Abstract:
STUDY OBJECTIVES:Many pediatric providers serving adolescents are not trained to offer comprehensive contraceptive services, including intrauterine devices (IUDs) and implants, despite high safety and satisfaction among adolescents. This study assessed an initiative to train providers at school-based health centers (SBHCs) to offer students the full range of contraceptive methods. DESIGN:Surveys were administered at baseline pre-training and at follow-up 3 months post-training. Data were analyzed using generalized estimating equations for clustered data to examine clinical practice changes. SETTING:Eleven contraceptive trainings at SBHCs across the United States from 2016-2019. PARTICIPANTS:A total of 260 providers from 158 SBHCs serving 135,800 students. INTERVENTIONS:On-site training to strengthen patient-centered counseling and to equip practitioners to integrate IUDs and implants into contraceptive services. MAIN OUTCOME MEASURES:The outcomes included counseling experience on IUDs and implants, knowledge of patient eligibility, and clinician method skills. RESULTS:At follow-up, providers were significantly more likely to report having enough experience to counsel on IUDs (adjusted odds ratio [aOR], 4.08; 95% confidence interval [CI], 2.62-6.36]) and implants (aOR, 3.06; 95% CI, 2.05-4.57). Provider knowledge about patient eligibility for IUDs, including for adolescents, increased (P < .001). Providers were more likely to offer same-visit IUD (aOR, 2.10; 95% CI, 1.41-3.12) and implant services (aOR, 1.66; 95% CI, 1.44-1.91). Clinicians' skills with contraceptive devices improved, including for a newly available low-cost IUD (aOR, 2.21; 95% CI, 1.45-3.36). CONCLUSIONS:Offering evidence-based training is a promising approach to increase counseling and access to comprehensive contraceptive services at SBHCs.
journal_name
J Pediatr Adolesc Gynecoljournal_title
Journal of pediatric and adolescent gynecologyauthors
Comfort AB,Rao L,Goodman S,Barney A,Glymph A,Schroeder R,McCulloch C,Harper CCdoi
10.1016/j.jpag.2020.07.010subject
Has Abstractpub_date
2021-02-01 00:00:00pages
26-32issue
1eissn
1083-3188issn
1873-4332pii
S1083-3188(20)30286-2journal_volume
34pub_type
杂志文章abstract:BACKGROUND:Advances in radiation therapy have led to long term survival in young patients with Hodgkin's disease. Oophoropexy may reduce ovarian damage and preserve hormonal production and future fertility. When ovarian ligaments are shortened, incising the serosa parallel to the infundibulopelvic ligaments at laparosc...
journal_title:Journal of pediatric and adolescent gynecology
pub_type: 杂志文章
doi:10.1016/j.jpag.2005.06.009
更新日期:2005-10-01 00:00:00
abstract:BACKGROUND:The objective of the study was to identify the presence of hydrosalpinx in postmenarchal nonsexually active girls in a children's hospital and to review the available literature on hydrosalpinx in this population. CASES:In a tertiary care children's hospital, we performed a retrospective review of charts fr...
journal_title:Journal of pediatric and adolescent gynecology
pub_type: 杂志文章,评审
doi:10.1016/j.jpag.2015.06.009
更新日期:2015-12-01 00:00:00
abstract:OBJECTIVE:To compare clinical approaches to assessment and treatment of female adolescents with genitourinary symptoms among primary care and emergency department (ED) physicians. DESIGN:A chart review was performed of the evaluation and treatment of 472 patients presenting between July 1, 2005, and June 30, 2006. SE...
journal_title:Journal of pediatric and adolescent gynecology
pub_type: 杂志文章,多中心研究
doi:10.1016/j.jpag.2009.05.010
更新日期:2010-04-01 00:00:00
abstract:BACKGROUND:Imperforate hymen typically presents in adolescence with pain, hematocolpometra and primary amenorrhea. This case documents a previously unreported etiology for an atypical presentation with a history of recent menstruation. CASE:A female adolescent presented with symptoms of urinary retention and leg pain....
