Study Objective

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.

Main Outcome Measures

Transcripts were reviewed for occurrence and characteristics of contraception discussions. Demographics were collected from adolescent interviews, caregiver questionnaires, and provider questionnaires.

Results

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.

Conclusions

Conversations about contraception occurred infrequently in healthcare visits. When conversations did occur, the topics that they covered lacked alignment with guideline recommendations.

中文翻译：

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在儿科就诊中与患有哮喘的青少年女性进行避孕交流。

学习目的

与青少年讨论避孕的发生和特点是未知的。我们的研究试图使用录音的医疗访问记录来解决这一差距。

设计、设置和参与者

本研究是对患有哮喘的女性青少年就诊的 153 份记录的二次分析。医疗访问在北卡罗来纳州的 4 个门诊诊所进行。

主要观察指标

记录了避孕讨论的发生和特征。人口统计数据来自青少年访谈、照顾者问卷和提供者问卷。

结果

3% (n = 5) 的办公室访问中提到了避孕。关于避孕的话题包括避孕效果 (20%)、避孕副作用 (60%)、避孕依从性 (20%) 和青少年性健康 (20%)。没有对话包括避孕指示或替代方法的主题。

结论

在就诊时很少发生关于避孕的对话。当对话确实发生时，他们所涵盖的主题与指南建议不一致。