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J Pediatr. 2009 Nov;155(5):689-94.e1. doi: 10.1016/j.jpeds.2009.05.029. Epub 2009 Jul 29.

Adolescent preventive health care: what do parents want?

Author information

1
Department of Pediatrics, University of Michigan, Ann Arbor, MI 48109-5456, USA. adempsey@umich.edu

Abstract

OBJECTIVE:

To understand parental opinions about which topics should be discussed during adolescent preventive health visits and how best to incorporate adolescent confidentiality into these visits.

STUDY DESIGN:

Cross-sectional, web-based survey of a national sample of 1025 parents of adolescents.

RESULTS:

Response rate was 71%. From a list of 18 possible topics, the 3 most frequently selected as being "very important for the doctor to discuss during adolescent well child examinations" were "diet/nutrition" (75%), "exercise/sports" (67%), and "physical changes of puberty" (60%). There was variability in topic popularity by parents' race/ethnicity and gender and by adolescents' age, health status, and gender. Most parents (66%) believed it was "very/somewhat" important for adolescents to have private time with the doctor during these visits, yet a substantial proportion of parents (46%) preferred that the doctor disclose to them the confidential information obtained during these private encounters.

CONCLUSIONS:

Parents find numerous topics important for discussion during well adolescent health care visits suggesting that parents might value a broad range of preventive care services for adolescents. However, some parents appear conflicted about incorporating adolescent confidentiality into prevention-focused visits.

PMID:
19643441
DOI:
10.1016/j.jpeds.2009.05.029
[Indexed for MEDLINE]

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