NDLI: Annual physical examination reports vary by gender once teenagers become sexually active.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Marcell, Arik V. Matson, Pam Ellen, Jonathan M. Ford, Carol A.
Description	Country affiliation: United States Author Affiliation: Marcell AV ( Division of General Pediatrics and Adolescent Medicine, Department of Pediatrics, The Johns Hopkins University, Baltimore, Maryland, USA. amarcell@jhsph.edu)
Abstract	INTRODUCTION: Few sexually active male adolescents receive sexual and reproductive health (SRH) services. To understand this, we examined the association between sexual behavior status and physical examination of the adolescents over time. METHODS: We conducted longitudinal cohort analysis of the National Longitudinal Study of Adolescent Health with 9,239 adolescents who completed the baseline school (1994/1995) and wave 2 (1996) follow-up surveys approximately 1.5 years later (retention rate = 71%). The logistic regression models were fitted with random effects to estimate individual odds of reporting a physical examination in the past 12 months at follow-up, compared with baseline, stratified by sexual behavior status and gender, and adjusting for sociodemographic and healthcare access factors. RESULTS: In all, 34.5% of male and 38.2% of female adolescents reported experiencing vaginal intercourse by follow-up, and 22.4% of male and 24.7% of female adolescents reported first experiencing intercourse during the study period. Among sexually active adolescents, about half reported having annual physical examinations and one-fifth reported not having any physical examinations. Among female adolescents, baseline to follow-up examination reports significantly increased in the following: sex initiators (adjusted odds ratio [OR] = 2.09, 95% confidence interval [CI] = 1.66-2.64); those reporting sex at both times (OR = 2.16, CI = 1.51-3.09); and those reporting no sex either time (OR = 2.47, CI = 2.00-3.04). Among male adolescents, baseline to follow-up examination reports significantly increased in those reporting no sex either time (OR = 1.57, CI = 1.26-1.96) and showed increasing trends in sex initiators (OR = 1.27, CI = .92-1.76). DISCUSSION: A majority of sexually active adolescents report annual physical examinations over time. Providers should not miss opportunities to deliver evidence-based SRH to sexually active adolescents. Future efforts are needed to increase access of all adolescents to SRH services. MESH TERMS: Health Services Accessibility, Male, Female.
File Format	HTM / HTML
ISSN	1054139X
e-ISSN	18791972
DOI	10.1016/j.jadohealth.2010.10.006
Journal	Journal of Adolescent Health
Issue Number	1
Volume Number	49
Language	English
Publisher	Elsevier
Publisher Date	2011-07-01
Publisher Place	United States
Access Restriction	Open
Subject Keyword	Discipline Pediatrics Disclosure Physical Examination Sexual Behavior Adolescent Cohort Studies Odds Ratio Reproductive Health Services Utilization Sex Factors Research Support, N.i.h., Extramural
Content Type	Text
Resource Type	Article
Subject	Public Health, Environmental and Occupational Health Pediatrics, Perinatology and Child Health Psychiatry and Mental Health

Sl.	Authority	Responsibilities	Communication Details
1	Ministry of Education (GoI), Department of Higher Education	Sanctioning Authority	https://www.education.gov.in/ict-initiatives
2	Indian Institute of Technology Kharagpur	Host Institute of the Project: The host institute of the project is responsible for providing infrastructure support and hosting the project	https://www.iitkgp.ac.in
3	National Digital Library of India Office, Indian Institute of Technology Kharagpur	The administrative and infrastructural headquarters of the project	Dr. B. Sutradhar bsutra@ndl.gov.in
4	Project PI / Joint PI	Principal Investigator and Joint Principal Investigators of the project	Dr. B. Sutradhar bsutra@ndl.gov.in Prof. Saswat Chakrabarti will be added soon
5	Website/Portal (Helpdesk)	Queries regarding NDLI and its services	support@ndl.gov.in
6	Contents and Copyright Issues	Queries related to content curation and copyright issues	content@ndl.gov.in
7	National Digital Library of India Club (NDLI Club)	Queries related to NDLI Club formation, support, user awareness program, seminar/symposium, collaboration, social media, promotion, and outreach	clubsupport@ndl.gov.in
8	Digital Preservation Centre (DPC)	Assistance with digitizing and archiving copyright-free printed books	dpc@ndl.gov.in
9	IDR Setup or Support	Queries related to establishment and support of Institutional Digital Repository (IDR) and IDR workshops	idr@ndl.gov.in

Annual physical examination reports vary by gender once teenagers become sexually active

Increases in oral and anal sexual exposure among youth attending sexually transmitted diseases clinics in Baltimore, Maryland.

Adolescent mothers' sexual, contraceptive, and emotional relationship content with the fathers of their children following a first diagnosis of sexually transmitted infection.

Core sexual/reproductive health care to deliver to male adolescents: perceptions of clinicians focused on male health.

Mycoplasma genitalium among adolescent women and their partners.

Sexually transmitted infections, sexual risk behavior, and intimate partner violence among African American adolescent females with a male sex partner recently released from incarceration.

The impact of community-based sexually transmitted infection screening results on sexual risk behaviors of African American adolescents.

A multidimensional model of sexual health and sexual and prevention behavior among adolescent women.

Reproductive health screening disparities and sexual orientation in a cohort study of U.S. adolescent and young adult females.

Annual physical examination reports vary by gender once teenagers become sexually active.

Similar Documents

Annual physical examination reports vary by gender once teenagers become sexually active

Increases in oral and anal sexual exposure among youth attending sexually transmitted diseases clinics in Baltimore, Maryland.

Adolescent mothers' sexual, contraceptive, and emotional relationship content with the fathers of their children following a first diagnosis of sexually transmitted infection.

Core sexual/reproductive health care to deliver to male adolescents: perceptions of clinicians focused on male health.

Mycoplasma genitalium among adolescent women and their partners.

Sexually transmitted infections, sexual risk behavior, and intimate partner violence among African American adolescent females with a male sex partner recently released from incarceration.

The impact of community-based sexually transmitted infection screening results on sexual risk behaviors of African American adolescents.

A multidimensional model of sexual health and sexual and prevention behavior among adolescent women.

Reproductive health screening disparities and sexual orientation in a cohort study of U.S. adolescent and young adult females.

Annual physical examination reports vary by gender once teenagers become sexually active.