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Journal of Adolescent Health
November 2017

Adolescents' and Young Adults' Reports of Barriers to Confidential Health Care and Receipt of Contraceptive Services

Liza Fuentes,Guttmacher Institute
Meghan Ingerick
Rachel K. Jones,Guttmacher Institute
Laura D. Lindberg,Guttmacher Institute
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First published online: November 20, 2017 DOI: https://doi.org/10.1016/j.jadohealth.2017.10.011
Purpose

The purpose of this study was to describe adolescents' and young adults' concerns about confidential reproductive health care and experience with time alone with a provider, and examine the association of these confidentiality issues with receipt of contraceptive services.


Methods

Data from the 2013 to 2015 National Survey of Family Growth were analyzed using Poisson regression to describe 15- to 25-year-olds' confidential reproductive health-care concerns and time alone with a provider at last health-care visit according to sociodemographic characteristics. We also assessed whether confidentiality issues were associated with obtaining contraceptive services among females.


Results

Concerns about confidential reproductive health care were less common among 15- to 17-year-olds who were covered by Medicaid compared to their parents' private insurance (adjusted risk ratio [ARR] = .61, confidence interval [CI] .41–.91) and had high-school graduate mothers compared to college-graduate mothers (ARR = .68, CI .47–.99), and were more common among those who lived with neither parent compared to living with both parents (ARR = 2.0, CI 1.27–3.16). Time alone with a provider was more common among black girls than white girls (ARR = 1.57, CI 1.11–2.22) and less common among girls covered by Medicaid than those with parents' private insurance (ARR = .72, CI .56–.92). Time alone was less common among boys living with neither parent compared to living with two parents (ARR = .48, CI .25–.91) and with high-school graduate mothers compared to college-graduate mothers (ARR = .59, CI .42–.84). Among sexually experienced girls and women, confidentiality concerns were associated with a reduced likelihood of having received a contraceptive service in the past year.


Conclusions

Greater efforts are needed to support young Americans in receiving confidential care.

Full text available at the Journal of Adolescent Health
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News Release

Confidentiality Concerns May Deter U.S. Adolescents and Young Adults from Obtaining Contraceptive Care

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Protecting Confidentiality for Individuals Insured as Dependents

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An Overview of Consent to Reproductive Health Services by Young People

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Minors’ Access to Contraceptive Services

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Adolescent Sexual and Reproductive Health in the United States

Policy Analysis

A New Frontier in the Era of Health Reform: Protecting Confidentiality for Individuals Insured as Dependents

Guttmacher Policy Review

Topic

United States

  • Teens: State Policies on Teens

Geography

  • Northern America: United States
    • Alabama, Alaska, Arizona, Arkansas, California, Colorado, Connecticut, Delaware, District of Columbia, Florida, Georgia, Hawaii, Idaho, Illinois, Indiana, Iowa, Kansas, Kentucky, Louisiana, Maine, Maryland, Massachusetts, Michigan, Minnesota, Mississippi, Missouri, Montana, Nebraska, Nevada, New Hampshire, New Jersey, New Mexico, New York, North Carolina, North Dakota, Ohio, Oklahoma, Oregon, Pennsylvania, Rhode Island, South Carolina, South Dakota, Tennessee, Texas, Utah, Vermont, Virginia, Washington, West Virginia, Wisconsin, Wyoming

Tags

adolescents, birth control, Medicaid, Title X, confidentiality
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