![]() Results One hundred sixty-five (65%) of all visits had some sexual content within it. Main Outcomes and Measures Total time per visit during which sexuality issues were discussed. Objective To examine predictors of time spent discussing sexuality, level of adolescent participation, and physician and patient characteristics associated with sexuality discussions during health maintenance visits by early and middle adolescents.ĭesign, Setting, and Participants Observational study of audio-recorded conversations between 253 adolescents (mean age, 14.3 years 53% female 40% white 47% African American) and 49 physicians (82% pediatricians 84% white 65% female mean age, 40.9 years mean duration in practice, 11.8 years) coded for sexuality content at 11 clinics (3 academic and 8 community-based practices) located throughout the Raleigh/Durham, North Carolina, area. However, little is known about the occurrence and characteristics of physician-adolescent discussions about sexuality. Importance Physicians may be important sources of sexuality information and preventive services, and one-on-one confidential time during health maintenance visits is recommended to allow discussions of sexual development, behavior, and risk reduction. Shared Decision Making and Communication.Scientific Discovery and the Future of Medicine.Health Care Economics, Insurance, Payment.Clinical Implications of Basic Neuroscience. ![]() Challenges in Clinical Electrocardiography.
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