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

Publication ,  Journal Article
Lawrence, RE; Rasinski, KA; Yoon, JD; Curlin, FA
Published in: Contraception
September 2011

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.

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Published In

Contraception

DOI

EISSN

1879-0518

Publication Date

September 2011

Volume

84

Issue

3

Start / End Page

259 / 265

Location

United States

Related Subject Headings

  • United States
  • Surveys and Questionnaires
  • Religion and Sex
  • Physicians
  • Parents
  • Parental Notification
  • Obstetrics & Reproductive Medicine
  • Middle Aged
  • Male
  • Logistic Models
 

Citation

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ICMJE
MLA
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Lawrence, R. E., Rasinski, K. A., Yoon, J. D., & Curlin, F. A. (2011). Adolescents, contraception and confidentiality: a national survey of obstetrician--gynecologists. Contraception, 84(3), 259–265. https://doi.org/10.1016/j.contraception.2010.12.002
Lawrence, Ryan E., Kenneth A. Rasinski, John D. Yoon, and Farr A. Curlin. “Adolescents, contraception and confidentiality: a national survey of obstetrician--gynecologists.Contraception 84, no. 3 (September 2011): 259–65. https://doi.org/10.1016/j.contraception.2010.12.002.
Lawrence RE, Rasinski KA, Yoon JD, Curlin FA. Adolescents, contraception and confidentiality: a national survey of obstetrician--gynecologists. Contraception. 2011 Sep;84(3):259–65.
Lawrence, Ryan E., et al. “Adolescents, contraception and confidentiality: a national survey of obstetrician--gynecologists.Contraception, vol. 84, no. 3, Sept. 2011, pp. 259–65. Pubmed, doi:10.1016/j.contraception.2010.12.002.
Lawrence RE, Rasinski KA, Yoon JD, Curlin FA. Adolescents, contraception and confidentiality: a national survey of obstetrician--gynecologists. Contraception. 2011 Sep;84(3):259–265.
Journal cover image

Published In

Contraception

DOI

EISSN

1879-0518

Publication Date

September 2011

Volume

84

Issue

3

Start / End Page

259 / 265

Location

United States

Related Subject Headings

  • United States
  • Surveys and Questionnaires
  • Religion and Sex
  • Physicians
  • Parents
  • Parental Notification
  • Obstetrics & Reproductive Medicine
  • Middle Aged
  • Male
  • Logistic Models