Physicians Talking About Sex, Sexuality, and Protection With Adolescents

Lindsay Fuzzell, Cleveland G. Shields, Stewart C. Alexander, J. Fortenberry

Research output: Contribution to journalArticle

7 Citations (Scopus)

Abstract

Adolescent-physician communication about sexual behaviors, sexuality, and protective behaviors is vital for the support of sexual minorities and the prevention of sexually transmitted infections and unintended pregnancies. The objective of this review is to identify sexual topics that physicians and adolescents discuss during medical encounters and examine the quantity and quality of that communication. We performed a systematic literature review of major databases through May 2016. We identified 33 papers that focused on adolescent-physician communication about three major sexual health topics: coital or noncoital sexual behaviors, sexual orientation or attractions, and sexually protective or preventative behaviors. Communication between adolescents and physicians about these sexual topics is infrequent and coincides with calls for improvement in clinical sex communication. Communication about sexual attractions, sexual orientation, and noncoital sexual behaviors were the rarest in practice, whereas mentions of contraception were more frequent. The review also highlights substantial limitations with this body of research, and more advanced research designs are warranted. Associations between clinical sexual communication and sexual health outcomes (e.g., contraceptive use and sexually transmitted infection occurrence) would improve knowledge of the effectiveness of communication in practice.

Original languageEnglish (US)
JournalJournal of Adolescent Health
DOIs
StateAccepted/In press - Sep 6 2016

Fingerprint

Sexuality
Communication
Physicians
Sexual Behavior
Reproductive Health
Sexually Transmitted Diseases
Contraceptive Agents
Contraception
Research Design
Databases
Pregnancy
Research

Keywords

  • Adolescent
  • Contraceptive methods
  • Health communication
  • Physicians
  • Sexual activity
  • Sexual orientation

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Public Health, Environmental and Occupational Health
  • Psychiatry and Mental health

Cite this

Physicians Talking About Sex, Sexuality, and Protection With Adolescents. / Fuzzell, Lindsay; Shields, Cleveland G.; Alexander, Stewart C.; Fortenberry, J.

In: Journal of Adolescent Health, 06.09.2016.

Research output: Contribution to journalArticle

Fuzzell, Lindsay ; Shields, Cleveland G. ; Alexander, Stewart C. ; Fortenberry, J. / Physicians Talking About Sex, Sexuality, and Protection With Adolescents. In: Journal of Adolescent Health. 2016.
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