From the LifeLong Medical Care, William Jenkins Health Center, Richmond, CA.
J Am Board Fam Med. 2024 Mar-Apr;37(2):309-315. doi: 10.3122/jabfm.2023.230222R1.
Time to meet privately with a health care provider can support optimal adolescent health, but numerous barriers exist to implementing this practice routinely.
We examined parent reports on their children aged 12 to 17 from a nationally generalizable sample to quantify the presence of time alone with health care providers at the state and national level, as well as socio-contextual correlates using logistic regression analysis.
We estimated that only 1 in 2 adolescents had a confidential discussion at their last medical visit. Certain child, family, and health care factors were associated with lower likelihood for having had confidential discussions. Specifically, adolescents who were Asian; did not have mental, emotional, or behavioral problems; were uninsured; or lived in households with parents who were immigrants, less educated, or did not speak English had significantly lower odds for having had time alone compared with referent groups.
Clinical and structural efforts to rectify these gaps may assist a broader share of youth in benefiting from private health care discussions with providers.
与医疗保健提供者私下会面的时间可以支持青少年的最佳健康，但在常规实施这一做法方面存在许多障碍。
我们使用逻辑回归分析，从全国范围内具有代表性的样本中检查了父母对其 12 至 17 岁子女的报告，以量化在州和国家一级与医疗保健提供者单独相处的时间的存在情况，以及社会背景相关因素。
我们估计只有 1/2 的青少年在上次就诊时有过保密讨论。某些儿童、家庭和医疗保健因素与进行保密讨论的可能性降低有关。具体来说，与参照组相比，亚洲裔青少年；没有精神、情绪或行为问题；没有保险；或者居住在父母是移民、受教育程度较低或不会说英语的家庭中的青少年，独自与提供者进行私下讨论的可能性显著降低。
临床和结构性努力纠正这些差距可能会帮助更多的年轻人从与提供者的私人医疗保健讨论中受益。
