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J Adolesc Health. 2010 Apr;46(4):393-5. doi: 10.1016/j.jadohealth.2009.09.003. Epub 2009 Nov 17.

Who gets confidential care? Disparities in a national sample of adolescents.

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Division of Adolescent Medicine, Department of Pediatrics, University of California, San Francisco, California 94118, USA.


Using the 2001-2004 Medical Expenditures Panel Survey, we examined rates of past-year adolescent time alone with a clinician by visit type, and among youths with a preventive visit, examined age, gender, and race/ethnicity differences. Youths with a preventive visit have higher rates of time alone; rates for these youths increase with age, are higher for males (42%) versus females (37%), and are lowest among Hispanics. Time alone rates are low, especially for younger females and Hispanic youths. Special efforts are needed to increase time alone in these populations.

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