Abstract:
STUDY OBJECTIVE:Adolescents are at high risk for unintended pregnancy. Because of pediatricians' potential role in contraceptive counseling, understanding their attitudes and beliefs and counseling practices about use of long-acting reversible contraceptives (LARC; ie, etonogestrel implant and intrauterine devices [IUDs]) is vital. DESIGN, SETTING, PARTICIPANTS, INTERVENTIONS, AND MAIN OUTCOME MEASURES: We interviewed primary care pediatricians (N = 23) in a Midwestern city in June-August 2014. We transcribed the interviews, developed a coding schema, and analyzed these qualitative data using a priori and open coding of transcripts. RESULTS:Few pediatricians had favorable views on adolescent IUD use and most did not include IUDs in routine contraception counseling. Pediatricians perceived IUDs to impose significant risks for adverse reproductive outcomes and to be poorly tolerated by adolescents. Poor and/or outdated knowledge influenced inaccurate beliefs and unsupportive attitudes. Whereas some pediatricians were advocates for adolescent use of IUDs, many others had concerns that IUDs were not appropriate and not favored by adolescents. In contrast, participants viewed the etonogestrel implant more favorably and often included it in routine counseling. Some pediatricians focused on the familiar and readily available methods (injectable and oral contraceptives) or assumed patients had predetermined expectations for those methods. Time spent counseling on LARC was also perceived as a barrier. Pediatricians described how education and increased familiarity with LARC changed viewpoints. CONCLUSION:A variety of beliefs and attitudes, as well as factors such as time and personal habits, influence pediatricians' contraceptive counseling practices. Until knowledge deficits are addressed, uninformed viewpoints and unfavorable attitudes will limit adolescents' access to LARC, especially IUDs.
journal_name
J Pediatr Adolesc Gynecoljournal_title
Journal of pediatric and adolescent gynecologyauthors
Berlan ED,Pritt NM,Norris AHdoi
10.1016/j.jpag.2016.09.001subject
Has Abstractpub_date
2017-02-01 00:00:00pages
47-52issue
1eissn
1083-3188issn
1873-4332pii
S1083-3188(16)30167-Xjournal_volume
30pub_type
杂志文章abstract:STUDY OBJECTIVE:To assess the values and beliefs regarding sexual behavior, sexual decision-making, and reproductive health learning preferences among teens in Hawaii. DESIGN:Survey regarding teens' knowledge, attitudes, and beliefs about sexual behaviors and preferences for learning about reproductive health. SETTIN...
journal_title:Journal of pediatric and adolescent gynecology
pub_type: 杂志文章
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更新日期:2017-02-01 00:00:00
abstract:BACKGROUND:Alkaline batteries are known to cause caustic burns to the esophagus when ingested. We report a case of alkaline burns to the vagina. CASE:A 13-year-old female presented to the Emergency Department with abdominal pain. She was admitted for necrotic vaginal burns after batteries were removed from her vagina....
journal_title:Journal of pediatric and adolescent gynecology
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abstract:STUDY OBJECTIVE:Mycoplasma genitalium (MG) is a sexually transmitted pathogen linked to female morbidity, but testing for MG is not standardized. We aimed to determine which point-of-care (POC) vaginal tests could predict MG infection. DESIGN, SETTING, PARTICIPANTS:A cross sectional study recruited sexually active ado...
journal_title:Journal of pediatric and adolescent gynecology
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journal_title:Journal of pediatric and adolescent gynecology
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journal_title:Journal of pediatric and adolescent gynecology
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journal_title:Journal of pediatric and adolescent gynecology
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journal_title:Journal of pediatric and adolescent gynecology
pub_type: 杂志文章
doi:10.1016/j.jpag.2007.09.003
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journal_title:Journal of pediatric and adolescent gynecology
pub_type: 杂志文章
doi:10.1016/j.jpag.2014.02.009
更新日期:2014-06-01 00:00:00
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journal_title:Journal of pediatric and adolescent gynecology
pub_type: 杂志文章
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更新日期:2013-02-01 00:00:00
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journal_title:Journal of pediatric and adolescent gynecology
pub_type: 杂志文章
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更新日期:2006-06-01 00:00:00
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pub_type: 杂志文章,随机对照试验
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更新日期:2018-08-01 00:00:00
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journal_title:Journal of pediatric and adolescent gynecology
pub_type: 杂志文章
doi:10.1016/j.jpag.2017.04.004
更新日期:2017-10-01 00:00:00
abstract:STUDY OBJECTIVE:To investigate the attitudes and practices of cystic fibrosis (CF) providers toward sexual and reproductive health (SRH) care in young women with CF. DESIGN, SETTING, PARTICIPANTS, AND INTERVENTIONS:Adult and pediatric US CF providers were sent an online survey exploring their attitudes toward SRH impo...
journal_title:Journal of pediatric and adolescent gynecology
pub_type: 杂志文章
doi:10.1016/j.jpag.2017.01.009
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abstract:PURPOSE:To create a data management system that: (1) standardizes antecedent, program, and outcome variables relevant to the shared goals of adolescent-oriented maternity programs while allowing users to add variables pertaining to unique aspects of their work; (2) cues providers to physiologic and psychosocial charact...
journal_title:Journal of pediatric and adolescent gynecology
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journal_title:Journal of pediatric and adolescent gynecology
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journal_title:Journal of pediatric and adolescent gynecology
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更新日期:2015-12-01 00:00:00
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journal_title:Journal of pediatric and adolescent gynecology
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journal_title:Journal of pediatric and adolescent gynecology
pub_type: 杂志文章,评审
doi:10.1016/j.jpag.2014.05.008
更新日期:2015-12-01 00:00:00
abstract::A 13-year-old female adolescent presented with pelvic pain localized in the right lower abdominal quadrant with diffusion to the groin and internal thigh and worsened by marked leg abduction. No symptoms were detected on physical or sonography examination. The patient reported pain for a further 4 months with no moder...
journal_title:Journal of pediatric and adolescent gynecology
pub_type: 杂志文章
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journal_title:Journal of pediatric and adolescent gynecology
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journal_title:Journal of pediatric and adolescent gynecology
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journal_title:Journal of pediatric and adolescent gynecology
pub_type: 杂志文章,随机对照试验
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更新日期:2017-04-01 00:00:00
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journal_title:Journal of pediatric and adolescent gynecology
pub_type: 杂志文章,多中心研究,随机对照试验
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更新日期:2019-06-01 00:00:00
abstract:STUDY OBJECTIVE:To describe the sociodemographic characteristics of a cohort of adolescents undergoing loop electrosurgical excision procedure (LEEP) of the cervix, and to determine if LEEP is a safe and effective procedure for evaluation and treatment of high-grade squamous intraepithelial lesions (HSIL) of the cervix...
journal_title:Journal of pediatric and adolescent gynecology
pub_type: 杂志文章
doi:10.1016/s1083-3188(02)00209-7
更新日期:2003-02-01 00:00:00