提供者问卷中收集人口统计学信息。
3%（n = 5）的门诊就诊提到了避孕。关于避孕的谈话包括避孕效果（20%）、避孕副作用（60%）、避孕依从性（20%）和青少年性健康（20%）等话题。没有谈话涉及避孕适应症或替代方法的话题。
在医疗就诊中，关于避孕的谈话很少发生。当谈话确实发生时，所涵盖的话题与指南建议不一致。