journal_title:Journal of pediatric and adolescent gynecology
pub_type: 杂志文章
doi:10.1016/j.jpag.2015.07.004
更新日期:2016-02-01 00:00:00
abstract:BACKGROUND:There are many hypotheses regarding the pathogenesis of endometriosis. Most theories, including retrograde menstruation, require the existence of a uterine structure and endometrial tissue. We report endometriosis with the absence of a uterus. This finding supports the theory of coelomic metaplasia. CASE:A ...
journal_title:Journal of pediatric and adolescent gynecology
pub_type: 杂志文章
doi:10.1016/j.jpag.2009.02.010
更新日期:2010-02-01 00:00:00
abstract:STUDY OBJECTIVE:Adolescent compliance with cytologic and histologic cervical abnormalities is poor. Recent changes in abnormal cytology follow-up and colposcopy indications in young women may delay the diagnosis of cervical dysplasia. The objective of our study was to determine the compliance with follow up. We also wa...
journal_title:Journal of pediatric and adolescent gynecology
pub_type: 杂志文章
doi:10.1016/j.jpag.2008.08.003
更新日期:2009-06-01 00:00:00
abstract:STUDY OBJECTIVE:To characterize Müllerian anatomy in 46,XX cloacal exstrophy patients. DESIGN:Retrospective review of prospectively maintained, institutionally approved exstrophy-epispadias-cloacal exstrophy database. SETTING:Tertiary care, high-volume exstrophy center (Division of Pediatric Urology, The Johns Hopkin...
journal_title:Journal of pediatric and adolescent gynecology
pub_type: 杂志文章
doi:10.1016/j.jpag.2016.01.124
更新日期:2016-10-01 00:00:00
abstract:STUDY OBJECTIVE:To determine the suitability and efficacy of methotrexate (MTX) therapy for adolescent patients with ectopic pregnancy. MATERIALS:Patients with ectopic pregnancy were treated with methotrexate, 50 mg/m2 intramuscularly. Follow-up determinations of quantitative beta hCG levels were done on days 1, 4, an...
journal_title:Journal of pediatric and adolescent gynecology
pub_type: 杂志文章
doi:10.1016/s1083-3188(96)70013-x
更新日期:1996-04-01 00:00:00
abstract:STUDY OBJECTIVE:To examine the etiology of MURCs anomalies and the management of a patient with these anomalies as well as cardiac and anorectal abnormalities causing primary amenorrhea and abdominal pain. DESIGN:Case study. RESULT:Relief of pelvic pain following GnRH agonist therapy and continuous oral contraceptive...
journal_title:Journal of pediatric and adolescent gynecology
pub_type: 杂志文章
doi:10.1016/s1083-3188(02)00161-4
更新日期:2002-08-01 00:00:00
abstract:STUDY OBJECTIVE:The purpose of this study was to evaluate our adolescent patient population who had received a levonorgestrel intrauterine system (LNG-IUS) at or after the time of endometriosis diagnosis, and determine efficacy of the LNG-IUS in regards to pain and bleeding on follow-up exam. DESIGN:Retrospective coho...
journal_title:Journal of pediatric and adolescent gynecology
pub_type: 杂志文章
doi:10.1016/j.jpag.2012.11.002
更新日期:2013-04-01 00:00:00
abstract:STUDY OBJECTIVE:To report the clinical findings and treatment results of a series of patients with epithelial tumors of the ovary, registered and treated prospectively in a multi-institutional Italian network (TREP project) on rare tumors in children and adolescent between 2000 and 2014. DESIGN, SETTING, AND PARTICIPA...
journal_title:Journal of pediatric and adolescent gynecology
pub_type: 杂志文章,多中心研究
doi:10.1016/j.jpag.2014.12.010
更新日期:2015-12-01 00:00:00
abstract:STUDY OBJECTIVE:To describe contraceptive use among female adolescents initiating outpatient treatment for opioid use disorder. DESIGN:Retrospective chart review. SETTING:Outpatient clinic providing medication-assisted treatment for substance use disorders to adolescents and young adults. PARTICIPANTS:Nonpregnant fe...
journal_title:Journal of pediatric and adolescent gynecology
pub_type: 杂志文章
doi:10.1016/j.jpag.2017.11.002
更新日期:2018-04-01 00:00:00
abstract:STUDY OBJECTIVE:To understand adolescent girls' use of "I don't know" within the context of discussing information related to sexual attitudes and behaviors. DESIGN:Qualitative analysis of seven focus groups with adolescent girls. SETTING:Urban primary care clinic. PARTICIPANTS:Adolescent girls (n = 23) with a mean ...
