Confidential reproductive health care for adolescents

Current Opinion in Obstetrics and Gynecology

Volumn 17, Issue 5, 2005, Pages 456-460

  Jones, Rachel K ^a   Boonstra, Heather ^a  

^a GUTTMACHER INSTITUTE   (United States)

Author keywords

Adolescents; Confidentiality; Contraception; Minors; Parental involvement; Reproductive health care

Indexed keywords

ADOLESCENCE; CONFIDENTIALITY; CONTRACEPTION; HEALTH CARE POLICY; HEALTH CARE UTILIZATION; HEALTH SERVICE; HUMAN; PARENTAL BEHAVIOR; PARENTAL CONSENT; PRESCRIPTION; PRIORITY JOURNAL; REPRODUCTIVE HEALTH; REVIEW; SEXUALLY TRANSMITTED DISEASE;

EID: 25444473167     PISSN: 1040872X     EISSN: None     Source Type: Journal    
DOI: 10.1097/01.gco.0000178335.36140.49     Document Type: Review

References (27)

1. American Medical Association (AMA). Ethics-5.055 Confidential care for minors. Available online: http://www.ama-assn.org/ama/pub/category/8355.html. [accessed 25 April 2005]
2. American College of Obstetricians and Gynecologists (ACOG). Health care for adolescents. Washington, DC: ACOG; 2003.
3. Ford C, English A, Sigman G. Confidential health care for adolescents: position paper of the Society for Adolescent Medicine. J Adolesc Health 2004; 35:160-167. This update of the 1997 SAM position paper summarizes four aspects of confidentiality for adolescents: clinical practice, research, ethics and law.
4. The Alan Guttmacher Institute (AGI). Minors' access to STD services. State policies in brief as of 1 April 2005. Available online: http://www.guttmacher. org/statecenter/spibs/spib_MASS.pdf. [accessed 25 April 2005] This policy brief, updated at least every 2 months, summarizes legislation and laws enacted in all 50 states and the District of Columbia as they pertain to minors' access to STD services.
5. AGI. Minors' access to contraceptive services. State policies in brief as of 1 April 2005. Available online: http://www.guttmacher.org/statecenter/spibs/ spib_MACS.pdf. [accessed 25 April 2005] This policy brief, updated at least every 2 months, summarizes legislation and laws enacted in all 50 states and the District of Columbia as they pertain to minors' access to contraceptive services.
6. AGI. Table 1FP. In: Family Planning Annual Report, 2003. Available online: http://www.guttmacher.org/pubs/2004/08/01/FPAR2003.pdf. [accessed 25 April 2005]
7. Jones R, Boonstra H. Confidential reproductive health services for minors: the potential impact of mandated parental involvement for contraception. Perspect Sex Reprod Health 2004; 36:182-191. This comprehensive article synthesizes research on minors' access to confidential sexual health services from the perspective of adolescents, parents and family planning clinics, as well as relevant policy issues and developments. Based on research of adolescents, the authors conclude that mandated parental involvement would likely increase adolescent pregnancy rates.
8. Zavodny M. Fertility and parental consent for minors to receive contraceptives. Am J Public Health 2004; 94:1347-1351. This article examines changes in birth, abortion and pregnancy rates among adolescents and young women aged 20-24 years in several Illinois counties. The findings suggest that mandated parental involvement for contraception likely resulted in an increase in teenage births.
9. Zavodny M. Erratum. Am J Public Health 2004; 95:194. This correction to previous research by the author notes that the original findings overstated some differences in pregnancy rates, but that the direction and significance of the relationships were maintained.
10. Chamie M, Eisman S, Forrest JD, et al. Factors affecting adolescents' use of family planning clinics. Fam Plann Perspect 1982; 14:126-139.
11. Furstenberg FF, Herceg-Baron R, Shea J, Webb D. Family communication and teenagers' contraceptive use. Fam Plann Perspect 1984; 16:163-170.
12. Harper C, Callegari L, Raine T, et al. Adolescent clinic visits for contraception: support from mothers, male partners and friends. Perspect Sex Reprod Health 2004; 36:20-26. Survey data from adolescents aged 13-19 years obtaining contraception from three San Francisco clinics found that teenagers were more likely to indicate that male partners (77%) and friends (72%) were aware they were at the clinic than were mothers (45%).
13. Herceg-Baron R, Furstenberg FF, Shea J, Harris KM. Supporting teenagers' use of contraceptives: a comparison of clinic services. Fam Plann Perspect 1986; 18:61-66.
14. Jones R, Purcell A, Singh S, Finer L. Adolescents' reports of parental knowledge of adolescents' use of sexual health services and their reactions to mandated parental notification for prescription contraception. JAMA 2005; 293:340-348. This article summarizes survey data from 1431 adolescent females under age 18 years in 79 US family planning clinics. Nationally, a majority of adolescents indicate that a parent knows they use the clinic, but 18% would engage in unsafe sex if parental notification were required for prescription contraception.
15. Meehan TM, Hansen H, Klein WC. The impact of parental consent on the HIV testing of minors. Am J Public Health 1987; 87:1338-1341.
16. Mosher W, Horn M. First family planning visits by young women. Fam Plann Perspect 1988; 20:33-40.
17. Nathanson CA, Becker MH. Family and peer influence on obtaining a method of contraception. J Marriage Fam 1986; 48:513-525.
18. Reddy D, Fleming R, Swain C. Effect of mandatory parental notification on adolescent girls' use of sexual health care services. JAMA 2002; 288:710-714.
19. Torres A. Does your mother know? Fam Plann Perspect 1978; 10:280-282.
20. Torres A, Forrest JD, Eisman S. Telling parents: clinic policies and adolescents' use of family planning services. Fam Plann Perspect 1980; 12:284-292.
21. Zabin LS, Clark SD. Why they delay: a study of teenage family planning patients. Fam Plann Perspect 1981; 13:205-207, 211-217.
22. Zabin LS, Clark SD. Institutional factors affecting teenagers' choice and reasons for delay in attending a family planning clinic. Fam Plann Perspect 1983; 15:25-29.
23. Kenney AM, Forrest JD, Torres A. Storm over Washington: the parental notification proposal. Fam Plann Perspect 1982; 14:185, 187-190, 192-197.
24. Ford CA, Thomsen SL, Compton B. Adolescents' interpretations of conditional confidentiality assurances. J Adolesc Health 2001; 29:156-159.
25. Franzini L, Marks E, Cromwell PF, et al. Projected economic costs due to health consequences of teenagers' loss of confidentiality in obtaining reproductive health care services in Texas. Arch Pediatr Adolesc Med 2004; 158:1140-1146. In response to state restrictions limiting minor adolescents' access to sexual health services, this analysis uses data from a range of sources (including studies of minor adolescents in family planning clinics, the Texas Department of Health, family planning clinics and personal communication with professionals) and estimates that the increase in teenage pregnancies and untreated STDs could cost the state some $43.6 million per year in health care costs.
26. Paton D. Letters: confidential services for teenagers. Perspect Sex Reprod Health 2005; 37:54.
27. Finer LB, Darroch JE, Frost JJ. Services for men at publicly funded family planning agencies, 1998-1999. Perspect Sex Reprod Health 2003; 35:202-207.