Adolescents, contraception and confidentiality: a national survey of obstetrician--gynecologists.

Journal Article (Journal Article)

BACKGROUND: Given recent legislative efforts to require parental notification for the provision of reproductive health care to minors, we sought to assess how obstetrician-gynecologists (Ob/Gyns) respond to requests for confidential contraceptive services. STUDY DESIGN: Mailed survey of 1800 US Ob/Gyns, utilizing a vignette where a 17-year-old college freshman requests birth control pills and does not want her parents to know. Criterion variables were the likelihood of encouraging her to abstain from sexual activity until she is older, persuading her to involve her parents in this decision and prescribing contraceptives without notifying her parents. Covariates included physicians' religious, demographic and clinical characteristics. RESULTS: Response rate 66%. Most (94%) would provide contraceptives without notifying her parents. Half (47%) would encourage her to involve a parent, and half (54%) would advise abstinence until she is older. Physicians who frequently attend religious services were more likely to encourage her to involve her parents (OR 1.9), and to abstain from sex until she is older (OR 4.4) but equally likely to provide the contraceptives. CONCLUSIONS: Most obstetrician-gynecologists will provide adolescents with contraceptives without notifying their parents.

Full Text

Duke Authors

Cited Authors

  • Lawrence, RE; Rasinski, KA; Yoon, JD; Curlin, FA

Published Date

  • September 2011

Published In

Volume / Issue

  • 84 / 3

Start / End Page

  • 259 - 265

PubMed ID

  • 21843691

Pubmed Central ID

  • PMC3156985

Electronic International Standard Serial Number (EISSN)

  • 1879-0518

Digital Object Identifier (DOI)

  • 10.1016/j.contraception.2010.12.002


  • eng

Conference Location

  • United States