journal_title:Journal of pediatric and adolescent gynecology
pub_type: 杂志文章
doi:10.1016/j.jpag.2006.05.001
更新日期:2006-08-01 00:00:00
abstract:BACKGROUND:Prenatal ovarian torsion is a rare but significant gynecologic abnormality. Current literature has yet to establish standard management in the case of auto-amputated adnexa secondary to ovarian torsion in the neonate. CASES:We report 2 cases of abdominal masses that were diagnosed in the antenatal period an...
journal_title:Journal of pediatric and adolescent gynecology
pub_type: 杂志文章
doi:10.1016/j.jpag.2013.06.019
更新日期:2014-04-01 00:00:00
abstract:UNLABELLED:STUDY OBJECTIVES AND DESIGN: This descriptive study assessed background characteristics and attitudes about pregnancy held by adolescent girls presenting for pregnancy tests and receiving negative results. An additional aim was to determine types of health care services that would be of perceived benefit to ...
journal_title:Journal of pediatric and adolescent gynecology
pub_type: 杂志文章
doi:10.1016/j.jpag.2005.05.005
更新日期:2005-08-01 00:00:00
abstract:STUDY OBJECTIVES:Using confirmatory factor analyses, this study examined the factor structure and reliability of a subjective outcome evaluation tool for students with greater psychosocial needs within the context of the Project P.A.T.H.S. in Hong Kong. DESIGN:To assess the views of program participants on the program...
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
abstract:OBJECTIVE:To establish a set of normal values for breast size in children up to two years of age, and to assess the effects of gender, gestational age, and type of feeding and growth parameters on breast size. DESIGN:Prospective cohort study over 20 months SETTING:The Mayo Clinic Rochester, MN, neonatal nursery and C...
journal_title:Journal of pediatric and adolescent gynecology
pub_type: 杂志文章
doi:10.1016/j.jpag.2010.03.002
更新日期:2010-10-01 00:00:00
abstract:BACKGROUND:Mesonephric duct remnants usually do not present any clinical dilemma. However, if the cellular lining remains active, it may lead to cystic lesions that may cause pain or torsion of the adnexa. CASE:This is a 13-year-old female who presented because of severe pelvic pain. Ultrasound and CT scan revealed a ...
journal_title:Journal of pediatric and adolescent gynecology
pub_type: 杂志文章
doi:10.1016/j.jpag.2012.06.009
更新日期:2012-12-01 00:00:00
abstract:PURPOSE:Pregnancy prevention counseling addresses future goals as a motivator for contraceptive use, but this is often unsuccessful. This study investigated how adolescent females define success and whether they believe teen childbearing will be a barrier to their success. METHODS:A racially and ethnically diverse gro...
journal_title:Journal of pediatric and adolescent gynecology
pub_type: 杂志文章
doi:10.1016/j.jpag.2013.12.009
更新日期:2014-10-01 00:00:00
abstract:STUDY OBJECTIVE:To determine if pregnant adolescents interested in group-based prenatal care have different demographic and psychosocial characteristics than those interested in individual prenatal care. Factors that influence the preferred model of prenatal care patients were assessed. DESIGN, SETTING, AND PARTICIPAN...
journal_title:Journal of pediatric and adolescent gynecology
pub_type: 杂志文章
doi:10.1016/j.jpag.2015.03.006
更新日期:2015-12-01 00:00:00
abstract:OBJECTIVES:To review the etiologies, diagnosis, and treatment options of adolescent endometriosis. METHODS:Review of publications relating to adolescent endometriosis. RESULTS:Endometriosis occurs in adolescents as young as 8 years of age; furthermore, there have been documented cases of endometriosis occurring prior...
journal_title:Journal of pediatric and adolescent gynecology
pub_type: 杂志文章,评审
doi:10.1016/s1083-3188(03)00066-4
更新日期:2003-06-01 00:00:00
abstract:STUDY OBJECTIVE:To learn the relationship between X;autosome chromosome translocation and hypoplastic external genitalia. BACKGROUND:An X;autosome translocation usually presents with phenotypic features similar to Turner syndrome. PARTICIPANTS:We present three female siblings and their mother with X;autosome transloc...
journal_title:Journal of pediatric and adolescent gynecology
pub_type: 杂志文章
doi:10.1016/s1038-3188(99)00011-x
更新日期:1999-08-01 00:00:00
abstract:BACKGROUND:The number of adolescents who are prescribed hormonal contraception (HC) for contraceptive and noncontraceptive indications is increasing. Approximately 1 of 4 female adolescents will use some form of HC by age 19 years. Venous thromboembolism (VTE) is a rare, but life-threatening complication associated wit...
journal_title:Journal of pediatric and adolescent gynecology
pub_type: 杂志文章,评审
doi:10.1016/j.jpag.2015.05.007
更新日期:2016-10-01 00:00:00
abstract:OBJECTIVE:To prospectively identify psychosocial predictors of pregnancy among African-American adolescent females. METHODS:African-American females, 14-18 yrs old, were recruited from schools and health clinics in low-income neighborhoods. Adolescents completed an in-depth survey and provided urine specimens for preg...
journal_title:Journal of pediatric and adolescent gynecology
pub_type: 杂志文章
doi:10.1016/s1083-3188(02)00195-x
更新日期:2002-12-01 00:00:00
abstract:BACKGROUND:Isolated tubal torsion in a premenarchal adolescent girl is a rare phenomenon. Preoperative diagnosis remains a challenge. CASE:A 14-year-old premenarchal girl, with a history of bilateral ovarian torsion treated by laparoscopic detorsion and oophoropexy two years prior, presented to the emergency room with...
journal_title:Journal of pediatric and adolescent gynecology
pub_type: 杂志文章,评审
doi:10.1016/j.jpag.2013.02.002
更新日期:2013-08-01 00:00:00
abstract:STUDY OBJECTIVE:To characterize menstrual health issues and their effect in young women with Angelman syndrome (AS). Our secondary objective was to compare them with young women with autism spectrum disorders (ASDs). DESIGN:Cross-sectional convenience sample survey. SETTING:An institutional review board-approved Web-...
journal_title:Journal of pediatric and adolescent gynecology
pub_type: 杂志文章
doi:10.1016/j.jpag.2015.12.004
更新日期:2016-08-01 00:00:00
abstract:STUDY OBJECTIVE:To describe the prevalence and correlates of vaginal douching among urban African American adolescents and to examine the association between douching and sexually transmitted infection (STI) status. DESIGN:Demographic, psychosocial, and behavioral data were collected through cross-sectional, self-admi...
journal_title:Journal of pediatric and adolescent gynecology
pub_type: 杂志文章
doi:10.1016/j.jpag.2011.07.017
更新日期:2012-02-01 00:00:00
abstract:OBJECTIVE:To describe attitudes and perceptions toward acceptability of human papilloma virus (HPV) vaccination among inner city Caribbean (CA) and African American (AA) adolescents and their parents, and discuss correlates that may be associated with these factors. DESIGN:Questionnaire survey. SETTING:An adolescent ...
journal_title:Journal of pediatric and adolescent gynecology
pub_type: 杂志文章
doi:10.1016/j.jpag.2010.02.002
更新日期:2010-08-01 00:00:00
abstract:STUDY OBJECTIVE:This study was designed to determine the prevalence and factors associated with vaginal douching among secondary school girls in a metropolitan city in Ogun State, Nigeria. DESIGN:A descriptive cross-sectional study was carried out using a semi-structured interviewer-assisted questionnaire adapted from...
journal_title:Journal of pediatric and adolescent gynecology
pub_type: 杂志文章
doi:10.1016/j.jpag.2020.06.003
更新日期:2021-02-01 00:00:00
abstract::The clinical setting of pediatric and adolescent gynecology poses complex tasks for the physician with its numerous procedures and the communication demands of interacting with an adolescent and/or guardian. Needless to say, teaching within this setting is highly demanding. Regardless of the level of learner or the pr...
journal_title:Journal of pediatric and adolescent gynecology
pub_type: 杂志文章,评审
doi:10.1016/j.jpag.2013.09.013
更新日期:2014-08-01 00:00:00